5 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Omaha, NE
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
910 South 40th Street, Omaha, NE
(402) 342-2015
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
61
Certified beds
Average residents
42
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Avid Healthcare Group
Operator or chain grouping
Approved since
1997-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 2 overall / 2 health / 3 staffing / 2 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
0.78
Registered nurse staffing · state 0.71 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 0.71 · national 0.87
Aide hours / resident day
3.01
Nurse aide staffing · state 2.76 · national 2.35
Total nurse hours
4.66
All reported nurse hours · state 4.17 · national 3.89
Licensed hours
1.65
RN + LPN hours · state 1.41 · national 1.54
Weekend hours
4.21
Weekend nurse staffing · state 3.61 · national 3.43
Weekend RN hours
0.53
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
4.40
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
12,186
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.54
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.63% · Performance 21.38% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.86
Baseline 8.18% · Performance 6.79% · Measure score 3.86 · Achievement 3.50 · Improvement 3.86
Total nurse turnover
0
Baseline 70.45% · Performance 79.66% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.55
Baseline 3.69 hours · Performance 3.52 hours · Measure score 1.55 · Achievement 1.55 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.29% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 8.11% · Lower 95% interval 6.4% |
| Discharge to community | 49.38% |
50.57%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 33 · Observed rate 39.39% · Lower 95% interval 36.22% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.96% |
95.27%
2.7 pts better
|
Numerator 48 · Denominator 49 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 49 |
| Discharge self-care score | 56% |
53.69%
2.3 pts better
|
Numerator 14 · Denominator 25 |
| Discharge mobility score | 56% |
50.94%
5.1 pts better
|
Numerator 14 · Denominator 25 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 49 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.79% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 32 · Observed rate 6.25% · Lower 95% interval 3.59% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 146 |
| Staff flu vaccination coverage | 34.48% |
42%
7.5 pts worse
|
Numerator 20 · Denominator 58 |
| Discharge function score | 56% |
56.45%
0.5 pts worse
|
Numerator 14 · Denominator 25 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 22 · Denominator 22 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 20.69% |
25.2%
4.5 pts worse
|
Numerator 6 · Denominator 29 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
92.8%
6.5 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.1% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.3% |
96.1%
3.8 pts worse
|
95.5%
3.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
4.5%
0.8 pts better
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.2% · Q3 3.0% · Q4 5.7% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 13.9% |
4.4%
9.5 pts worse
|
11.4%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 7.4% · Q3 15.6% · Q4 23.3% · 4Q avg 13.9% |
| Percentage of long-stay residents who lose too much weight | 1.7% |
5.3%
3.6 pts better
|
5.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.5% |
19.5%
3 pts better
|
19.6%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 10.3% · Q3 10.3% · Q4 21.2% · 4Q avg 16.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.3% |
21.6%
2.3 pts better
|
16.7%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 14.3% · Q3 22.7% · Q4 26.1% · 4Q avg 19.3% · 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 | 16.0% |
20.4%
4.4 pts better
|
16.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.9% |
19.9%
8 pts better
|
14.9%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 7.1% · Q3 14.3% · Q4 12.1% · 4Q avg 11.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.6%
1.6 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.1% |
2.9%
0.2 pts worse
|
1.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 0.0% · Q4 8.8% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.2% |
26.6%
8.4 pts better
|
19.8%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.9% · Q2 14.1% · Q3 23.2% · Q4 15.6% · 4Q avg 18.2% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
4.3%
1 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.8% · Q3 3.6% · Q4 4.2% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.0% |
80.5%
14.5 pts better
|
81.7%
13.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 97.1% · Q3 93.4% · Q4 94.6% · 4Q avg 95.0% |
| 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 7.4% · Expected 13.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
2.4%
0.7 pts better
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.5% |
75.9%
16.6 pts better
|
79.7%
12.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.3% |
20.9%
9.4 pts worse
|
23.9%
6.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.3% · Observed 40.7% · Expected 32.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Infection Control (2 deficiencies)
10 fire-safety deficiencies
Top issue: Miscellaneous (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
24 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-20
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-02-20
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-02-20
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-02-20
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-01-25
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 2024-01-25
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-25
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-25
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-01-25
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-01-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-25
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-01-25
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-11-21
Fire Safety
Use approved construction type or materials.
Corrected 2022-11-21
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2022-11-21
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-11-21
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 2022-11-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-21
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-11-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-11-21
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-11-21
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-11-21
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-11-21
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-11-21
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-11-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-21
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 2022-11-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-11-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-11-21
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-11-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-11-21
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-11-21
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2022-11-21
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-11-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-11-21
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-11-21
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-02
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-20
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-02-20
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-01-23
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-23
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-01-23
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-01-23
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 2022-11-21
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-11-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-11-21
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 2022-11-21
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-11-21
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-02-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-11-21
Health
Provide activities to meet all resident's needs.
Corrected 2023-02-01
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 2022-11-21
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-11-21
Health
Provide and implement an infection prevention and control program.
Corrected 2022-11-21
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
Contracted Managing Employee · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
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