Emerald Nursing & Rehab Omaha

In the surveyor’s words

From the most serious findings on record at Emerald Nursing & Rehab Omaha, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 11, 2023

  Licensure Reference 175 NAC 12-006.09D7 Based on observation, record review, and interview, the facility failed to ensure each resident received supervision to prevent accidents for 1 (Resident #65) of 4 residents reviewed for supervision. Specifically, the facility failed to monitor and supervise a severely cognitively impaired resident with known wandering and exit seeking behaviors to prevent elopement. Resident #65 eloped and was found across the street from the facility on 01/10/2023 and 07/13/2023. The first elopement occurred on 01/10/2023 with further attempts and/or actual elopements occurring on 02/01/2023, 02/11/2023, 03/01/2023, 05/26/2023, 07/13/2023, and 07/19/2023. […]

• Actual harm, isolatedF686Jun 3, 2026

  Licensure Reference Number 175 NAC 12-006.09(H)(iii)(1) & 12-006.09(H)(iii)(2)Based on observation, interview and record review the facility failed to implement preventative measures to prevent a pressure ulcer, failed to provide treatment as ordered to promote healing of a pressure ulcer and failed to ensure weekly skin evaluations were completed for 1 (Resident 13) of 2 sampled residents. The facility identified a census of 65.Findings are:Record review of a facility policy entitled Skin and wound management-Prevention of Pressure with a revised date of 6/4/26 revealed the following: Prevention of Pressure InjuriesPurpose The purpose of this procedure is to provide information regarding identification of pressure injury risk factors and interventions for specific risk factors.Risk… […]

• Actual harm, isolatedF760Jun 3, 2026

  Licensure Reference Number 175 NAC 12-006.10(D)Based on record review and interview, the facility failed to ensure 1 (Resident 6) of 6 sampled was free from significant medication errors. The facility identified a census of 65.Findings are:Record review of Resident 6's Quarterly Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) dated 3/18/26 identified the facility admitted the resident on 12/10/25 with diagnosis of cerebral palsy(CP) a neurological disorder that affects movement, muscle tone, balance, and posture), cellulitis(a bacterial infection of the skin and underlying deep tissue) of right and left lower limb, and venous insufficiency. […]

• Actual harm, isolatedF626Feb 6, 2025

  Based on record review and interview, the facility failed to ensure that 1 [Resident 1] of 7 sampled residents was permitted to readmit following hospitalization. The facility had a total census of 71 residents. Findings are: A. A review of Resident 1's admission Record revealed Resident 1 was admitted to the facility on [DATE] with a diagnosis of Parkinson's disease [a progressive neurodegenerative disorder] with dyskinesia [involuntary uncontrolled movements]. A review of Resident 1's Progress Note dated 1/14/25 revealed Resident 1 was leaving facility for a peg tube [a feeding tube insert through the skin and stomach wall] insertion that morning. A review of Progress Notes from 1/14/25-1/31/25 revealed Resident 1 remained in the hospital. […]

• Actual harm, isolatedF684Sep 24, 2024

  Licensure Reference Number 175 NAC 12.006.09(H)(iii)(3) Based on observation, interview and record review the facility failed to provide treatment for a skin breakdown for 1 (Resident 56) of 3 residents sampled residents. The facility census was 68. The findings are: Record review of Resident 56's Minimum Data Set (MDS, a federally mandated assessment tool used for care planning) dated 08-16-2024 revealed the facility staff assessed the following about the resident: -Diagnosis of Diabetes Mellitus Type 2, Severe Protein Calorie Malnutrition, Cirrhosis of the liver, and Clostridium Difficile Enterocolitis (a condition that causes diarrhea and inflammation of the colon, or colitis, that can be life-threatening). […]