{"schema_version":"1.0.0","facility":{"id":"cms-285019","ccn":"285019","name":"Douglas County Health Center","source_name":"Douglas County Health Center","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"NE","address":{"line1":"4102 Woolworth Avenue","city":"Omaha","state":"NE","zip":"68105","county_name":"Douglas County","county_fips":"31055","county_method":"name_match","ssa_county_code":"270","urban":true},"location":{"lat":41.2452,"lon":-95.974,"method":"cms_published_coordinates"},"phone":"4024447041","certification":{"authority":"CMS","ccn":"285019","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1967-03-24","certified_beds":254,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/285019"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":254,"avg_residents_per_day":229.6},"ownership_type":"Government - City/county","ownership_class":"government","legal_business_name":"DOUGLAS COUNTY NEBRASKA","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":3},"health_inspection":{"value":2},"quality_measures":{"value":4},"long_stay_qm":{"value":4},"short_stay_qm":{"value":4},"staffing":{"value":5},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":3.26102,"lpn_hprd":0.53805,"rn_hprd":1.0122,"licensed_hprd":1.55024,"total_nurse_hprd":4.81127,"weekend_total_nurse_hprd":4.23666,"weekend_rn_hprd":0.62508,"pt_hprd":0.03501,"nursing_turnover_pct":19.8,"rn_turnover_pct":18,"administrators_left":0,"case_mix_index":1.15869,"case_mix_index_ratio":0.82162,"case_mix_total_nurse_hprd":3.20501,"adjusted_total_nurse_hprd":5.8099,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-05-13","cycle1_deficiencies":16,"cycle1_score":92,"cycle2_date":"2024-04-26","cycle23_deficiencies":11,"cycle23_score":44,"total_weighted_score":80},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":1,"total":1},"operator_id":"op-douglas-county-nebraska","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/285019","provenance":[{"source_id":"cms_provider_info","source_record_id":"285019","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285019&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"285019","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285019&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":10,"health_count":7,"fire_count":3,"complaint_count":5,"latest_date":"2025-10-30","latest_standard_health":"2025-05-13","earliest_date":"2023-05-16","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":56,"health_count":33,"fire_count":23,"open_count":0,"actual_harm_count":1,"immediate_jeopardy_count":0,"serious_count":1,"complaint_count":8,"by_severity":{"actual_harm":1,"potential":54,"minimal":1},"by_scope_severity":{"G":1,"D":31,"F":8,"E":15,"C":1},"by_concept":{"medication":1,"clinical_care":13,"emergency_preparedness":1,"environment_life_safety":22,"food_nutrition":3,"resident_rights":12,"staffing":1,"infection_prevention":3},"type_ids":["cms-f0760","cms-f0697","cms-e0041","cms-k0311","cms-k0918","cms-k0341","cms-k0351","cms-k0362","cms-k0511","cms-k0920","cms-f0812","cms-f0605","cms-f0609","cms-f0610","cms-f0636","cms-f0656","cms-f0684","cms-f0686","cms-f0688","cms-f0695","cms-f0699","cms-f0712","cms-f0880","cms-f0580","cms-k0354","cms-k0222","cms-k0321","cms-k0374","cms-k0781","cms-k0922","cms-f0553","cms-f0585","cms-f0644","cms-f0689","cms-f0577","cms-k0345","cms-k0712","cms-k0353","cms-f0584","cms-f0626","cms-f0791"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":0,"fine_total":0,"payment_denials":1,"latest_date":"2025-10-30"},"ownership_summary":{"disclosures":10,"organizations":0,"individuals":10,"not_available":false}},"row":{"id":"cms-285019","ccn":"285019","name":"Douglas County Health Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"NE","city":"Omaha","zip":"68105","county_fips":"31055","county_name":"Douglas County","address":"4102 Woolworth Avenue","beds":254,"residents":229.6,"ownership":"government","operator_id":"op-douglas-county-nebraska","operator_name":"Douglas County Nebraska","lat":41.2452,"lon":-95.974,"overall":3,"health_rating":2,"staffing_rating":5,"qm_rating":4,"nurse_hprd":4.81,"turnover":19.8,"inspections":10,"last_inspection":"2025-10-30","deficiencies":56,"serious":1,"ij":0,"open":0,"penalties":1,"fines_total":0,"deficiency_type_ids":["cms-f0760","cms-f0697","cms-e0041","cms-k0311","cms-k0918","cms-k0341","cms-k0351","cms-k0362","cms-k0511","cms-k0920","cms-f0812","cms-f0605","cms-f0609","cms-f0610","cms-f0636","cms-f0656","cms-f0684","cms-f0686","cms-f0688","cms-f0695","cms-f0699","cms-f0712","cms-f0880","cms-f0580","cms-k0354","cms-k0222","cms-k0321","cms-k0374","cms-k0781","cms-k0922","cms-f0553","cms-f0585","cms-f0644","cms-f0689","cms-f0577","cms-k0345","cms-k0712","cms-k0353","cms-f0584","cms-f0626","cms-f0791"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-douglas-county-nebraska","name":"Douglas