Inspection Reports for Emerald Nursing & Rehab

The notice was issued to inform the facility of disciplinary action placing its license on probation for 90 days beginning October 17, 2024, due to violations related to failure to provide treatment for skin breakdown as evidenced by a CMS-2567 survey dated September 24, 2024.

The facility failed to provide adequate treatment for residents with skin breakdown, leading to disciplinary action including probation and requirements to submit plans of correction and periodic reports on residents with skin breakdown.

The document is related to the issuance of a new Skilled Nursing Facility License for Emerald Nursing & Rehab Omaha due to a change of ownership.

The Department of Health and Human Services issued a Skilled Nursing Facility License to Emerald Nursing & Rehab Omaha, confirming the facility meets statutory requirements for operation as a skilled nursing facility with dual certification.

The document is a Nursing Home Licensure Renewal Application and related occupancy permit for Emerald Nursing & Rehab Omaha, indicating the renewal of the facility's license and certification.

The documents confirm that Emerald Nursing & Rehab Omaha meets statutory requirements for licensure renewal as a Skilled Nursing Facility with various therapy services. The occupancy permit certifies a maximum capacity of 155 beds.

This document is a Nursing Home Licensure Renewal Application for Emerald Nursing & Rehab Omaha, submitted to renew the facility's license.

The document certifies that Emerald Nursing & Rehab Omaha meets statutory requirements for licensure renewal as a Skilled Nursing Facility with dual certification for Medicare and Medicaid. It includes facility details, ownership information, and services provided.

The document is a licensing and renewal inspection report related to the Skilled Nursing Facility license issuance and transfer of operations for Emerald Nursing & Rehab Omaha due to a change of ownership.

The report details the transfer of operations of the facility from the Receiver to a new operator, Omaha Operations LLC, effective April 16, 2019. It includes licensing, regulatory compliance, employee transition, and financial/accounting arrangements. No deficiencies or violations are explicitly stated.

An unannounced visit was conducted to investigate a complaint at Omaha Metro Care And Rehabilitation Center, LLC from January 24, 2019 to January 28, 2019 by representatives of the Department of Health and Human Services Division of Public Health.

The facility failed to follow practitioner's orders, ensure adequate supervision during resident transfers, and provide required discharge planning. The facility was compliant with call light response, communication device access, staffing sufficiency, grievance handling, and equipment maintenance. Specific deficiencies included failure to implement treatment orders, failure to conduct thorough fall evaluations, and failure to obtain daily weights as ordered.

The complaint included allegations that the facility failed to follow practitioner's orders, answer call notification systems promptly, ensure residents had access to communication devices and call lights, maintain sufficient staffing, address grievances, maintain essential equipment, ensure adequate supervision, and provide required discharge planning. The investigation found substantiated deficiencies related to practitioner's orders, supervision, and discharge planning.

An unannounced visit was conducted to investigate a complaint and annual survey at Omaha Metro Care And Rehabilitation Center from September 5 to September 11, 2018.

The facility was found to be in compliance with most allegations except for failure to treat residents with respect and dignity related to visible lift slings in the dining area. Multiple deficiencies were cited related to resident dignity, competent nursing staff, food safety, life safety code violations including means of egress, fire door maintenance, electrical safety, and emergency preparedness.

The complaint investigation included allegations of failure to ensure eligibility for admissions, prompt response to calls, property accounting, fall reporting, documentation accuracy, resident dignity, housekeeping, care planning, staffing, supplies, supervision, and change in condition identification. Most allegations were found to be in compliance except for dignity issues related to lift slings visible in the dining area.

The document is a Nursing Home Licensure Renewal Application and related renewal certification for Omaha Metro Care and Rehabilitation Center, LLC, verifying the facility's license renewal and compliance with statutory requirements.

The documents confirm the facility's licensure renewal for a Skilled Nursing Facility with a total licensed capacity of 155 beds. The renewal application includes ownership and management information, certification of compliance with regulations, and an occupancy permit issued by the Nebraska State Fire Marshal.

