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Complaint Investigation

Omaha Nursing And Rehabilitation Center

October 7, 2025 · Omaha, NE · 4835 South 49th Street
Citations 2
CMS Rating 1/5
Beds 70
Provider ID 285240
Healthcare Facility
Omaha Nursing And Rehabilitation Center
Omaha, NE  ·  View full profile →
Inspection Summary

Omaha Nursing and Rehabilitation Center in Omaha, NE — inspection on October 7, 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.

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Inspection Findings

FF0697
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

The therapy may be gauze based, foam based, or peel and stick, and includes an evacuation tube and a computerized pump that applies the negative pressure) dressing change revealed a softball sized stage four pressure ulcer approximately three centimeters (cm) deep to Resident 1's sacrum.

The wound bed was beefy red and tissues surrounding the wound were intact.

There was no noted odor. PA-B performed a wound assessment including measurements while ADON assisted Resident 1 to remain on the left side.

PA-B cleansed the wound utilizing wound cleanser and a gauze square. PA-B informed Resident 1 that the cleanser was cold.

Upon PA-B cleansing the wound, Resident 1 yelled out Ow! PA-B continued the wound treatment as ordered and placed Amchoplast (a skin substitute used in wound treatment designed to support wound healing and protection of the wound) in the base of the wound and applied drape around the wound. PA-B cut black foam to the size of the wound and placed the black foam in the wound bed. Resident 1 yelled out Ow! was facial grimacing and began to cry while both of Resident 1's shoulders were moving up and down.

The ADON began rubbing Resident 1's back and utilized conversation to distract the resident. PA-B continued with the wound treatment and applied the top layer of drape while the ADON held the black foam in place. Resident 1 began crying again and yelled out that hurts! and was whimpering.

PA-B and the ADON continued with the wound treatment, and Resident 1 continued crying and facial grimacing and yelling out Ouch! Oww! That Hurts! The wound dressing was completed, and the wound dressing was attached to the wound vac.

The ADON powered on the wound vac device and when suction was applied, Resident 1 again yelled out Ow! That hurts! PA-B and the ADON provided verbal encouragement to Resident 1 at that time.

Before leaving the room, the ADON asked Resident 1 if they felt better. Resident 1 responded A little bit.Throughout the treatment, neither PA-B nor the ADON stopped the treatment to inquire with the resident if the wound treatment should go on or if the resident's pain needed to be addressed.Interview on 10/7/25 at 10:57 AM with the ADON confirmed that the procedure can be painful and further confirmed that Resident 1 was crying out and yelling out ouch, oww, and that hurts.

The ADON reported the resident received an as needed Oxycodone at 5:17 AM and scheduled acetaminophen at 6:00 AM. ADON confirmed a dose of oxycodone should have been administered prior to the treatment but was not.Interview on 10/7/2025 at 11:11 AM with Resident 1 and Licensed Practical Nurse (LPN)-A present, Resident 1 reported pain during the treatment was rated 10 out of 10. Resident 1 stated that's why I was crying.

When asked if they would have liked staff to stop the treatment, Resident 1 stated they didn't give me a choice, they just kept going.

During a follow-up interview on 10/7/2025 at 2:00 PM, the ADON stated Yes, we could have stopped and offered Resident 1 pain medication, but I feel like the response would have been the same.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/07/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Omaha Nursing and Rehabilitation Center

4835 South 49th Street Omaha, NE 68117

SUMMARY STATEMENT OF DEFICIENCIES

Provide and implement an infection prevention and control program.

Licensure Reference Number 175 NAC 1-005.06(D)Based on observation, interview, and record review; the facility failed to perform hand hygiene between glove changes during the provision of wound care for 1 (Resident 2) of 3 sampled residents.

The facility staff identified a census of 50.The findings are:Record review of a facility policy entitled Hand Hygiene revised 10/2022 revealed facility staff were to perform an alcohol-based hand rub containing at least 62 percent (%) alcohol; or alternatively, soap and water before handling clean or soiled dressings, gauze pads, etc.; before moving from a contaminated body site to a clean body site during resident care; after handling used dressings and contaminated equipment; and after removing gloves.Observation on 10/7/2025 from 9:54 AM through 10:05 AM of Licensed Practical Nurse (LPN)-A performing wound care treatments for Resident 2 revealed LPN-A washed hands with soap and water for 32 seconds and donned (applied) a gown and gloves. LPN-A washed the resident's right and left posterior thighs. LPN-A doffed (removed) gloves, and without performing hand hygiene donned a new pair of gloves. LPN-A washed Resident 2's right posterior heel and doffed gloves.

Without performing hand hygiene, LPN-A donned new gloves and performed the wound treatment to Resident 2's right posterior heel. LPN-A doffed gloves, and without performing hygiene donned new gloves. LPN-A proceeded with the left and right posterior thigh treatment as ordered, and doffed gloves.

Without performing hand hygiene, LPN-A donned new gloves and re-applied the treatment to Resident 2's right posterior heel as ordered.

LPN-A doffed gloves, performed hand hygiene, and exited the room.An interview on 10/7/2025 at 10:07 AM with LPN-A confirmed hand hygiene had not been performed between glove changes and should have been.

Facility ID:

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 Omaha Nursing and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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