Life Care Center of Omaha: Pressure Ulcer Harm - NE
The resident, identified as Resident 2 in inspection records, required total assistance with eating, dressing, grooming, toileting, bathing and moving around. The resident could rarely or never make themselves understood and depended entirely on staff for basic care.
Doctor's orders called for Jevity 1.5 tube feeding formula to run continuously at 40 milliliters per hour, 24 hours a day. But when inspectors checked at 2:32 PM on November 19, the pump had been idle for 10 minutes and was beeping an alarm.
Nearly an hour later, at 3:25 PM, the same pump was still beeping. Still idle for 10 minutes, according to the screen. Still delivering no nutrition.
Licensed Practical Nurse B, responsible for the resident's care, confirmed the tube feeding should have been running at 40 milliliters per hour. The nurse also confirmed not restarting the pump in the previous hour, despite the continuous alarms.
The facility's own policy, dated September 5, 2025, requires staff to provide continuous enteral nutrition therapy according to physician orders and professional standards. Treatment orders must be followed exactly as written, according to another policy from June.
A second resident faced different but equally concerning problems with feeding tube care. Resident 7, who had moderate cognitive impairment and required total assistance with all daily activities, needed specialized wound care at the feeding tube insertion site.
Doctor's orders from May 19 specified a precise routine: cleanse the site, apply Vaseline gauze, then cover with split gauze twice daily to help the insertion site heal properly.
But when inspectors watched Licensed Practical Nurse C change the dressing on November 18, the old bandage contained no Vaseline gauze at all. Resident 7 grimaced when the nurse removed the dressing, which had stuck to the skin around the feeding tube.
Bright red blood surrounded the insertion site where the tube entered the resident's body.
Nurse C confirmed the old dressing lacked the required Vaseline gauze and acknowledged that Vaseline gauze should have been applied to prevent the dressing from adhering to skin. The nurse also confirmed the stuck dressing caused discomfort when removed.
The facility census was 94 residents at the time of inspection. Inspectors sampled three residents with feeding tubes and found violations affecting two of them.
Federal regulations require nursing homes to ensure feeding tubes are used only when medically necessary and with resident agreement. Facilities must also provide appropriate care for residents who have feeding tubes, including proper maintenance of equipment and wound care.
Life Care Center of Omaha's violations represented failures in both areas. The idle pump meant Resident 2 received no nutrition during periods when continuous feeding was medically ordered. The improper wound care for Resident 7 created unnecessary pain and potentially delayed healing at a vulnerable surgical site.
Both residents depended completely on staff for their most basic needs. Resident 2 could not communicate effectively to alert anyone about the silent pump. Resident 7's moderate cognitive impairment meant relying entirely on nurses to follow proper wound care procedures.
The inspection found minimal harm or potential for actual harm, affecting few residents. But for the individuals involved, the consequences were immediate. One went without ordered nutrition while alarms sounded ignored. Another endured painful dressing changes that violated medical orders designed to promote healing.
Federal inspectors documented these findings during a complaint investigation, suggesting someone reported concerns about feeding tube care at the facility. The specific nature of those complaints was not detailed in the inspection report.
The violations occurred despite written facility policies that appeared to meet regulatory requirements. The gap between policy and practice left vulnerable residents without the specialized care their medical conditions required.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Life Care Center of Omaha from 2025-11-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 21, 2026 · Our methodology
Life Care Center of Omaha in Omaha, NE was cited for violations during a health inspection on November 19, 2025.
The resident, identified as Resident 2 in inspection records, required total assistance with eating, dressing, grooming, toileting, bathing and moving around.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.