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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D16 | E15 | F11 |
| Minimal | A· | B· | C1 |
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 | |
|---|---|---|---|---|---|---|
| Jun 4, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 4, 2026 | Health | Health Complaint, Health Standard | 15 | Potential harm | — | Open → |
| Dec 30, 2025 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Sep 3, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 11, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Dec 17, 2024 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Dec 17, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Oct 17, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Oct 17, 2023 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Dec 30, 2025 | Civil money penalty (fine) | $33,248 | — | 285133|Fine|139266 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D16 | E15 | F11 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 4, 2026 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 15, 2026 | |
| Jun 4, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 15, 2026 | |
| Jun 4, 2026 | K-0920 |
“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 |
|---|---|---|---|---|---|
| James Janicki | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| Kevin Mulhearn | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| Matthew Oestmann | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| Reggie Ripple | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Janicki | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| Kevin Mulhearn | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| Matthew Oestmann | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| Reggie Ripple | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| James Janicki | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Hillcrest Country Estates-Cottages 6082 Grand Lodge Avenue, Papillion, NE 68133 CCN 285293 | 7.4 km | 48 | Aug 18, 2026 | 493 open | — | |
| Omaha Nursing and Rehabilitation Center 4835 South 49th Street, Omaha, NE 68117 CCN 285240 | 9.9 km | 70 | Apr 1, 2026 | 591 IJ6 harm | $39k | |
| Hillcrest Shadow Lake LLC 1507 E Gold Coast Road, Papillion, NE 68046 CCN 28E299 | 10 km | 114 | May 7, 2026 | 462 harm | — | |
| St. Joseph Villa Nursing Center 2305 South 10th Street, Omaha, NE 68108 CCN 285078 | 10.9 km | 184 | Jun 10, 2026 | 601 IJ2 harm | $28k | |
| Brookestone of Papillion 610 South Polk Street, Papillion, NE 68046 CCN 285268 | 11.1 km | 110 | Jul 9, 2026 | 24 | — | |
| Emerald Nursing & Rehab Omaha 5505 Grover Street, Omaha, NE 68106 CCN 285097 | 11.8 km | 155 | Jun 3, 2026 | 811 IJ4 harm | $109k | |
| Douglas County Health Center 4102 Woolworth Avenue, Omaha, NE 68105 CCN 285019 | 12.6 km | 254 | Oct 30, 2025 | 561 harm | — | |
| Adept Nursing & Rehab of Midtown 910 South 40th Street, Omaha, NE 68105 CCN 285218 | 13.2 km | 61 | Apr 29, 2026 | 35 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 285133 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 285133 | 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
| Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Jul 15, 2026 |
| Jun 4, 2026 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 15, 2026 |
| Jun 4, 2026 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 15, 2026 |
| Jun 4, 2026 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 15, 2026 |
| Jun 4, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 15, 2026 | Complaint |
| Jun 4, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 15, 2026 |
| Jun 4, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 15, 2026 |
| Jun 4, 2026 | 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 Jul 15, 2026 |
| Jun 4, 2026 | 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 Jul 15, 2026 |
| Jun 4, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 15, 2026 |
| Jun 4, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 15, 2026 |
| Jun 4, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 15, 2026 |
| Jun 4, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 15, 2026 |
| Jun 4, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 15, 2026 |
| Jun 4, 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 | D · Potential harm Isolated | Corrected Jul 15, 2026 |
| Jun 4, 2026 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jul 15, 2026 |
| Jun 4, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 15, 2026 |
| Dec 30, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 28, 2026 | Complaint |
| Dec 30, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 28, 2026 | Complaint |
| Dec 30, 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 28, 2026 | Complaint |
| Dec 30, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 28, 2026 | Complaint |
| Sep 3, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance | Complaint |
| Mar 11, 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 | G · Actual harm Isolated | Corrected Mar 21, 2025 | Complaint |
| Dec 17, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 30, 2025 |
| Dec 17, 2024 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 30, 2025 |
| Dec 17, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 30, 2025 |
| Dec 17, 2024 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 30, 2025 |
| Dec 17, 2024 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 30, 2025 |
| Dec 17, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 30, 2025 |
| Dec 17, 2024 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 30, 2025 |
| Dec 17, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 30, 2025 |
| Dec 17, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 30, 2025 |
| Dec 17, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 30, 2025 |
| Dec 17, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 30, 2025 |
| Dec 17, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | C · Minimal Widespread | Corrected Jan 30, 2025 |
| Oct 17, 2023 | K-0222 | 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. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 28, 2023 |
| Oct 17, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 28, 2023 |
| Oct 17, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 28, 2023 |
| Oct 17, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 28, 2023 |
| Oct 17, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 28, 2023 |
| Oct 17, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 28, 2023 |
| Oct 17, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 28, 2023 |
| Oct 17, 2023 | F-0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 28, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.43 (case-mix index 1.40).
| Operational / managerial control |
| MANAGING CONTROL - GOVERNING BODY |
| not provided |
| Dec 31, 2021 |
| Kevin Mulhearn | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 31, 2021 |
| Matthew Oestmann | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 31, 2021 |
| Reggie Ripple | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 31, 2021 |
| Hillcrest Health Systems Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2012 |
| Debra Aswege-Mezenberg | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Anthony Hatcher | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| James Janicki | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 31, 2021 |
| Amber Kendall | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 16, 2025 |
| Timothy Malloy | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Kevin Mulhearn | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 31, 2021 |
| Matthew Oestmann | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2016 |
| Heather Geis | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Dec 1, 2024 |
| Forvis Mazars LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2022 |
| Hillcrest Health Systems Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 27, 2026 |
| Innovate Rehab and Wellness LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2017 |
| Joro, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 28, 2012 |
| Debra Aswege-Mezenberg | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Anthony Clark | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 15, 2021 |
| Stacie Cruzat | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 25, 2018 |
| Leah Diehl | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 27, 2017 |
| Heather Geis | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2024 |
| Anthony Hatcher | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| James Janicki | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2021 |
| Amber Kendall | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 16, 2025 |
| Timothy Malloy | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Michele Miller | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Kevin Mulhearn | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 6, 2013 |
| Matthew Oestmann | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2021 |
| Reggie Ripple | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2021 |
| Vickie Shoemaker | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 1996 |
| Elizabeth Stratman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2017 |