Cycle 1
Health 2025-11-17 · Fire 2025-11-17
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Omaha, NE
Florence Home
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
7915 North 30th Street, Omaha, NE
(402) 827-6000
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
126
Certified beds
Average residents
82
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-11-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.69
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.53
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
3.17
Nurse aide staffing · state 2.76 · national 2.35
Total nurse hours
4.39
All reported nurse hours · state 4.17 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.41 · national 1.54
Weekend hours
3.84
Weekend nurse staffing · state 3.61 · national 3.43
Weekend RN hours
0.59
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.73
CMS adjusted RN staffing hours
Adjusted total hours
4.63
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,434
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.76
Composite VBP score used to determine payment impact.
Payment multiplier
0.9856
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.87
Baseline 19.37% · Performance 19.64% · Measure score 3.87 · Achievement 3.87 · Improvement 0
Healthcare-associated infections
0
Baseline 5.33% · Performance 8.13% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.50
Baseline 65.39% · Performance 53.46% · Measure score 2.50 · Achievement 2.50 · Improvement 2.44
Adjusted total nurse staffing
5.54
Baseline 4.21 hours · Performance 4.65 hours · Measure score 5.54 · Achievement 5.54 · Improvement 2.31
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.87% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 58 · Observed rate 10.34% · Lower 95% interval 7.22% |
| Discharge to community | 51.36% |
50.57%
0.8 pts better
|
No Different than the National Rate · Eligible stays 47 · Observed rate 44.68% · Lower 95% interval 37.48% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 92.31% |
95.27%
3 pts worse
|
Numerator 48 · Denominator 52 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 52 |
| Discharge self-care score | 40% |
53.69%
13.7 pts worse
|
Numerator 16 · Denominator 40 |
| Discharge mobility score | 35% |
50.94%
15.9 pts worse
|
Numerator 14 · Denominator 40 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 52 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.13% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 33 · Observed rate 12.12% · Lower 95% interval 4.04% |
| Staff COVID-19 vaccination coverage | 2.11% |
8.2%
6.1 pts worse
|
Numerator 4 · Denominator 190 |
| Staff flu vaccination coverage | 29.37% |
42%
12.6 pts worse
|
Numerator 79 · Denominator 269 |
| Discharge function score | 45% |
56.45%
11.5 pts worse
|
Numerator 18 · Denominator 40 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 90% |
96.28%
6.3 pts worse
|
Numerator 18 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.8
0.3 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.5 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
2.0
1.1 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.1 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.3% |
92.8%
2.5 pts better
|
93.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.1% · Q2 94.2% · Q3 97.1% · Q4 97.1% · 4Q avg 95.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.5% |
96.1%
1.4 pts better
|
95.5%
2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
4.5%
1.6 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 1.4% · Q3 2.9% · Q4 1.4% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.3% |
4.4%
1.1 pts better
|
11.4%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.6% · Q3 1.5% · Q4 6.6% · 4Q avg 3.3% |
| Percentage of long-stay residents who lose too much weight | 6.0% |
5.3%
0.7 pts worse
|
5.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.9% · Q3 10.9% · Q4 1.8% · 4Q avg 6.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.7% |
19.5%
7.8 pts better
|
19.6%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 9.6% · Q3 10.7% · Q4 12.1% · 4Q avg 11.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 27.5% |
21.6%
5.9 pts worse
|
16.7%
10.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.2% · Q2 21.2% · Q3 26.3% · Q4 27.5% · 4Q avg 27.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.3%
0.3 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.8% |
20.4%
1.6 pts better
|
16.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.3% |
19.9%
7.6 pts better
|
14.9%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 18.0% · Q3 13.0% · Q4 7.3% · 4Q avg 12.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.6%
0.7 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 1.8% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
2.9%
0.4 pts better
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.9% · Q3 1.5% · Q4 3.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.5% |
26.6%
10.1 pts better
|
19.8%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 24.2% · Q3 5.2% · Q4 6.9% · 4Q avg 16.5% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
4.3%
0.1 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 6.1% · Q3 5.1% · Q4 4.1% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.0% |
80.5%
4.5 pts better
|
81.7%
3.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 80.6% · Q2 82.6% · Q3 92.4% · Q4 84.6% · 4Q avg 85.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.0% |
11.6%
5.6 pts better
|
12.0%
6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.0% · Observed 6.7% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.4%
2.4 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.6% |
75.9%
2.7 pts better
|
79.7%
1.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.9% |
20.9%
2 pts better
|
23.9%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.9% · Observed 16.7% · Expected 21.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-01 · Fire 2024-08-01
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2023-06-08 · Fire 2023-06-08
3 health deficiencies
Top issue: Resident Rights (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-11-17
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-12-29
E · Potential for more than minimal harm
2025-11-17
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-12-29
E · Potential for more than minimal harm
2025-11-17
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-12-29
F · Potential for more than minimal harm
2024-08-01
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2024-09-06
F · Potential for more than minimal harm
2023-06-08
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-14
F · Potential for more than minimal harm
2023-06-08
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-07-14
F · Potential for more than minimal harm
2023-06-08
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-14
E · Potential for more than minimal harm
2023-06-08
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-07-14
E · Potential for more than minimal harm
2023-06-08
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-14
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-11-17
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-12-31
D · Potential for more than minimal harm
2025-11-17
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-12-31
D · Potential for more than minimal harm
2025-11-17
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-31
D · Potential for more than minimal harm
2025-11-17
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-31
D · Potential for more than minimal harm
2025-11-17
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-12-31
D · Potential for more than minimal harm
2025-11-17
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-12-31
D · Potential for more than minimal harm
2025-11-17
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-12-31
F · Potential for more than minimal harm
2024-08-01
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-06
E · Potential for more than minimal harm
2024-08-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-06
D · Potential for more than minimal harm
2024-08-01
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-09-06
D · Potential for more than minimal harm
2024-08-01
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2024-09-06
D · Potential for more than minimal harm
2024-08-01
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-09-06
F · Potential for more than minimal harm
2024-02-21
F620 · Resident Rights Deficiencies
Health
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Corrected 2024-03-29
E · Potential for more than minimal harm
2023-06-08
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2023-07-14
D · Potential for more than minimal harm
2023-06-08
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-07-14
Penalties and ownership
What sits behind the stars
Ownership
Bloechle, Robert
Corporate Director · Individual
Butterfield, Marc
Corporate Director · Individual
Higgins, Mark
Corporate Director · Individual
Holley, Lyn
Corporate Director · Individual
Jordan, Lois
Corporate Director · Individual
Jordan, Lois
Corporate Officer · Individual
Jordan, Lois
W-2 Managing Employee · Individual
Midwest Geriatrics Inc
Operational/Managerial Control · Organization
Okeefe, Stephanie
Corporate Director · Individual
Thacker, Debra
Corporate Director · Individual
Thacker, Debra
Corporate Officer · Individual
Thacker, Debra
W-2 Managing Employee · Individual
Wester, Rebecca
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Emerald Nursing & Rehab Legacy Pointe llc
Omaha, NE
2-star overall rating with 2-star inspections with $56,445 in total fines with 15 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Life Care Center of Omaha
Omaha, NE
1-star overall rating with 1-star inspections with $31,079 in total fines with 18 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Quality Living, Inc.
Omaha, NE
3-star overall rating with 3-star inspections with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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