Omaha Nursing and Rehabilitation Center
A nursing home in Omaha, Nebraska 68117
4835 South 49th Street, Omaha, Nebraska 68117. (402) 733-7200.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 18 health citations at the latest inspection cycle Nebraska average: 7.6
- 3.55 nurse hours per resident per day Nebraska average: 4.12
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
18 health citations at the latest inspection cycle
The Nebraska average is 7.6.
Last standard inspection Jul 31, 2025.
Most serious in three years: actual harm (G), at a standard and complaint inspection on Jul 31, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
31 citations in 6 months of the last 36. Last cited Apr 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 31 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 15 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 1, 2026: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 7, 2025: complaint inspection2 citations
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Provide safe, appropriate pain management for a resident who requires such services.
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Provide and implement an infection prevention and control program.
Jul 31, 2025: standard inspection12 citations
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Ensure that residents are free from significant medication errors.
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Assess the resident when there is a significant change in condition
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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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.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide safe and appropriate respiratory care for a resident when needed.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
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Keep all essential equipment working safely.
Jul 31, 2025: standard and complaint inspection3 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
Jul 10, 2025: complaint inspection3 citations
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Provide safe, appropriate pain management for a resident who requires such services.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
Mar 3, 2025: complaint inspection1 citation
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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Oct 31, 2024: complaint inspection4 citations
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Provide enough food/fluids to maintain a resident’s health.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Oct 1, 2024: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 13, 2024: standard inspection4 citations
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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.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Ensure that residents are free from significant medication errors.
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Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 1, 2001.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 70 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $39,146 in all.
- 1 Medicare payment denial in the last three years.
- 15 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 10, 2025 | Medicare payment denial | Not given |
| Jul 10, 2025 | Fine | $39,146 |
Who does the caring?
3.55 nurse hours per resident per day
The Nebraska average is 4.12.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Nebraska average |
|---|---|---|
| Nurse hours per resident per day | 3.55 | 4.12 |
| Of which registered nurses | 0.49 | 0.69 |
| At weekends | 3.20 | 3.57 |
| Nursing staff turnover | Not given | 48.5% |
| Registered nurse turnover | Not given | 43.5% |
| Administrators who left | Not given | Not given |
Who owns it?
- Gateway Healthcare LLC owns 100% directly since Feb 19, 2013.
- Onshift Inc. and Kare Technologies LLC run it.
- 10 owners or officers are people: Ami Sato (corporate officer); David Jorgensen (corporate director); Douglas A Williams (runs it (operational or managerial control), 0%); Douglas A Williams (on the governing body (managing control)); Douglas A Williams (additional disclosable party (controls, leases property to, or provides services to the home)); Tara Helenthal (corporate officer); Arif A Sattar (runs it (operational or managerial control)); Arif A Sattar (on the governing body (managing control)); Arif A Sattar (additional disclosable party (controls, leases property to, or provides services to the home)); Soon Burnam (corporate officer, 0%).
- Part of The Ensign Group (347 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| The Ensign Group Inc. | Owns 5% or more through other companies | 100% | Jul 1, 2011 |
| Gateway Healthcare LLC | Owns 5% or more directly | 100% | Feb 19, 2013 |
| Onshift Inc. | Runs it (operational or managerial control) | May 1, 2013 | |
| Kare Technologies LLC | Runs it (operational or managerial control) | May 1, 2013 | |
| Ensign Services Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2013 | |
| Ctr Partnership LP | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2013 | |
| 49th Street Health Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2013 | |
| Caretrust Gp LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2013 | |
| Caretrust Reit Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2013 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (Nebraska average 3.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 6.1 miles, this one had the 5th most health citations at the latest inspection cycle (18; the middle value was 16).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Omaha Nursing and Rehabilitation Center This nursing home | 18 | |
| Emerald Nursing & Rehab Omaha | 1.2 | 30 |
| Douglas County Health Center | 2.5 | 16 |
| Emerald Nursing & Rehabilitation Mercy | 2.8 | 44 |
| Adept Nursing & Rehab of Midtown | 2.9 | 5 |
| St. Joseph Villa Nursing Center | 3.7 | 16 |
| Hillcrest Country Estates-Cottages | 4.8 | 10 |
| Brookestone of Papillion | 5.1 | 6 |
| Ambassador Health of Omaha | 5.1 | 3 |
| Maple Crest Health Center | 5.3 | 20 |
| Hillcrest Shadow Lake LLC | 5.5 | 8 |
| Hillcrest Health & Rehab | 6.1 | 19 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.