Omaha Nursing and Rehabilitation Center
4835 South 49th Street · Omaha, NE · 68117 · 4027337200
70 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $60,225 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$60,225 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $60,225 |
Inspection citations (49 in the current record)
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Potential for harm · D April 1, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D October 7, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected November 28, 2025 · Quality of Life and Care
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Potential for harm · D October 7, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 28, 2025 · Infection Control
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Actual harm · G July 31, 2025
Ensure that residents are free from significant medication errors.
Corrected August 28, 2025 · Pharmacy Service
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Actual harm · G July 31, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 28, 2025 · Quality of Life and Care
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Potential for harm · D July 31, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 31, 2025
Assess the resident when there is a significant change in condition
Corrected August 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 31, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 31, 2025
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 August 28, 2025 · Quality of Life and Care
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Potential for harm · D July 31, 2025
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 August 28, 2025 · Quality of Life and Care
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Potential for harm · D July 31, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 28, 2025 · Quality of Life and Care
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Potential for harm · D July 31, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 28, 2025 · Pharmacy Service
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Potential for harm · D July 31, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 28, 2025 · Pharmacy Service
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Potential for harm · D July 31, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 31, 2025
Provide and implement an infection prevention and control program.
Corrected August 28, 2025 · Infection Control
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Potential for harm · F July 31, 2025
Keep all essential equipment working safely.
Corrected August 28, 2025 · Environmental
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Potential for harm · D July 31, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 31, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 10, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · D July 10, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 29, 2025 · Pharmacy Service
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Potential for harm · D July 10, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 29, 2025 · Pharmacy Service
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Potential for harm · D March 3, 2025 · found via complaint
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 March 28, 2025 · Quality of Life and Care
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Actual harm · G October 31, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · D October 31, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · D October 31, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 6, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 10, 2025 | Fine | $60,225 |
| July 10, 2025 | Payment Denial | 1 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285240 · certified since July 1, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.