Maple Crest Health Center
Inspection Findings
F-Tag F0580
Federal health inspectors cited Maple Crest Health Center in Omaha, NE for a deficiency under regulatory tag F-F0580 during a standard health inspection conducted on 2025-09-03.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Maple Crest Health Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-18.
F-Tag F0600
Federal health inspectors cited Maple Crest Health Center in Omaha, NE for a deficiency under regulatory tag F-F0600 during a standard health inspection conducted on 2025-09-03.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Maple Crest Health Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-18.
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Director.Record review of Resident 8's quarterly Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) dated 5/20/2025 identified the facility admitted the resident on 2/14/2025. Further review of the MDS identified Resident 8 had a Brief Interview for Mental Status (BIMS, a brief screener that aids in detecting cognitive impairment) score of 14. According to the MDS manual, a score of 14 indicated the resident was cognitively intact. The MDS identified Resident 8 had diagnoses which included dementia (a usually progressive condition marked by the development of multiple cognitive deficits [such as memory impairment, aphasia, and the inability to plan and initiate complex behavior]), anxiety disorder (an abnormal and overwhelming sense of apprehension and fear often marked by physical signs, by doubt concerning the reality and nature of the threat, and by self-doubt about one's capacity to cope with it), depression, bipolar disorder (a condition characterized by dramatic shifts in mood, energy, and activity levels that affect a person's ability to carry out day-to-day tasks. These shifts in mood and energy levels are more severe than the normal ups and downs that are experienced by everyone), and psychotic disorder (severe mental disorder that causes abnormal thinking and perceptions).Record review of Resident 59's admission MDS dated [DATE REDACTED] identified the facility admitted the resident on 6/2/2025.
Further review of the MDS revealed Resident 59 had a BIMS score of 14 and the resident had delusions (misconceptions, or beliefs that are firmly held, contrary to reality) during the review period. The MDS identified Resident 59 had diagnoses which included dementia, anxiety disorder, and depression.Record
review of Resident 59's Progress Notes dated 7/4/2025 showed a note written by Licensed Practical Nurse (LPN)-C that Resident 59 was requesting to move into a different room because Resident 8 had called Resident 59 derogatory names several times. Resident 59 also reported to facility staff that Resident 8's television was too loud.Record review of Resident Abuse Investigation Report Form (investigation) dated 7/11/2025 revealed on 7/4/2025, Resident 59 requested to be moved to a different room due to Resident 8 calling (gender) derogatory names several times. Resident 59 told staff that the roommate would not work and that Resident 8's television was too loud. Resident 59 called a family member to advise them of what
the roommate had said.Further review of the investigation revealed on 7/7/2025 at approximately 12:00 PM, Resident 59's Nurse Practitioner (NP) notified Social Worker (SW)-B of Resident 59's concerns with
the television. SW-B began an investigation and identified the progress note dated 7/4/2025 and written by LPN-C in Resident 59's medical record. At approximately 3:30 PM on 7/7/2025 the facility moved Resident 59 to a different room.An interview on 8/28/2025 3:23 PM with the Administrator (ADM) confirmed the verbal incident between Resident 8 and Resident 59 occurred on 7/4/2025. The ADM further confirmed that
the allegation of verbal abuse was not reported within 24 hours and should have been.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/03/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Maple Crest Health Center
2824 North 66th Avenue Omaha, NE 68104
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0638
Federal health inspectors cited Maple Crest Health Center in Omaha, NE for a deficiency under regulatory tag F-F0638 during a standard health inspection conducted on 2025-09-03.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Assure that each resident’s assessment is updated at least once every 3 months.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Maple Crest Health Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-18.
F-Tag F0677
Federal health inspectors cited Maple Crest Health Center in Omaha, NE for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-09-03.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Maple Crest Health Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-18.
F-Tag F0684
Federal health inspectors cited Maple Crest Health Center in Omaha, NE for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-09-03.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Maple Crest Health Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-18.
F-Tag F0686
Federal health inspectors cited Maple Crest Health Center in Omaha, NE for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-09-03.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Maple Crest Health Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-18.
F-Tag F0732
Federal health inspectors cited Maple Crest Health Center in Omaha, NE for a deficiency under regulatory tag F-F0732 during a standard health inspection conducted on 2025-09-03.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Post nurse staffing information every day.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Maple Crest Health Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-18.
F-Tag F0812
Federal health inspectors cited Maple Crest Health Center in Omaha, NE for a deficiency under regulatory tag F-F0812 during a complaint investigation conducted on 2025-09-03.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Maple Crest Health Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-18.
Maple Crest Health Center in Omaha, NE inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Maple Crest Health Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.