Inspection Reports for Omaha Nursing and Rehabilitation

This Notice of Disciplinary Action was issued due to violations related to failure to evaluate and implement interventions to prevent unplanned weight loss at the facility, based on the CMS-2567 survey report dated October 31, 2024.

The facility was found to have violated licensure regulations concerning unplanned weight loss by failing to assess residents at risk and implement effective interventions, resulting in probation for 90 days beginning November 28, 2024.

The document is a Nursing Home Licensure Renewal Application and related licensing documents for Omaha Nursing and Rehabilitation Center, indicating the facility's license renewal process.

The documents certify that Omaha Nursing and Rehabilitation Center meets statutory requirements for skilled nursing facility licensure renewal. The renewal application includes facility ownership, accreditation, and certification details.

An unannounced visit was conducted to investigate a complaint at Omaha Nursing And Rehabilitation Center on January 15, 2020, regarding allegations that the facility failed to identify a change of condition, failed to provide adequate fluid intake to prevent dehydration, and failed to notify the practitioner of changes in condition.

The investigation found that the facility did identify changes of condition, provided adequate fluid intake to prevent dehydration, and notified the practitioner of changes in condition. Therefore, the facility was found to be in compliance with the regulatory requirements for all allegations.

The complaint alleged failure to identify a change of condition, failure to provide adequate fluid intake to prevent dehydration, and failure to notify the practitioner of changes in condition. All allegations were found to be unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate a complaint at Omaha Nursing And Rehabilitation Center from June 3, 2019 to June 5, 2019 by the Department of Health and Human Services Division of Public Health.

The investigation reviewed multiple allegations including dignity and respect, ADL assistance, transfers, call light access, medication administration, bowel/bladder care, wound care, and meal quality. The facility was found to be in compliance with all relevant regulatory guidelines for each allegation.

The complaint included nine allegations regarding failure to ensure dignity and respect, ADL assistance, transfer services, call light access, medication administration, bowel/bladder care, wound care, medication rights, and meal quality. All allegations were found to be unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate a complaint and revisit at Omaha Nursing And Rehabilitation Center from February 4, 2019 to February 7, 2019 by representatives of the Department of Health and Human Services Division of Public Health. The investigation focused on allegations related to failure to submit investigations within 5 working days, failure to complete written investigations within 5 working days, and failure to use appropriate interventions to prevent falls.

The facility failed to submit investigations and complete written investigations within 5 working days, violating state and federal regulations. Additionally, the facility failed to identify and implement appropriate interventions to prevent resident falls. Corrective actions and system changes were initiated including education, audits, and monitoring to ensure compliance.

The complaint investigation was substantiated with findings that the facility failed to submit and complete investigations within 5 working days and failed to implement appropriate fall prevention interventions. The investigation included review of resident records, observations, and interviews. Specific residents (#300 and #301) were involved in the findings.

An unannounced visit was conducted to investigate a complaint at Omaha Nursing And Rehabilitation Center from December 4, 2018 to January 2, 2019, focusing on allegations including failure to notify responsible parties of changes in condition, hydration, nutrition, orthotic device fit, pressure sore prevention, change identification, and bowel care.

The investigation found the facility failed to notify the responsible party and physician of a resident's change in condition and development of pressure ulcers, failed to monitor pressure ulcers adequately, and failed to ensure timely medication delivery for a resident. Other allegations such as hydration, nutrition, and communication needs were found to be in compliance.

The complaint investigation was substantiated with findings that the facility failed to notify responsible parties of changes in condition, failed to monitor and treat pressure ulcers properly, and failed to ensure timely medication administration for a resident.

An unannounced visit was conducted to investigate a complaint and annual survey at Omaha Nursing And Rehabilitation Center from October 23, 2018 to October 29, 2018 by representatives of the Department of Health and Human Services Division of Public Health.

The complaint investigation found no deficiencies related to the 20 allegations listed, with the facility found in compliance with relevant state and federal regulations. However, the subsequent detailed inspection identified multiple deficiencies including failure to provide quarterly resident trust account statements, incomplete comprehensive care plans, failure to follow pharmacy consultant recommendations, expired medications on medication carts, fire safety code violations including storage in exit stairways, inadequate hazardous area door seals, lack of lockout device on fire alarm breaker, incomplete sprinkler system out-of-service policy, incomplete fire evacuation plan, failure to conduct fire drills under varying conditions, and lack of preventative maintenance plan for fire doors.

The complaint investigation included 20 allegations ranging from failure to ensure availability of essential equipment to failure to provide meals as scheduled. The facility was found compliant with all allegations upon investigation.

An unannounced visit was conducted to investigate a complaint at Omaha Nursing And Rehabilitation Center regarding allegations that the facility failed to notify the responsible party of changes in condition and failed to follow practitioner's orders.

