Keystone Ridge Post Acute Nursing and Rehabilitati
Omaha, Nebraska · CCN 285238
36 surveys since 2010, 29 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 209
- Surveys
- 36
- Harm or worse
- 29
- Immediate jeopardy
- 5
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 100
- Ownership
- For profit - Corporation
- Chain
- THE ENSIGN GROUP
- County
- Douglas
- Medicare-certified since
- 2000
CMS ratings
- Overall
- 2
- Health inspection
- 1
- Staffing
- 2
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 23 facilities of 100–127 beds in Nebraska.
Last survey on record
Apr 16, 2026
207 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.47 | 3.49 |
| Registered-nurse hours per resident day | 0.51 | — |
| Annual nurse turnover | 64.4% | 50.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $70,103 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J27.7% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1453.8% | E415.4% | F623.1% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5843×
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8802×
Provide and implement an infection prevention and control program.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at Keystone Ridge Post Acute Nursing and Rehabilitati, in the surveyor’s own words.
- Immediate jeopardy, isolatedF757Oct 10, 2024
Licensure Reference Number 175 NAC 12-006.09(H) Based on record review and interview, the facility failed to complete INR monitoring tests to ensure therapeutic dosing of Coumadin for 1 [Resident 1] of 1 sampled resident requiring INR monitoring. The facility Administrator and Director of Nursing was notified on 10/9/24 at 5:00 PM of an Immediate Jeopardy (IJ) which began on 7/10/24. The IJ was removed on 10/9/24, as confirmed by surveyor onsite verification. The Findings are: Record Review of Resident 1's Minimum Data Set (MDS, a federally mandated assessment tool used for care planning) dated 09-30-2024 revealed the facility staff assessed the following about the resident: -Brief Interview of Mental Status (BIMS) was scored as a 10. […]
- Immediate jeopardy, isolatedF760Oct 10, 2024
Licensure Reference Number 175 NAC 12-006.10(D) Based on record review and interview, the facility failed to ensure medications were administered in accordance with physician orders for 2 [Residents 1 and 4] of 4 sampled residents which resulted in significant medication errors. The facility Administrator and Director of Nursing was notified on 10/9/24 at 5:00 PM of an Immediate Jeopardy (IJ) which began on 7/10/24. The IJ was removed on 10/9/24, as confirmed by surveyor onsite verification. The Findings are: A. Record Review of Resident 1's Minimum Data Set (MDS, a federally mandated assessment tool used for care planning) dated 09-30-2024 revealed the facility staff assessed the following about the resident: -Brief Interview of Mental Status (BIMS) was scored as a 10. […]
- No harm, potential for more than minimal, widespreadF812May 21, 2025
LICENSURE REFERENCE NUMBER 175 NAC 12-006.11(E) Nebraska Food Code 2017 4-602.13; 6-201.11 Based on observation, interview and record review; the facility failed to maintain the dual ovens, kitchen stand mixer, and floor in a manner to prevent food borne illness. This had the potential to affect all 69 residents that ate food prepared in the facility kitchen. The facility staff identified a census of 69. Findings are: Observation on 05/17/2025 from 7:17 AM through 7:32 AM during the initial kitchen tour revealed the following: -the presence of black buildup to the bottom of both ovens. -the presence of food debris buildup on the arm and stand of the kitchen mixer. […]
- No harm, potential for more than minimal, widespreadF865May 21, 2025
Licensure Reference Number 175 NAC 12-006.07C Based on record review and interviews; the facility failed to ensure the Quality Assurance Performance Improvement Program [QAPI, a facility process that identifies problems in the facility and works to correct the concerns] identified and addressed concerns related to deficient practice identified on the annual survey 2025 ( F 584, F 791, F 812, F 865 and F880) and to ensure correction for repeat deficient practice from previous surveys (March 2023 and May 2024 for F 584 and May 2024 survey for F 812) was maintained. This had the potential to affect 69 residents that resided in the facility. […]
- No harm, potential for more than minimal, widespreadF727May 2, 2024
License Reference Number 175 NAC 12.006.04C2 Based on record review and interview the facility failed to ensure a Registered Nurse (RN) was present in the facility for at least 8 consecutive hours on 03-31-2024 and 4-28-2024, which had the potential to affect all residents that reside in the facility. The facility census was 73. Findings are: Record review of the facility's Daily Nursing Daily Deployment sheets revealed there was not a RN present in the facility for 8 consecutive hours on 03-31-2024 and 04-28-2024. Record review of the facility's Nurse Staffing Hours posting revealed there was not a RN present in the facility for 8 consecutive hours on 03-31-2024 and 04-28-2024. […]
Read 45 findings in full →The most serious and the most recent: 45 of 209 on record.
Every survey on record
FindingsAt actual harm or above
- Apr 16, 2026Complaint2 findings
- May 21, 2025Standard5 findings
- Oct 24, 2024Complaint2 findings
- Oct 10, 2024Complaint3 findings · 2 harm
- Jul 2, 2024Complaint1 finding
- May 2, 2024Standard12 findings
- Mar 9, 2023Standard and complaint2 findings
- Mar 31, 2022Complaint2 findings
Show the 28 earlier surveys
- Nov 11, 2021Standard and complaint4 findings
- Jul 27, 2020Standard8 findings
- Sep 19, 2019Standard1 finding
- Jul 9, 2019Complaint3 findings · 1 harm
- Jun 13, 2019Complaint3 findings · 1 harm
- Apr 22, 2019Standard and complaint24 findings · 4 harm
- Oct 18, 2018Complaint5 findings · 1 harm
- Jul 2, 2018Complaint12 findings
- Jun 14, 2018Complaint2 findings · 2 harm
- Apr 18, 2018Complaint2 findings
- Jan 22, 2018Complaint1 finding
- Jan 2, 2018Standard and complaint27 findings · 5 harm
- May 9, 2017Complaint6 findings
- Jan 10, 2017Complaint2 findings
- Sep 6, 2016Standard and complaint15 findings · 1 harm
- Feb 9, 2016Complaint1 finding · 1 harm
- Nov 10, 2015Complaint1 finding
- Sep 28, 2015Standard and complaint4 findings
- Sep 25, 2014Standard7 findings
- May 13, 2014Complaint1 finding
- Oct 29, 2013—2 findings · 1 harm
- Sep 5, 2013Standard and complaint9 findings · 3 harm
- Jul 17, 2013—2 findings · 1 harm
- Jun 6, 2013Standard and complaint25 findings · 6 harm
- Jan 3, 2013—2 findings
- Feb 16, 2012—4 findings
- Jan 3, 2011—1 finding
- Nov 23, 2010—6 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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