An unannounced visit was conducted to investigate a complaint at Omaha Metro Care And Rehabilitation Center, LLC regarding allegations of failure to provide care to prevent pressure sores, insufficient staffing, misappropriation of residents' property, inadequate pain management, and failure to notify responsible parties of changes in condition.

The facility was found compliant with care to prevent pressure sores, staffing sufficiency, property accountability, and pain management. However, the facility failed to notify the responsible party of changes in condition for one resident, resulting in non-compliance with federal and state regulations.

The complaint investigation was substantiated with a finding that the facility failed to notify the resident representative of a change of condition and treatment for one resident (Resident 5) out of four reviewed. The facility census was 70. The failure involved lack of notification regarding a wound infection and antibiotic treatment.

An unannounced visit was conducted to investigate a complaint at Omaha Metro Care And Rehabilitation Center, LLC on January 24, 2018, regarding allegations including failure to protect residents from abuse, evaluate causal factors for falls, follow medication administration protocols, serve requested foods, prevent skin breakdown, and resolve grievances.

The facility was found compliant with abuse protection, fall evaluations, skin breakdown prevention, grievance resolution, and food requests. A medication administration error was observed but was below the regulatory error rate, so no deficiency was cited. Deficiencies were found related to improper hair restraints worn by kitchen staff and failure to maintain respiratory treatment equipment properly for two residents.

The complaint investigation addressed allegations of abuse, fall evaluations, medication administration errors, food service issues, skin breakdown care, and grievance resolution. The facility was found compliant in most areas except for medication timing errors (below threshold), hair restraint violations, and respiratory equipment maintenance issues.

An unannounced visit was conducted to investigate a complaint at Omaha Metro Care And Rehabilitation Center, LLC on December 20-21, 2017, focusing on multiple allegations including medication administration, meal provision, care according to practitioner's orders, hygiene, staff training, abuse prevention, and other resident care concerns.

The investigation found the facility in compliance with all cited allegations, including medication administration, meal provision, care services, hygiene, staff training, assistance with elimination and dining, respect and dignity, tracheostomy care, power wheelchair safety, and abuse prevention.

The complaint included 11 allegations related to medication errors, meal provision, care services, hygiene, staff training, elimination assistance, dining assistance, staff respect, tracheostomy care, wheelchair safety, and abuse protection. All allegations were found to be in compliance with regulations.

An unannounced visit was conducted to investigate a complaint at Omaha Metro Care And Rehabilitation Center, Llc on September 27, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found the facility was in compliance with regulatory guidelines regarding abuse prevention, assistance with transfers, and meal temperature standards. No deficiencies were identified in these areas.

The complaint alleged failure to ensure residents are free from abuse, failure to provide assistance with transfers, and failure to ensure meals are served at proper temperatures. All allegations were found to be unsubstantiated.

The document serves as a Notice of Disciplinary Action against Omaha Metro Care And Rehabilitation Center, LLC, placing the facility's license on probation for 90 days starting July 21, 2017, due to violations of licensure regulations including failure to ensure a resident was free from involuntary seclusion.

The facility was found in violation of multiple regulations related to resident rights, care and treatment, housekeeping, medication integrity, infection control, and other areas. The violations were evidenced by failure to prevent involuntary seclusion of a resident and other deficiencies as detailed in the CMS-2567 report dated July 6, 2017.

An unannounced visit was conducted to investigate a complaint and annual survey at Omaha Metro Care And Rehabilitation Center, Llc on June 21, 2017-June 28, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with staff credentialing, pest control, protection from misappropriation, staffing sufficiency, notification of adverse events, emergency transfer paperwork, resident choice on personal care, submission of investigations, and development of plans of care. Deficiencies were found related to hygiene care, fall prevention interventions, meal quality, individualized activity programming, housekeeping maintenance, PASRR recommendations, antibiotic re-evaluation, oral care, pressure ulcer treatment, bladder and bowel continence programs, fall prevention interventions post-fall, food temperature and handling, infection control including isolation procedures, medication label accuracy, and quality assurance committee effectiveness. A fire safety deficiency was also cited related to hazardous area door self-closing devices.

