Federal inspection record · CMS data as of October 1, 2026
Douglas County Health Center
4102 Woolworth Avenue, Omaha, NE · (402) 444-7041
- Certified beds
- 254
- Residents per day
- 230
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 24, 1967
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Douglas County Health Center carries 80 inspection points. That is fewer than 25% of Nebraska's 178 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–31 pts
- 3★ 31–50 pts
- 2★ 50–94.25 pts
- 1★ over 94.25 pts
Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
33 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Quality of Life and Care9D
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide or obtain dental services for each resident.
Resident Rights8D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning4D
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1D
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Inspection history
2025-05-13
16 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2024-04-26
8 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-05-16
9 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 49 min of nursing staff time a day, 1 h 1 min of it from a registered nurse.
This home
4 h 49 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 20% of nursing staff and 18% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-10-30 | Payment Denial · 8 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 1.0 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine14.9 pts worse | 78.1% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.5 pts worse | 92.1% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 4.7% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.1 pts better | 0.3% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts better | 3.8% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15.2 pts worse | 34.2% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication30.2 pts worse | 50.9% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.9 pts better | 8.9% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.5 pts better | 15.5% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts better | 0.3% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 1.8% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.5 pts better | 23.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 3.6% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine44.4 pts worse | 36.9% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.3 pts better | 7.5% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 1.6% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine38.1 pts worse | 35.8% | 73.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts better | 20.5% | 21.1% | 23.4% |
·
Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Borgeson, Mary Ann | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Boyle-Manganaro, Maureen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cavanaugh, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Friend, Mike | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Garcia, Roger | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Morgan, Pj | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nelson, Erin | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Nelson, Erin | Corporate Director · Individual | 0% | 1 facilities |
| Nelson, Erin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rogers, Chris | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Have an enclosure around a vertical opening shaft.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Install an approved automatic sprinkler system.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
- E
Meet requirements for the use and maintenance of medical gas equipment.
- D
Ensure proper usage of power strips and extension cords.
Egress2E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous2F
- E
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
Adept Nursing & Rehab of Midtown
Omaha, NE · Avid Healthcare Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 25 min
- Fines
- $0
-
Emerald Nursing & Rehab Omaha
Omaha, NE · Emerald Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 28 min
- Fines
- $108,594
-
St. Joseph Villa Nursing Center
Omaha, NE · Delmar Gardens
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 42 min
- Fines
- $28,113