The investigation found that the facility did notify the responsible party of changes in condition and did follow practitioner's orders, thus the facility was found to be in compliance with regulatory requirements.

The complaint alleged failure to notify responsible parties of changes in condition and failure to follow practitioner's orders. Both allegations were found to be unsubstantiated as the facility was in compliance.

The document serves as a Notice of Disciplinary Action placing Omaha Nursing And Rehabilitation Center on probation due to violations related to failure to evaluate nutritional requirements and causal factors for pressure ulcer healing and management.

The facility failed to evaluate nutritional requirements for pressure ulcer healing, failed to evaluate causal factors for pressure ulcer development, and failed to evaluate the condition of pressure ulcers. The probation period was initially 90 days starting May 22, 2018, then extended to 120 days ending September 19, 2018, due to incomplete correction of violations.

An unannounced visit was conducted to investigate a complaint regarding failure to provide care and treatment to prevent pressure sores and failure to provide services for appropriate positioning/transfers.

The facility failed to provide care and treatment to prevent pressure ulcers for Resident 3, including failure to evaluate nutritional requirements and monitor wounds. The facility also failed to use the correct sling size for mechanical lift transfers for Resident 2. Subsequent follow-up found continued deficiencies related to pressure ulcer management for Residents 8 and 9, including failure to implement interventions and evaluate causative factors.

The complaint alleged failure to provide care and treatment to prevent pressure sores and failure to provide services for appropriate positioning/transfers. The investigation confirmed these allegations for multiple residents.

The document is a Nursing Home Licensure Renewal Application and related licensing and occupancy permit materials for Omaha Nursing and Rehabilitation Center, verifying the renewal of the facility's skilled nursing license.

The documents confirm that Omaha Nursing and Rehabilitation Center is licensed as a skilled nursing facility with a total licensed capacity of 70 beds. The Nebraska State Fire Marshal issued an occupancy permit for 70 beds on 2017-08-23.

An unannounced visit was conducted to investigate a complaint regarding medication administration, diet provision, and adherence to fluid restriction orders at Omaha Nursing And Rehabilitation Center from October 3, 2017 to October 26, 2017.

The facility was found non-compliant with medication administration regulations due to an observed medication error rate of 6.89%, exceeding the 5% threshold. The facility was compliant with providing diets as ordered and following practitioner orders regarding fluid restriction.

The complaint alleged failure to provide medications per the Five Rights, failure to provide diets as ordered, and failure to follow practitioner orders regarding fluid restriction. The investigation substantiated the medication error allegation but found the facility compliant with diet and fluid restriction orders.

An unannounced visit was conducted to investigate a complaint and annual survey at Omaha Nursing And Rehabilitation Center on August 16, 2017-August 22, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found in compliance with complaint allegations related to investigations, meal preferences, and injury prevention. Deficiencies were identified in resident rights notification, notification of changes, care planning, medication administration, infection control, and life safety code compliance.

Complaint allegations included failure to complete written investigations timely, failure to ensure meals address food preferences, and failure to put interventions in place to prevent injuries. The facility was found in compliance with these allegations.

Notification of Medicaid bed certification changes effective July 1, 2017, specifying the locations and total number of Medicaid certified beds in the facility.

The letter amends the record of Medicaid certified beds to reflect 53 Medicaid and Medicaid dually certified beds located in specified rooms within the facility.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to provide services for appropriate positioning and transfers.

The facility was found to provide appropriate positioning and transfers as residents were observed to be well positioned and transferred safely according to their individual care plans. The facility was in compliance with regulatory requirements.

The complaint alleged failure to provide services for appropriate positioning/transfers. The investigation found the facility in compliance with these requirements.

An unannounced visit was conducted to investigate a complaint that the facility fails to administer medications as ordered by a medical practitioner.

The facility did administer medications as ordered by a medical practitioner, with no observed concerns during medication administration. However, one resident experienced a delay in receiving insulin due to late delivery from the pharmacy, resulting in medication not being available until 9 hours after admission.

The complaint alleged that the facility fails to administer medications as ordered by a medical practitioner. The investigation found that medications were administered as ordered, but Resident 1's insulin was delayed due to pharmacy delivery arriving late at 9:05 PM, approximately 9 hours after admission at noon.

An unannounced visit was conducted to investigate a complaint at Omaha Nursing And Rehabilitation Center regarding allegations of failure to follow physician orders for oxygen usage, failure to provide care and treatment for bowel elimination, failure to ensure clean and groomed hair, skin, teeth, and/or nails, and failure to ensure an effective housekeeping program.

The facility was found to be in compliance with all related regulatory requirements. Oxygen usage followed physician orders, bowel elimination care was provided, residents were clean and well groomed, and an effective housekeeping program was in place.

