Keystone Ridge Post Acute Nursing And Rehabilitati
Keystone Ridge Post Acute Nursing and Rehabilitati in Omaha, NE — inspection on May 21, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
According to the MDS manual, a score of 3 indicated that the resident had severe cognitive impairment.
Further review of the MDS identified Resident 66 utilized a urinary catheter for bladder elimination.
An observation on 05/20/2025 at 9:45 AM revealed Resident 66 sitting in a wheelchair with the urinary catheter drainage bag hung inside a red trash can.
An observation on 05/20/2025 at 11:07 AM revealed Resident 66 in a wheelchair in the resident's room watching television with the urinary catheter drainage bag directly on the floor.
An observation on 05/20/2025 at 12:11 PM revealed Resident 66 in a wheelchair in the resident's room watching television with the urinary catheter drainage bag directly on the floor.
An observation on 05/20/2025 at 12:43 PM revealed Resident 66 with a noon meal watching television with the urinary catheter drainage bag directly on the floor.
An interview on 05/20/2025 at 12:46 PM with Nurse Aide (NA)-C confirmed that Resident 66's catheter bag was on the floor and should not be. NA-C further confirmed that the urinary catheter drainage bag should not be stored inside a trashcan.
52351
285238
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 285238 B.
Wing 05/21/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Keystone Ridge Post Acute Nursing and Rehab 7501 Keystone Drive Omaha, NE 68134
Based on observation, interview, and record review; the facility failed to store a urinary catheter drainage bag in a manner to prevent cross-contamination for 1 (Resident 66) of 2 sampled residents; and failed to disinfect the glucometer during blood glucose checks.
This had the potential to affect 1 (Resident 16) of 2 sampled residents.
The facility staff identified a census of 69.
A.
Record review of Resident 66's Admission Record revealed the facility admitted Resident 66 on 02/28/2025 and identified the following diagnoses: hyperosmolality (a condition where the blood is too concentrated) and hypernatremia (too much sodium in blood); severe protein-calorie malnutrition; pressure ulcer of sacral region; anoxic brain damage (a result of the brain not receiving enough oxygen, causing brain cells to die); sepsis (the body's extreme response to an infection); depression; epilepsy; and secondary pulmonary arterial hypertension (high blood pressure in the arteries of the lungs that is caused by another underlying health condition).
Record review of Resident 66's Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and help nursing home staff identify health problems) dated 03/14/2025 revealed a Brief Interview for Mental Status (BIMS, a brief screener that aids in detecting cognitive impairment) score of 3.
According to the MDS manual, a score of 3 indicated that the resident had severe cognitive impairment.
Further review of the MDS identified Resident 66 utilized a urinary catheter for bladder elimination.
An observation on 05/20/2025 at 9:45 AM revealed Resident 66 sitting in a wheelchair with the urinary catheter drainage bag hung inside a red trash can.
An observation on 05/20/2025 at 11:07 AM revealed Resident 66 in a wheelchair in the resident's room watching television with the urinary catheter drainage bag directly on the floor.
An observation on 05/20/2025 at 12:11 PM revealed Resident 66 in a wheelchair in the resident's room watching television with the urinary catheter drainage bag directly on the floor.
An observation on 05/20/2025 at 12:43 PM revealed Resident 66 with a noon meal watching television with the urinary catheter drainage bag directly on the floor.
An interview on 05/20/2025 at 12:46 PM with Nurse Aide (NA)-C confirmed that Resident 66's catheter bag was on the floor and should not be. NA-C further confirmed that the urinary catheter drainage bag should not be stored inside a trashcan.
08/26/2025
N o. 0938-0391
IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY COMPLETED
05/21/2025 Keystone Ridge Post Acute Nursing and Rehab 7501 Keystone Drive Omaha, NE 68134
potential for actual harm
B. An observation on 05/19/25 at 7:43 AM of Licensed Practical Nurse (LPN)-A completing a blood glucose check of Resident 16. LPN-A performed hand hygiene and applied gloves, completed the blood glucose check and returned to the treatment cart. LPN-A wiped the glucometer with an alcohol wipe and placed the glucometer on a clean surface.
An Interview was conducted on 05/19/25 8:30 AM with the Director of Nursing (DON) and DON confirmed the glucometers should be disinfected with the Sani-Cloth Germicidal Wipes.
08/26/2025
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Omaha, NE, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Keystone Ridge Post Acute Nursing and Rehabilitati or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.