The complaint investigation included allegations related to staff credentials, hygiene, pest control, misappropriation, staffing, adverse event notification, emergency transfer paperwork, fall prevention, meal quality, communication access, investigation submission, and plan of care development. Some allegations were substantiated with deficiencies cited.

The notice was issued to impose disciplinary action placing the facility's license on probation for 90 days due to violations related to failure to prevent pressure sores and accidents.

The facility failed to implement interventions to prevent the development of pressure sores and burns from hot liquid spills, violating licensure regulations.

An unannounced visit was conducted to investigate a complaint at Omaha Metro Care And Rehabilitation Center, LLC from January 31, 2017 to February 2, 2017 by representatives of the Department of Health and Human Services Division of Public Health.

The facility failed to ensure residents were supervised to prevent injuries, failed to protect residents from injury, and failed to provide care and treatment to prevent and promote healing of skin breakdown. Two residents sustained injuries from hot liquids due to lack of supervision in the dining room. The facility also failed to evaluate causal factors and implement interventions for pressure ulcers in one resident.

The complaint investigation found multiple allegations substantiated including failure to supervise residents to prevent injuries, failure to protect residents from injury, and failure to provide care and treatment to prevent and promote healing of skin breakdown. Specific incidents involved residents sustaining injuries in the dining room without supervision and pressure ulcers not properly managed.

The notice serves to inform Omaha Metro Care And Rehabilitation Center, LLC that their facility license is placed on probation for 90 days starting January 26, 2017, due to violations of licensure regulations related to care and treatment, specifically failure to implement interventions to prevent or relieve episodic significant pain.

The facility was found in violation of several regulations including resolution of complaints and grievances, administrator responsibilities, medication errors, and sanitary conditions. The violations were evidenced by failure to implement interventions to prevent and/or relieve episodic significant pain.

An unannounced visit was conducted to investigate a complaint at Omaha Metro Care And Rehabilitation Center, LLC from December 29, 2016 to January 3, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found multiple deficiencies including failure to submit a timely written investigation of abuse allegations, unresolved resident grievances, medication administration errors with a 13.33% error rate, failure to maintain food at appropriate temperatures, and inadequate pain management for a resident. Some allegations such as misappropriation, sufficient staffing, discharge planning, nutritional needs, food preferences, and fall interventions were found to be compliant.

The complaint investigation was triggered by allegations including failure to submit timely investigations, misappropriation, staffing sufficiency, discharge planning, medication administration errors, food temperature violations, grievance resolution, nutritional needs, food preferences, and fall interventions. The investigation substantiated failures in timely abuse investigation reporting, grievance resolution, medication administration, food safety, and pain management.

The notice was issued to inform the facility of disciplinary action placing its license on probation for 90 days beginning August 31, 2016, due to violations related to failure to implement assessed interventions and evaluate causal factors to prevent falls and implement additional interventions after falls occurred.

The facility was found in violation of licensure regulations related to accidents, specifically failing to implement assessed interventions and evaluate causal factors to prevent falls. The CMS-2567 Report dated August 16, 2016, documents these violations.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to investigate causative factors in resident falls.

The facility failed to investigate causative factors for falls and did not follow the plan of care for transfers. Interventions to prevent additional falls were not always evaluated or implemented. Specific deficiencies were found related to toileting programs and fall prevention interventions for two residents.

The complaint alleged the facility failed to investigate causative factors in falls. The investigation confirmed the facility did not evaluate or implement new interventions after falls and did not follow the plan of care for transfers.

An unannounced visit was conducted to investigate a complaint regarding allegations of abuse, verbal abuse, and inadequate care for bowel elimination at Golden Livingcenter - Omaha.

The investigation found no violations related to abuse or verbal abuse, as residents and staff reported no indications of such issues. The facility provided appropriate care and treatment for bowel elimination with no violations identified.