County Nebraska","legal_name":"DOUGLAS COUNTY NEBRASKA","facility_count":1,"states":["NE"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_type":"individual","owner_name":"Mary Ann Borgeson","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"1995-01-01","owner_name_raw":"BORGESON, MARY ANN"},{"owner_type":"individual","owner_name":"Maureen Boyle-Manganaro","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-01-01","owner_name_raw":"BOYLE-MANGANARO, MAUREEN"},{"owner_type":"individual","owner_name":"James Cavanaugh","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-01","owner_name_raw":"CAVANAUGH, JAMES"},{"owner_type":"individual","owner_name":"Mike Friend","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-01-01","owner_name_raw":"FRIEND, MIKE"},{"owner_type":"individual","owner_name":"Roger Garcia","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-10-01","owner_name_raw":"GARCIA, ROGER"},{"owner_type":"individual","owner_name":"Pj Morgan","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2010-01-01","owner_name_raw":"MORGAN, PJ"},{"owner_type":"individual","owner_name":"Erin Nelson","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2019-07-01","owner_name_raw":"NELSON, ERIN"},{"owner_type":"individual","owner_name":"Chris Rogers","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2005-01-01","owner_name_raw":"ROGERS, CHRIS"},{"owner_type":"individual","owner_name":"Erin Nelson","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2019-07-01","owner_name_raw":"NELSON, ERIN"},{"owner_type":"individual","owner_name":"Erin Nelson","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2019-07-01","owner_name_raw":"NELSON, ERIN"}],"inspections":[{"id":"cms-285019-20251030-health","ccn":"285019","date":"2025-10-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0760","ss":"G","sl":3,"cs":"corrected","cd":"2025-12-12","cmp":1},{"t":"cms-f0697","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-12","cmp":1}]},{"id":"cms-285019-20250513-fire","ccn":"285019","date":"2025-05-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0041","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-20","std":1,"tv":"New"},{"t":"cms-k0311","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-20","std":1,"tv":"New"},{"t":"cms-k0341","ss":"E","sl":2,"cs":"corrected","cd":"2025-06-20","std":1,"tv":"New"},{"t":"cms-k0351","ss":"E","sl":2,"cs":"corrected","cd":"2025-06-20","std":1,"tv":"New"},{"t":"cms-k0362","ss":"E","sl":2,"cs":"corrected","cd":"2025-06-20","std":1,"tv":"New"},{"t":"cms-k0511","ss":"E","sl":2,"cs":"corrected","cd":"2025-06-20","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-20","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2025-06-20","std":1,"tv":"New"}]},{"id":"cms-285019-20250513-health","ccn":"285019","date":"2025-05-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1,2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":14,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0605","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-27","std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-27","cmp":1,"std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-27","cmp":1,"std":1},{"t":"cms-f0636","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-27","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-27","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-27","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-27","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-27","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-27","std":1},{"t":"cms-f0697","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-27","std":1},{"t":"cms-f0699","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-27","std":1},{"t":"cms-f0712","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-27","cmp":1,"std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-27","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-27","std":1}]},{"id":"cms-285019-20240718-health","ccn":"285019","date":"2024-07-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-31","cmp":1}]},{"id":"cms-285019-20240516-health","ccn":"285019","date":"2024-05-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-14","cmp":1}]},{"id":"cms-285019-20240426-fire","ccn":"285019","date":"2024-04-26","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-13","std":1,"tv":"New"},{"t":"cms-k0311","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-13","