Omaha Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Omaha Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 3, 2023

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D7 Based on record review and interview; the facility staff failed to implement interventions to prevent elopement for 2 (Resident 31 and 50) of 2 sampled residents. The facility staff identified a census of 62. The findings are: A Record review of the Policy and Procedure for Elopement with a revision date of 2/2022 revealed residents identified to be at risk for elopement will have an individualized care plan and interventions implemented. Residents whose assessment identified wandering behavior shall also be considered at risk for elopement. […]

• Immediate jeopardy, isolatedF835May 3, 2023

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.02 Based on observations, record review, and interviews; the facility administration staff failed to ensure effective management of facility resources to maintain the highest practical wellbeing of residents and the facility environment as evidenced by failure to implement an effective plan of action to maintain correction for previously cited areas of deficient practice and failure to ensure the facility identified and developed plans of action to identify multiple issues of deficient practice. The facility staff identified a census was 62. Findings are: Review of the facility during the current survey revealed the following deficiencies: -F550. The facility failed to ensure resident dignity was maintained for 2 of 3 residents. -F583. […]

• Immediate jeopardy, isolatedF865May 3, 2023

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.07C Based on record review and staff interviews; the facility Quality Assessment Performance Improvement Plan (QAPIP) failed to identify ongoing issues relevant to F550, F580, F609, F657, F676, F689, F712, F730, F755, F758, F761, F812, F835 and F867 and implement plans of action to identify and correct the deficient practice. The QAPI failed to ensure repeated deficiencies at F692 and F697 were corrected and the correction maintained. This deficient practice had the potential to affect all residents who reside in the facility. The facility staff identified a census of 92. Findings are: Record review of a undated facility Quality Assurance and Performance Improvement (QAPI) program revealed the following information: -Goal: -1. […]

• Immediate jeopardy, isolatedF660Jun 10, 2021

  Licensure reference: 175 NAC ,d+[DATE].09C2 Based on record review and interview, the facility failed to arrange necessary services related to wound care and medications to ensure a safe discharge plan for 1 [Resident 1] of 4 sampled residents. The facility had a total census of 49 residents. Findings are: A review of Resident 1's Progress Notes dated [DATE] revealed a representative from the homeless shelter had reported that the rescue squad had to be called to pick up Resident 1 when Resident 1 was dropped off by the nursing home to the homeless shelter. According tothe [DATE] Progress Note, the homeless shelter representative reported Resident 1 did know where Resident 1 was or how Resident 1 got to the homeless shelter. […]

• Actual harm, isolatedF689Jul 31, 2025

  Licensure Reference Number 175 NAC 12-006.09(I) Licensure Reference Number 175 NAC 12-006.09(I)(i)(1)Based on observation, interview, and record review, the facility failed to transfer a resident according to the plan of care resulting in a significant injury for 1 (Resident 32) of 1 resident sampled for transfers; and the facility failed to implement call interventions identified on the plan of care for 1 (Resident 68) of 3 residents sampled for falls. The facility staff identified a census of 64.The findings are:A. Record review of Resident 68’s Minimum Data Set (MDS: a federally mandated assessment tool used for care planning) dated 06-23-2025 revealed the facility staff assessed the following about the resident: -Brief Interview of Mental Status (BIMS) was scored at a 9. […]