The complaint alleged failure to protect residents from abuse, failure to ensure residents were free from verbal abuse, and failure to provide care and treatment for bowel elimination. All allegations were found unsubstantiated.

An unannounced visit was conducted to investigate a complaint and annual survey at Golden Livingcenter - Omaha on February 29, 2016-March 8, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found multiple deficiencies including failure to provide staff assistance with food/fluid intake, insufficient staffing, failure to notify POA prior to discharge, failure to prevent pressure sores, failure to ensure accurate documentation, failure to report abuse and injuries timely, failure to maintain sanitary environment, failure to provide appropriate activities, and multiple medication and treatment errors.

The complaint investigation included allegations of failure to resolve complaints/grievances, failure to provide staff assistance with food/fluid intake, failure to ensure proper temperatures of food, failure to administer medications according to orders, failure to provide appropriate housekeeping/maintenance, failure to provide a safe environment for residents at risk for elopement, failure to ensure clean grooming, failure to ensure sufficient staffing, failure to ensure accurate documentation, failure to ensure proper equipment for resident transfer, failure to notify POA prior to discharge, failure to prevent resident injury, failure to notify family of change in condition, and failure to provide care to prevent pressure sores.

This document is a Nursing Home Licensure Renewal Application for Golden LivingCenter - Omaha, submitted to renew the facility's license.

The document certifies that the facility meets statutory requirements for licensure renewal and includes ownership and accreditation information.

The inspection was conducted to assess compliance with state and federal regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities, including accuracy of resident assessments and nurse staffing postings.

The facility failed to accurately record one resident's indwelling catheter status on the Quarterly MDS and failed to maintain accurate daily posted nurse staffing information. Corrective actions and staff education were implemented, and ongoing audits were planned.

An unannounced visit was conducted to investigate a complaint survey at Golden Livingcenter - Omaha from January 13, 2016 to January 19, 2016, triggered by allegations that the facility failed to protect residents from injury and failed to submit investigations within 5 working days.

The facility failed to protect residents from injury by not implementing identified interventions to prevent falls and elopement. Additionally, the facility failed to submit investigations of alleged neglect to the required state agency within 5 working days for two residents. Immediate corrective actions and staff education were implemented.

The complaint investigation was substantiated with findings that the facility failed to protect residents from injury and failed to submit investigations within the required timeframe. The facility was cited for violations at F323 and F225 related to these issues.

An unannounced visit was conducted to investigate a complaint at Golden Livingcenter - Omaha regarding failure to provide care and services according to practitioner's orders, medication administration, staff training, call notification system access, and oxygen administration standards.

The facility failed to provide care and services according to practitioner's orders, specifically failing to administer oxygen treatments as ordered for Residents 2 and 4. The facility was found compliant with staff training and call notification system access. The oxygen administration did not follow standards of practice, with oxygen levels set below physician orders.

The complaint investigation found that the facility failed to provide care and services according to practitioner's orders, specifically oxygen administration not following physician orders for two residents. The facility was compliant with staff training and call notification system access.

An unannounced visit was conducted to investigate a complaint at Golden Livingcenter - Omaha on May 11, 2015, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation reviewed resident records, observations, and interviews related to three allegations: failure to protect residents from injuries, failure to submit investigations in 5 working days, and failure to give appropriate notice of involuntary discharge. The facility was found to be in compliance with regulatory guidelines for all allegations.

The complaint alleged the facility failed to protect residents from injuries, failed to submit investigations within 5 working days, and failed to give residents appropriate notice of involuntary discharge. All allegations were found to be unsubstantiated as the facility was in compliance.

Routine inspection conducted to assess compliance with state and federal regulations including criminal background checks, life safety code standards, fire drills, and means of egress.

The facility failed to complete criminal background and sex offender registry checks for several direct care staff. Life safety code violations included doors that did not latch properly, fire drills not conducted at random times on all shifts, and obstructions in means of egress corridors. Corrective actions and monitoring plans were implemented to address these deficiencies.

