21 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Omaha, NE
1-star overall rating with 1-star inspections with $154,118 in total fines with 21 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
4835 South 49th Street, Omaha, NE
(402) 733-7200
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
70
Certified beds
Average residents
61
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Ensign Group
Operator or chain grouping
Approved since
2001-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
329 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
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
RN hours / resident day
0.55
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.95
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
1.96
Nurse aide staffing · state 2.76 · national 2.35
Total nurse hours
3.45
All reported nurse hours · state 4.17 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.41 · national 1.54
Weekend hours
3.11
Weekend nurse staffing · state 3.61 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
2.89
CMS adjusted total nurse staffing hours
Case-mix index
1.63
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
12,924
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
9.60
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.57% · Performance 21.74% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.84
Baseline 6.69% · Performance 6.69% · Measure score 3.84 · Achievement 3.84 · Improvement 0
Total nurse turnover
0
Baseline 48.89% · Performance 62.96% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.35 hours · Performance 2.99 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.03% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 90 · Observed rate 10% · Lower 95% interval 7.01% |
| Discharge to community | 45.42% |
50.57%
5.1 pts worse
|
No Different than the National Rate · Eligible stays 73 · Observed rate 36.99% · Lower 95% interval 36.54% |
| Medicare spending per beneficiary | 0.96 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 65.28% |
95.27%
30 pts worse
|
Numerator 47 · Denominator 72 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 72 |
| Discharge self-care score | 57.14% |
53.69%
3.5 pts better
|
Numerator 32 · Denominator 56 |
| Discharge mobility score | 44.64% |
50.94%
6.3 pts worse
|
Numerator 25 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 1.39% |
2.29%
0.9 pts better
|
Numerator 1 · Denominator 72 · Adjusted rate 1.36% |
| Healthcare-associated infections requiring hospitalization | 6.69% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 62 · Observed rate 6.45% · Lower 95% interval 4.09% |
| Staff COVID-19 vaccination coverage | 12.22% |
8.2%
4 pts better
|
Numerator 11 · Denominator 90 |
| Staff flu vaccination coverage | 28.69% |
42%
13.3 pts worse
|
Numerator 35 · Denominator 122 |
| Discharge function score | 46.43% |
56.45%
10 pts worse
|
Numerator 26 · Denominator 56 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 97.06% |
96.28%
0.8 pts better
|
Numerator 33 · Denominator 34 |
| Resident COVID-19 vaccinations up to date | 15.79% |
25.2%
9.4 pts worse
|
Numerator 6 · Denominator 38 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.3% |
92.8%
0.5 pts better
|
93.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 95.9% · Q2 92.2% · Q3 92.3% · Q4 92.9% · 4Q avg 93.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.9% |
96.1%
3.2 pts worse
|
95.5%
2.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.5% |
4.5%
4 pts better
|
3.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 92.9% |
4.4%
88.5 pts worse
|
11.4%
81.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 95.7% · Q3 93.9% · Q4 86.8% · 4Q avg 92.9% |
| Percentage of long-stay residents who lose too much weight | 7.2% |
5.3%
1.9 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 4.5% · Q3 8.5% · Q4 8.2% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.2% |
19.5%
0.3 pts better
|
19.6%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 16.7% · Q3 18.0% · Q4 21.2% · 4Q avg 19.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.8% |
21.6%
9.8 pts better
|
16.7%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 10.0% · Q3 13.2% · Q4 16.7% · 4Q avg 11.8% · 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 | 12.7% |
20.4%
7.7 pts better
|
16.3%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 11.5% · Q3 13.3% · Q4 17.5% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.4% |
19.9%
8.5 pts better
|
14.9%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 12.8% · Q3 8.3% · Q4 16.7% · 4Q avg 11.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
1.6%
0.6 pts better
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.0% · Q4 1.8% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
2.9%
1.9 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.9% |
26.6%
0.7 pts better
|
19.8%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 31.0% · Q3 18.6% · Q4 26.0% · 4Q avg 25.9% |
| Percentage of long-stay residents with pressure ulcers | 7.3% |
4.3%
3 pts worse
|
5.1%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 13.3% · Q3 7.3% · Q4 4.2% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.2% |
80.5%
7.7 pts better
|
81.7%
6.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.3% · Q2 90.0% · Q3 89.5% · Q4 83.8% · 4Q avg 88.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.5% |
11.6%
2.1 pts better
|
12.0%
2.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.5% · Observed 10.4% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
2.4%
0.8 pts better
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.3% · Q3 0.0% · Q4 2.4% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.7% |
75.9%
5.8 pts better
|
79.7%
2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.8% |
20.9%
3.9 pts worse
|
23.9%
0.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 27.3% · Expected 26.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (7 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (5 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
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 2025-08-21
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-07-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-19
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2024-07-19
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-05-31
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 2023-05-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-31
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-31
Inspection history
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-11-28
Health
Provide and implement an infection prevention and control program.
Corrected 2025-11-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-28
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-08-28
Health
Keep all essential equipment working safely.
Corrected 2025-08-28
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-08-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-28
Health
Respond appropriately to all alleged violations.
Corrected 2025-08-28
Health
Assess the resident when there is a significant change in condition
Corrected 2025-08-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-28
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 2025-08-28
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 2025-08-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-28
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-08-28
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-28
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-08-28
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-28
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-08-29
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-29
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-29
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-03-28
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-12-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-06
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2024-12-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-25
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 2024-07-19
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-07-19
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-07-19
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-19
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-12-08
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-09
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-06-09
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-06-09
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-06-09
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-06-09
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-06-09
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 2023-06-09
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-06-09
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-06-09
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2023-06-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-06-09
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-06-09
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-06-09
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-06-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-09
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-09
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-04-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-21
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 2023-04-21
Penalties and ownership
Fine · fine $154,118
Fine
Payment Denial · denial start 2023-06-01 · 8 days
8 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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