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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E2 | F· |
| Minimal | A· | B· | C· |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jan 8, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 8, 2026 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Apr 24, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 15, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 15, 2025 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Sep 30, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 21, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Dec 21, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E2 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 8, 2026 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 22, 2026 | |
| Jan 8, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2026 | |
| Jan 8, 2026 | F-0688 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Douglas Goracke | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | Aug 1, 2003 |
| Steven Chamley | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Douglas Goracke | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | Aug 1, 2003 |
| Steven Chamley | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2021 |
| Steven Chamley | Individual | Partner | GENERAL PARTNERSHIP INTEREST | not provided | Jan 1, 2019 |
| Douglas Goracke | Individual | Partner | GENERAL PARTNERSHIP INTEREST | not provided | Sep 23, 2003 |
| Douglas Goracke | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| North Crest Living Center 34 Northcrest Drive, Council Bluffs, IA 51503 CCN 165290 | 1.2 km | 62 | Aug 26, 2025 | 50 | — | |
| Bethany Lutheran Home Seven Elliott Street, Council Bluffs, IA 51503 CCN 165524 | 2.5 km | 112 | May 21, 2026 | 562 IJ3 harm | $28k | |
| Prairie Gate 16 Valley View Drive, Council Bluffs, IA 51503 CCN 165794 | 3.8 km | 72 | Aug 27, 2026 | 321 IJ1 harm1 open | $28k | |
| Chapters Living of Council Bluffs 3000 Risen Son Blvd, Council Bluffs, IA 51503 CCN 165466SFF Candidate | 6.3 km | 102 | Jan 30, 2026 | 1011 IJ | $106k | |
| St. Joseph Villa Nursing Center 2305 South 10th Street, Omaha, NE 68108 CCN 285078 | 9.2 km | 184 | Jun 10, 2026 | 601 IJ2 harm | $28k | |
| Ambassador Health of Omaha 1540 North 72ndstreet, Omaha, NE 68114 CCN 285127 | 9.7 km | 146 | Jul 10, 2025 | 21 | — | |
| Emerald Nursing & Rehab Legacy Pointe LLC 3110 Scott Circle, Omaha, NE 68112 CCN 285239SFF Candidate | 11.4 km | 108 | Aug 12, 2026 | 441 IJ | $81k | |
| Florence Home 7915 North 30th Street, Omaha, NE 68112 CCN 285173 | 11.6 km | 126 | Nov 17, 2025 | 24 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165447 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165447 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| D · Potential harm Isolated |
| Corrected Jan 22, 2026 |
| Jan 8, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Jan 8, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 22, 2026 |
| Apr 24, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Jan 15, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 16, 2025 | Complaint |
| Jan 15, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 16, 2025 |
| Jan 15, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 16, 2025 | Complaint |
| Jan 15, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 16, 2025 |
| Jan 15, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 16, 2025 |
| Sep 30, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 11, 2024 | Complaint |
| Dec 21, 2023 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 8, 2024 |
| Dec 21, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 8, 2024 |
| Dec 21, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 8, 2024 |
| Dec 21, 2023 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 8, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.85 (case-mix index 1.20).
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Sep 23, 2003 |
| Steven Chamley | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2019 |
| Douglas Goracke | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 23, 2003 |
| Jessica Mccool | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Apr 1, 2023 |
| Tracy Busse | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Sep 1, 2017 |
| Jordan Tjaden | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Oct 1, 2022 |
| Steven Chamley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 17, 2024 |
| Douglas Goracke | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 17, 2024 |
| Jessica Mccool | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 17, 2024 |
| Jordan Tjaden | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 17, 2024 |