An unannounced visit was conducted to investigate multiple complaints at Golden Livingcenter - Omaha from December 29, 2014 to December 31, 2014, including allegations about supplies, call system response, emergency care, supervision, dignity and respect, laundry, documentation, medication administration, meals, cleanliness, pain management, hydration, bowel care, nutrition, feeding tube care, plan of care implementation, administrator presence, pressure sore prevention, equipment maintenance, discharge planning, and physical therapy.

The facility was found compliant with most allegations including supplies, call system response, emergency care, supervision, laundry, documentation, medication administration, meals, pain management, hydration, bowel care, nutrition, plan of care, pressure sore prevention, equipment maintenance, discharge planning, and physical therapy. Deficiencies were found related to dignity and respect due to compression stockings hanging in sight of visitors, failure to maintain a clean and sanitary environment with dirty floors, walls with blood stains, and infection control issues related to improper storage of feeding tube supplies. The facility also failed to ensure the administrator or a qualified designee was present during an extended administrator absence.

The complaint investigation addressed multiple allegations including insufficient supplies, call system delays, emergency care delays, supervision failures, dignity and respect issues, laundry delays, documentation failures, medication errors, meal quality, cleanliness, pain management, hydration, bowel care, nutrition, feeding tube care, plan of care adherence, administrator absence, pressure sore prevention, equipment maintenance, discharge planning, and physical therapy provision. The facility was found out of compliance on dignity and respect, housekeeping and maintenance, infection control related to feeding tube care, and administrator presence.

An unannounced visit was conducted to investigate a complaint at Golden Livingcenter - Omaha from October 2, 2014 to October 6, 2014. The investigation was triggered by multiple allegations regarding the facility's care and services.

The investigation found that the facility met all regulatory requirements related to the allegations. The facility promptly answered call lights, maintained a clean environment, ensured residents were clean and groomed, provided medications according to the Five Rights, treated residents with respect and dignity, identified changes in condition, protected residents from abuse and misappropriation, notified healthcare practitioners of changes, provided care according to orders, ensured meals were attractive, provided prompt emergency care, implemented interventions to prevent bruising, provided appropriate discharge planning, and protected residents from injury.

The complaint investigation addressed multiple allegations including failure to answer call lights promptly, failure to provide a clean environment, failure to ensure residents are clean and groomed, failure to provide medications according to the Five Rights, failure to treat residents with respect and dignity, failure to identify change of condition, failure to protect residents from abuse and misappropriation, failure to notify healthcare practitioners of changes, failure to provide care according to orders, failure to ensure meals are attractive, failure to provide prompt emergency care, failure to implement interventions to prevent bruising, failure to provide appropriate discharge planning, and failure to protect residents from injury. All allegations were found to be unsubstantiated.

An unannounced visit was conducted to investigate a complaint and annual survey at Golden Livingcenter - Omaha on February 24-27, 2014.

The facility was found to be in compliance with many complaint allegations including access to communication, treatment completion, medication administration, injury prevention, family notification, and staffing. Deficiencies were noted related to dignity and respect of individuality for one resident, failure to provide medically-related social services for one resident with increased depression and behaviors, odor issues in hallways, unnecessary antipsychotic drug use without proper orders or target behaviors, food temperature and sanitation issues in food service, infection control breaches, and inadequate ventilation in resident bathrooms. Life safety code deficiencies were also identified related to smoke compartment doors and smoking area safety.

The complaint investigation included allegations related to access to communication, treatment completion, medication administration, timely submission of investigations, plan of care adherence, laboratory work completion, pain medication provision, family notification of condition changes, pressure sore care, staffing adequacy, physician visits, medication administration accuracy, and skin breakdown prevention. The facility was found compliant on most allegations except for dignity and respect, social services, odor control, unnecessary drug use, food temperature and sanitation, infection control, ventilation, and life safety code compliance.

Annual inspection of Golden Livingcenter - Omaha to assess compliance with federal and state regulations including life safety code standards.

