| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D19 | E8 | F22 |
| Minimal | A· | B· | C· |
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 | |
|---|---|---|---|---|---|---|
| Aug 18, 2026 | Health | Health Complaint | 3 | Potential harm | 3 | Open → |
| Apr 14, 2025 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Apr 14, 2025 | Health | Health Complaint, Health Standard | 9 | Potential harm | — | Open → |
| Apr 24, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Feb 29, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Feb 29, 2024 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Nov 13, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 21, 2023 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Mar 21, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D19 | E8 | F22 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 18, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Plan of correction, not yet verified Sep 28, 2026 | Complaint |
| Aug 18, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern |
“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 |
|---|---|---|---|---|---|
| Todd Aerni | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| James Janicki | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| Jolene Mathison Roberts | 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 |
|---|---|---|---|---|---|
| Todd Aerni | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| James Janicki | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| Jolene Mathison Roberts | 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 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Hillcrest Shadow Lake LLC 1507 E Gold Coast Road, Papillion, NE 68046 CCN 28E299 | 2.7 km | 114 | May 7, 2026 | 462 harm | — | |
| Brookestone of Papillion 610 South Polk Street, Papillion, NE 68046 CCN 285268 | 3.8 km | 110 | Jul 9, 2026 | 24 | — | |
| Hillcrest Health & Rehab 1702 Hillcrest Drive, Bellevue, NE 68005 CCN 285133 | 7.4 km | 151 | Jun 4, 2026 | 463 harm | $33k | |
| Omaha Nursing and Rehabilitation Center 4835 South 49th Street, Omaha, NE 68117 CCN 285240 | 7.8 km | 70 | Apr 1, 2026 | 591 IJ6 harm | $39k | |
| Emerald Nursing & Rehab Omaha 5505 Grover Street, Omaha, NE 68106 CCN 285097 | 9.5 km | 155 | Jun 3, 2026 | 811 IJ4 harm | $109k | |
| Emerald Nursing & Rehabilitation Mercy 7410 Mercy Road, Omaha, NE 68124 CCN 285058SFF Candidate | 10.9 km | 174 | Jul 20, 2026 | 1319 harm1 open | $371k | |
| Good Samaritan Society - Millard 12856 Deauville Drive, Omaha, NE 68137 CCN 285098 | 11.6 km | 106 | May 26, 2026 | 423 harm | $57k | |
| Douglas County Health Center 4102 Woolworth Avenue, Omaha, NE 68105 CCN 285019 | 11.8 km | 254 | Oct 30, 2025 | 561 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 285293 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 285293 | 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
| Plan of correction, not yet verified Sep 28, 2026 |
| Complaint |
| Aug 18, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Plan of correction, not yet verified Sep 28, 2026 | Complaint |
| Apr 14, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 15, 2025 |
| Apr 14, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 15, 2025 |
| Apr 14, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 15, 2025 |
| Apr 14, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 15, 2025 |
| Apr 14, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 15, 2025 |
| Apr 14, 2025 | 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 May 15, 2025 |
| Apr 14, 2025 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 15, 2025 |
| Apr 14, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 15, 2025 |
| Apr 14, 2025 | 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 May 15, 2025 |
| Apr 14, 2025 | 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 | D · Potential harm Isolated | Corrected May 15, 2025 | Complaint |
| Apr 14, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 15, 2025 | Complaint |
| Apr 14, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 15, 2025 |
| Apr 14, 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 May 15, 2025 | Complaint |
| Apr 14, 2025 | 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 | E · Potential harm Pattern | Corrected May 15, 2025 |
| Apr 14, 2025 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 15, 2025 |
| Apr 14, 2025 | 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 | E · Potential harm Pattern | Corrected May 15, 2025 |
| Apr 14, 2025 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 15, 2025 | Complaint |
| Apr 24, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 30, 2024 | Complaint |
| Apr 24, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 30, 2024 | Complaint |
| Apr 24, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 30, 2024 | Complaint |
| Apr 24, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 30, 2024 | Complaint |
| Feb 29, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 10, 2024 |
| Feb 29, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 10, 2024 |
| Feb 29, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 10, 2024 |
| Feb 29, 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 Apr 10, 2024 |
| Feb 29, 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 Apr 10, 2024 |
| Feb 29, 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 Apr 10, 2024 |
| Feb 29, 2024 | 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 Apr 10, 2024 |
| Feb 29, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 10, 2024 | Complaint |
| Feb 29, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 10, 2024 | Complaint |
| Feb 29, 2024 | 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 Apr 10, 2024 | Complaint |
| Feb 29, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 10, 2024 | Complaint |
| Nov 13, 2023 | 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 Dec 6, 2023 | Complaint |
| Mar 21, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 22, 2023 |
| Mar 21, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 22, 2023 |
| Mar 21, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Waiver granted Jun 13, 2023 |
| Mar 21, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 22, 2023 |
| Mar 21, 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 May 22, 2023 |
| Mar 21, 2023 | 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 May 22, 2023 |
| Mar 21, 2023 | 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 May 22, 2023 |
| Mar 21, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 22, 2023 |
| Mar 21, 2023 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 3, 2023 |
| Mar 21, 2023 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 3, 2023 |
| Mar 21, 2023 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 3, 2023 |
| Mar 21, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected May 3, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.89 (case-mix index 1.33).
| 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 | 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 | Apr 1, 2018 |
| 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 |
| 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 | Dec 31, 2021 |
| Patricia Peck | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 23, 2026 |
| Hillcrest Health Systems Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 26, 2026 |
| Todd Aerni | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2021 |
| Debra Aswege-Mezenberg | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| 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 |
| Timothy Malloy | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Jolene Mathison Roberts | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2021 |
| 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 |
| Patricia Peck | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 23, 2026 |
| Reggie Ripple | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2021 |