The investigation addressed allegations related to oxygen usage, bowel elimination care, grooming, and housekeeping. All allegations were found to be unsubstantiated as the facility met regulatory requirements in all areas.

An unannounced visit was conducted to investigate a complaint and annual survey at Omaha Nursing And Rehabilitation Center on June 8, 2016-June 14, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to have multiple deficiencies including failure to maintain nurse aide registry checks, failure to evaluate resident bathing preferences and rise/retire times, failure to provide individualized physical environment for a resident, failure to provide notice before room/roommate changes, failure to develop comprehensive care plans for pressure ulcers and acute medical conditions, failure to provide assistance to maintain grooming, failure to develop and evaluate bowel and bladder programs, failure to monitor use of antipsychotic and diuretic medications, and failure to evaluate and arrange dental services.

The complaint investigation included allegations that the facility failed to provide care and treatment for bowel and/or bladder elimination, failed to ensure residents are bathed according to their preferences, and failed to provide assistance for safe transfers. The facility was found to be in violation for the first two allegations but not for the third.

The notice serves to inform the facility of disciplinary action placing its license on probation for 90 days starting January 5, 2016, due to violations related to failure to identify pressure ulcers and implement interventions.

The facility was found in violation of regulations for failing to identify pressure ulcers and failing to monitor and implement interventions for pressure ulcers, as evidenced by the CMS-2567 Report dated December 21, 2015.

An unannounced visit was conducted to investigate a complaint and annual survey at Omaha Nursing And Rehabilitation Center from December 3, 2015 to December 7, 2015. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility failed to follow physician orders related to supplement use and tube feedings, failed to evaluate respiratory status for one resident, failed to properly assess and treat pressure ulcers for one resident, failed to ensure nutritional supplements and continuous feedings were given as ordered, and failed to verify placement of a feeding tube prior to use. Other allegations such as discharge planning, involuntary discharge notice, liquid provision, positioning transfers, abuse prevention, staffing sufficiency, staff training, food form, and resident identification prior to phlebotomy were found to be compliant.

The complaint investigation included allegations regarding discharge planning, involuntary discharge notice, provision of liquids, following physician orders, positioning transfers, abuse prevention, staffing sufficiency, staff training, food form, feeding tube assistance, and resident identification prior to phlebotomy. Violations were found related to failure to follow physician orders, feeding tube assistance, respiratory status evaluation, pressure ulcer treatment, and nutritional supplementation.

An unannounced visit was conducted to investigate a complaint at Omaha Nursing And Rehabilitation Center on September 2-3, 2015, regarding allegations of abuse and failure to identify change of condition and prompt response to calls for assistance.

The facility failed to ensure residents were free from abuse, specifically verbal abuse of Resident 1 by staff, and failed to report the abuse allegation to the State Agency. The facility also failed to ensure Resident 2 was able to exercise their right to request hospital transfer and failed to monitor a significant change in condition related to bleeding risk. Additionally, the facility failed to prevent duplicate anticoagulant medication therapy for Resident 2.

The complaint investigation was triggered by allegations that the facility failed to ensure residents were free from abuse, failed to identify change of condition, and failed to respond promptly to calls for assistance. The investigation confirmed verbal abuse of Resident 1 by staff and failure to report the abuse allegation. No violations were found related to change of condition identification or prompt response to calls for assistance.

An unannounced visit was conducted to investigate a complaint and annual survey at Omaha Nursing And Rehabilitation Center on July 20-23, 2015. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility was found in compliance with several allegations including change of condition identification, bowel elimination care, infection isolation, resident comfort during cares, abuse protection, staffing sufficiency, and grooming. However, deficiencies were found related to failure to follow physician orders for wound monitoring, failure to provide quarterly statements for resident trust funds, failure to evaluate resident rising time, failure to monitor wounds and dialysis access sites, failure to implement fluid restrictions, failure to maintain range of motion programs, failure to evaluate weight loss, failure to monitor psychotropic medication effectiveness, and failure to maintain proper labeling and storage of medications and lab supplies. Life safety code deficiencies were also identified including door maintenance, exit signage, hazardous area separation, exit door pressure, fire drill scheduling, combustible materials in resident rooms, oxygen signage, electrical wiring, and placement of alcohol-based hand rub dispensers.

The complaint investigation included allegations that the facility failed to identify a change of condition, failed to provide care and treatment for bowel elimination, failed to ensure infections are isolated, failed to ensure residents do not have discomfort during cares, failed to follow physician orders, failed to protect residents from abuse, failed to ensure sufficient staffing, and failed to ensure clean and groomed hair, skin, teeth, and/or nails. The facility was found in compliance with all but the failure to follow physician orders.