The facility was found deficient in multiple areas including failure to provide flame spread rating for air-conditioning unit covers, malfunctioning resident room doors, inadequate smoke separation doors, lack of emergency lighting and egress lighting, improper storage of oxygen cylinders, missing oxygen warning signage, use of power strips and extension cords, and failure to conduct fire drills as required. Several fire safety code violations were noted including obstructed egress paths, combustible decorations, and failure to maintain kitchen hood systems.

The inspection was conducted as an annual survey to assess compliance with state and federal regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.

The facility was found deficient in multiple areas including failure to notify residents' legal representatives and physicians of significant changes, failure to update comprehensive care plans and implement appropriate interventions for pressure ulcers, failure to maintain medication error rates below 5%, and failure to complete required pre-employment criminal background and registry checks for direct care staff.

Annual inspection of Golden Livingcenter - Omaha to assess compliance with state and federal regulations including resident care, safety, and facility conditions.

The facility was found deficient in multiple areas including medication documentation, resident privacy, personal care, complaint investigations, dignity and respect, housekeeping and maintenance, care planning, infection control, medication errors, food safety, drug storage, and life safety code compliance. Several residents had issues with care plans, pressure ulcers, medication administration, and environmental safety concerns.

The document is a plan of correction submitted by Golden Livingcenter - Omaha in response to deficiencies cited during a survey conducted on 10/22/2010.

The facility was found deficient in several areas including failure to follow physician orders for residents, medication administration errors with an 11.5% error rate, and nurse aide competency related to gait belt use. Specific residents were cited for medication and care deficiencies.

This document serves as a license renewal confirmation for Golden LivingCenter - Omaha and includes an occupancy permit issued by the Nebraska State Fire Marshal.

The facility is licensed as a Skilled Nursing Facility with a total licensed capacity of 155 beds. The occupancy permit was issued on 2014-03-18 by the State Fire Marshal.

The document serves as a renewal application and verification of licensure for Omaha Metro Care and Rehabilitation Center, LLC, including confirmation of licensed beds and occupancy permit.

The documents confirm that Omaha Metro Care and Rehabilitation Center, LLC is licensed as a Skilled Nursing Facility with 155 beds, dual certified for Medicare and Medicaid, and holds a valid occupancy permit issued by the Nebraska State Fire Marshal.

The document set is related to the renewal of the nursing home license for Emerald Nursing & Rehab Omaha and includes occupancy permit details and ownership information.

The documents verify that the facility meets statutory requirements for licensure renewal and has an approved occupancy permit for a maximum of 155 beds. No inspection findings or deficiencies are reported.

The document serves to verify the renewal of the SNF/NF Dual Certification license for Emerald Nursing & Rehab Omaha and includes the nursing home licensure renewal application.

The documents confirm that Emerald Nursing & Rehab Omaha meets statutory requirements for licensure renewal and provide details on ownership, services offered, and occupancy permit.

This document package serves as a nursing home licensure renewal application and includes certification of license renewal, ownership information, and occupancy permit details for Emerald Nursing & Rehab Omaha.

The documents confirm the facility's licensure renewal status, ownership details, and maximum licensed bed capacity. No inspection findings or deficiencies are reported.

This document serves as a renewal application for the nursing home license of Emerald Nursing & Rehab Omaha, including verification of licensure and occupancy permit details.

The documents confirm that Emerald Nursing & Rehab Omaha meets statutory requirements for licensure renewal and holds an occupancy permit for 155 beds.

The documents serve to issue and verify the Skilled Nursing Facility license for Omaha Metro Care and Rehabilitation Center, LLC, including renewal verification and occupancy permit issuance.

The documents confirm the facility's licensure status, ownership, and compliance with occupancy regulations, including a fire marshal occupancy permit for 155 beds.

The documents pertain to the issuance of a new Skilled Nursing Facility license due to a change of ownership and include licensure application and certification materials for Emerald Nursing & Rehab Omaha.

No inspection findings or deficiencies are reported. The documents confirm licensure, ownership, and facility capacity information.