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-13","std":1,"tv":"New"},{"t":"cms-k0354","ss":"F","sl":2,"cs":"corrected","cd":"2024-06-13","std":1,"tv":"New"},{"t":"cms-k0374","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-13","std":1,"tv":"New"},{"t":"cms-k0781","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-13","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-13","std":1,"tv":"New"},{"t":"cms-k0922","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-13","std":1,"tv":"New"}]},{"id":"cms-285019-20240426-health","ccn":"285019","date":"2024-04-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0553","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-09","std":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-09","std":1},{"t":"cms-f0585","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-09","std":1},{"t":"cms-f0644","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-09","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-09","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-09","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-09","std":1},{"t":"cms-f0577","ss":"C","sl":1,"cs":"corrected","cd":"2024-06-09","std":1}]},{"id":"cms-285019-20240305-health","ccn":"285019","date":"2024-03-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-22","cmp":1}]},{"id":"cms-285019-20230516-fire","ccn":"285019","date":"2023-05-16","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2023-06-29","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"waiver_granted","cd":"2023-06-29","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2023-06-29","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2023-06-29","std":1,"tv":"New"},{"t":"cms-k0374","ss":"D","sl":2,"cs":"corrected","cd":"2023-06-29","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2023-06-29","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2023-06-29","std":1,"tv":"New"}]},{"id":"cms-285019-20230516-health","ccn":"285019","date":"2023-05-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2023-06-29","std":1},{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2023-06-29","std":1},{"t":"cms-f0626","ss":"D","sl":2,"cs":"corrected","cd":"2023-06-29","std":1},{"t":"cms-f0791","ss":"D","sl":2,"cs":"corrected","cd":"2023-06-29","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-06-29","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2023-06-29","std":1}]}],"deficiency_types":{"cms-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0697":{"code":"F-0697","title":"Provide safe, appropriate pain management for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-e0041":{"code":"E-0041","title":"Implement emergency and standby power systems.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0311":{"code":"K-0311","title":"Have an enclosure around a vertical opening shaft.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0341":{"code":"K-0341","title":"Install a fire alarm system that can be heard throughout the facility.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0362":{"code":"K-0362","title":"Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0605":{"code":"F-0605","title":"Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0636":{"code":"F-0636","title":"Assess the resident completely in a timely manner  when first admitted, and then periodically, at least every 12 months.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0688":{"code":"F-0688","title":"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.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0699":{"code":"F-0699","title":"Provide care or services that was trauma informed and/or culturally competent.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0712":{"code":"F-0712","title":"Ensure that the resident and his/her doctor meet face-to-face at all required visits.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0354":{"code":"K-0354","title":"Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0222":{"code":"K-0222","title":"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.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0374":{"code":"K-0374","title":"Install smoke barrier doors that can resist smoke for at least 20 minutes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0781":{"code":"K-0781","title":"Have restrictions on the use of portable space heaters.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0922":{"code":"K-0922","title":"Meet requirements for the use and maintenance of medical gas equipment.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0553":{"code":"F-0553","title":"Allow resident to participate in the development and implementation of his or her person-centered plan of care.