An unannounced visit was conducted to investigate a complaint and annual survey at Omaha Nursing And Rehabilitation Center on July 1, 2014-July 9, 2014.

The facility was found to be in compliance with allegations related to housekeeping, call notification, staffing sufficiency, and parenteral and enteral fluids. However, deficiencies were found related to failure to develop comprehensive care plans for dental concerns and altered skin integrity, failure to evaluate and monitor skin integrity and fluid restrictions, failure to investigate bruises, and failure to provide rationale for use of two antipsychotic medications for one resident. Additionally, the facility failed to arrange dental services for a resident.

The complaint alleged failures in housekeeping/maintenance, answering call notifications promptly, sufficient staffing, and care and treatment according to standards for parenteral and enteral fluids. The facility was found compliant with these allegations.

Routine state inspection of Omaha Nursing Center to assess compliance with regulations governing skilled nursing facilities, including medication administration, food sanitation, dental services, resident records, and life safety code standards.

The facility was found deficient in multiple areas including significant medication errors for two residents, improper handwashing by kitchen staff, failure to assist a resident in obtaining dentures, incomplete hospice documentation in resident records, and several life safety code violations such as improper flame spread rating of air-conditioning unit covers, smoke barrier door deficiencies, and unsafe electrical wiring practices.

The inspection was conducted based on complaints regarding failure to notify physician of low blood sugar results for Resident 9, improper use of physical restraints for Resident 10, failure to report significant injury and submit investigation results to the state agency, failure to provide clinical indications for indwelling catheter use for Resident 1, failure to provide snacks at bedtime, failure to maintain infection control practices, and failure to maintain life safety code standards.

The facility was found deficient in multiple areas including failure to notify physicians of critical lab results, improper use and evaluation of physical restraints, failure to report significant injuries to the state agency, inadequate clinical documentation for catheter use, failure to provide snacks at bedtime, lapses in infection control and hand hygiene, and multiple life safety code violations related to kitchen doors, gas burners, and electrical wiring. The facility census was 49 residents at the time of survey.

The complaint investigation was substantiated as the facility failed to notify the physician of low blood sugar results for Resident 9, failed to report significant injury to the state agency, and had multiple other deficiencies as noted. The facility census was 49 residents during the investigation.

The document serves as a licensure renewal application and verification for Omaha Nursing and Rehabilitation Center's Skilled Nursing Facility license.

The documents confirm the facility's licensure renewal status, ownership information, accreditation, and occupancy permit with a maximum capacity of 70 beds.

This document serves to verify that the Omaha Nursing and Rehabilitation Center's SNF/NF dual certification license is valid through the expiration date indicated on the renewal card.

The document confirms that the facility meets statutory requirements for SNF/NF dual certification and that the license is valid through the specified expiration date.

The document serves as a renewal application for the nursing home license of Omaha Nursing and Rehabilitation Center and includes certification of licensure and occupancy permit information.

The documents verify that the facility meets statutory requirements for licensure renewal, with no inspection findings or deficiencies reported.

The document serves as a licensure renewal application for Omaha Nursing and Rehabilitation Center, including corporate organization details and occupancy permit information.

No inspection findings or deficiencies are reported; the document certifies licensure renewal and provides organizational and facility capacity details.

The document set is related to the renewal of the nursing home license for Omaha Nursing and Rehabilitation Center, including submission of renewal application and verification of licensure status.

No inspection findings or deficiencies are reported in these documents. The materials primarily verify licensure renewal, ownership, and facility capacity.

This Notice of Disciplinary Action was issued to impose probation on the facility for 90 days beginning August 28, 2025, due to violations involving failure to transfer a resident according to plan of care, failure to implement fall interventions, and failure to ensure residents were free from significant medication errors.

The facility violated licensure regulations related to accidents, fall prevention, and medication errors, resulting in probation and requirements to submit plans of correction and periodic reports on residents at risk and medication errors.

The document serves as a renewal application for the nursing home license of Omaha Nursing and Rehabilitation Center, verifying licensure through the indicated expiration date and providing related corporate and occupancy information.

No inspection findings or deficiencies are reported in this document; it primarily contains administrative and licensing information including facility capacity, ownership, and occupancy permit details.

This document serves to verify the license renewal of the Skilled Nursing Facility portion of Omaha Nursing and Rehabilitation Center and includes related licensure and ownership information.

The document confirms the facility's license renewal status and provides details on the facility's capacity, ownership, and services offered. No inspection findings or deficiencies are reported.

The document set is related to the renewal of the nursing home license for Omaha Nursing and Rehabilitation Center, including submission of the renewal application and supporting documentation.

No inspection findings or deficiencies are reported. The documents certify licensure renewal, facility capacity, ownership, and compliance with occupancy requirements.