Ambassador Health of Omaha

In the surveyor’s words

From the most serious findings on record at Ambassador Health of Omaha, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jul 10, 2025

  Licensure Reference Number 175 NAC 12.006.11(D)Licensure Reference Number 175 NAC 12.006.11(E) Based on observation, interview, and record review, the facility failed to ensure that all food stored in the facility's dry storage, refrigerators (fridge) and freezer were labeled, dated, and sealed, the low-temperature dish machine was reaching 120 degrees Fahrenheit (F)(a temperature scale) during every wash cycle, items were tested for the temperature (temped) after being reheated in the microwave to prevent foodborne illness, failed to follow recipes, and failed to ensure the kitchen shelving and equipment were clean to prevent cross contamination. This had the potential to affect 32 residents that consumed food from the kitchen. […]

• No harm, potential for more than minimal, patternF812Jan 19, 2022

  Licensure Reference Number 175 NAC 12-006.11E Based on observation and interview, the facility failed to ensure the range hood had been maintained in a clean and safe operating condition to prevent the potential for food-borne illness. This had the potential to affect the 26 residents that consumed food from the kitchen. Total census was 78. Findings are: According to the National Fire Protection Association's (NFPA) Kitchen Hood Cleaning Requirements, NFPA 96-section 11.6.2 states hoods, grease removal devices, fans, ducts, and other items shall be cleaned to remove combustible (able to catch fire) contaminates (unclean materials) prior to surfaces becoming heavily contaminated with grease or oily sludge. […]

• No harm, potential for more than minimal, isolatedF693Jul 10, 2025

  Licensure Reference Number 175 NAC 12-006.09(H)(vi)(3)(a)Based on observation, interview and record review the facility failed to ensure resident's receiving a continuous tube feeding had a head of bed elevation of at least 30 degrees for 1 (Resident 18) of 2 residents sampled. The facility census was 78.The findings are:Record review of Resident 18's Minimum Data Set (MDS: a federally mandated assessment tool used for care planning) dated 05-12-2025 revealed the facility staff assessed the following about the resident:-had a diagnosis of an anoxic brain injury (an injury that completely deprives the brain of oxygen).-had a gastric tube (a tube inserted into the stomach for the delivery of nutrition).-was ventilator (a medical device that helps a person breathe) dependent.-required total… […]

• No harm, potential for more than minimal, isolatedF757Jul 10, 2025

  Based on interview and record review, the facility failed to ensure that the ordered parameters were followed prior to Carvedilol (a medication used to treat heart failure and high blood pressure) administration for 1 (Resident 40) of 5 sampled residents. The facility census was 78.Findings are: A record review of the facility's Medications: Administration-General Principles dated 09/2019 revealed it was the policy of the facility to administer medications as prescribed by the physician. A special preparation for the medication administration procedure was to take any required vital signs prior to administration for medications with parameters for administration. A record review of Resident 40's Face Sheet dated 07/10/2025 revealed the resident was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF756May 14, 2024

  License Reference Number 175 NAC 12-006.12B Based on interviews and record review, the facility failed to ensure a documented rationale was provided by the physician for an as needed psychotropic medication for an order of longer duration than two-week period for 1 (Resident 29) of 5 sampled resident. The facility identified a census of 83. The findings are: A record review of the Resident 29's census sheet revealed an admitted [DATE]. A record review of Resident 29's undated Diagnosis Sheet listed the following diagnoses: Mitochondrial metabolism disorder, unspecified, chromosomal abnormality, cyclical vomiting, congenital insufficiency of aortic valve-Bicuspid aortic valve, respiratory disorder, anemia, hypertension, diaphragmatic hernia with obstruction, pneumonitis, due to inhalation… […]