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0585":{"code":"F-0585","title":"Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0644":{"code":"F-0644","title":"Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0577":{"code":"F-0577","title":"Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0584":{"code":"F-0584","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0626":{"code":"F-0626","title":"Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0791":{"code":"F-0791","title":"Provide or obtain dental services for each resident.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[{"id":"cms-285019-pen-d20251030","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2025-10-30","denial_start":"2025-12-04","denial_days":8,"evidence_class":"VERIFIED","source_record_id":"285019|Payment Denial|2025-12-04"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285019&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285019&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285019&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285019&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285019&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=285019&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"NE","overall_rating":2.9,"health_inspection_rating":2.8,"qm_rating":3.2,"staffing_rating":3.3,"avg_residents_per_day":55.2,"cycle1_health_deficiencies":7.6,"cycle1_fire_deficiencies":5.4,"nurse_aide_hprd":2.75,"lpn_hprd":0.68,"rn_hprd":0.69285,"licensed_hprd":1.38,"total_nurse_hprd":4.12348,"weekend_total_nurse_hprd":3.56548,"weekend_rn_hprd":0.48,"pt_hprd":0.05,"nursing_turnover_pct":48.5,"rn_turnover_pct":43.5,"administrators_left":0.5,"case_mix_index":1.28233,"fines":0.4,"fine_amount":12761,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"NE","name":"Nebraska"},"county":{"fips":"31055","name":"Douglas County"},"zip":"68105","city":"Omaha"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-285218","ccn":"285218","name":"Adept Nursing & Rehab of Midtown","address":"910 South 40th Street","city":"Omaha","state":"NE","zip":"68105","beds":61,"overall":3,"inspections":9,"last_inspection":"2026-04-29","deficiencies":35,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0.7},{"id":"cms-285097","ccn":"285097","name":"Emerald Nursing & Rehab Omaha","address":"5505 Grover Street","city":"Omaha","state":"NE","zip":"68106","beds":155,"overall":1,"inspections":15,"last_inspection":"2026-06-03","deficiencies":81,"serious":5,"ij":1,"open":0,"fines_total":108594,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.9},{"id":"cms-285078","ccn":"285078","name":"St. Joseph Villa Nursing Center","address":"2305 South 10th Street","city":"Omaha","state":"NE","zip":"68108","beds":184,"overall":1,"inspections":9,"last_inspection":"2026-06-10","deficiencies":60,"serious":3,"ij":1,"open":0,"fines_total":28113,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.8},{"id":"cms-285240","ccn":"285240","name":"Omaha Nursing and Rehabilitation Center","address":"4835 South 49th Street","city":"Omaha","state":"NE","zip":"68117","beds":70,"overall":1,"inspections":13,"last_inspection":"2026-04-01","deficiencies":59,"serious":7,"ij":1,"open":0,"fines_total":39146,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4},{"id":"cms-285127","ccn":"285127","name":"Ambassador Health of Omaha","address":"1540 North 72ndstreet","city":"Omaha","state":"NE","zip":"68114","beds":146,"overall":5,"inspections":6,"last_inspection":"2025-07-10","deficiencies":21,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.2},{"id":"cms-285058","ccn":"285058","name":"Emerald Nursing & Rehabilitation Mercy","address":"7410 Mercy Road","city":"Omaha","state":"NE","zip":"68124","beds":174,"overall":1,"inspections":21,"last_inspection":"2026-07-20","deficiencies":131,"serious":9,"ij":0,"open":1,"fines_total":370687,"sff":"SFF Candidate","status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.6},{"id":"cms-285149","ccn":"285149","name":"Maple Crest Health Center","address":"2824 North 66th Avenue","city":"Omaha","state":"NE","zip":"68104","beds":175,"overall":2,"inspections":8,"last_inspection":"2026-07-07","deficiencies":59,"serious":1,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.5},{"id":"cms-285238","ccn":"285238","name":"Keystone Ridge Post Acute Nursing and Rehabilitati","address":"7501 Keystone Drive","city":"Omaha","state":"NE","zip":"68134","beds":100,"overall":1,"inspections":10,"last_inspection":"2026-04-16","deficiencies":52,"serious":2,"ij":2,"open":0,"fines_total":70103,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.6}]}}