All states › Nebraska › Omaha › Omaha Nursing and Rehabilitation Center
4835 South 49th Street Omaha, NE 68117 · Douglas County
All 21 nursing homes in Omaha, NE (21 take Medicaid)
CMS certification number 285240 · See this home on Medicare Care Compare
Is Omaha Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Omaha Nursing and Rehabilitation Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Nebraska average of 2.9.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.55 hours per resident per day at Omaha Nursing and Rehabilitation Center, below the Nebraska median of 3.99 (US median: 3.72). About 0.49 of those hours are from registered nurses. On weekends it falls to 3.20 hours, 10% below its all-week average.
About this nursing home
Paying for care at Omaha Nursing and Rehabilitation Center: Medicare and Medicaid
Omaha Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Nebraska's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 31, 2025 and found 12 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 49 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 49 citations at Omaha Nursing and Rehabilitation Center across 10 inspection dates, 17 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 3, 2023. The most common areas cited were quality of life and care (18) and pharmacy service (7). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, May 3, 2023). 5 citations were under CMS's abuse, neglect and exploitation rules.
April 1, 2026 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
October 7, 2025 · 2 citations · includes complaint inspection
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide and implement an infection prevention and control program.
July 31, 2025 · 15 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GEnsure that residents are free from significant medication errors.
FKeep all essential equipment working safely.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DAssess the resident when there is a significant change in condition
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
July 10, 2025 · 3 citations · includes complaint inspection
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
March 3, 2025 · 1 citation · includes complaint inspection
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
October 31, 2024 · 4 citations, includes actual harm · includes complaint inspection
GProvide enough food/fluids to maintain a resident's health.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CNot hire anyone with a finding of abuse, neglect, exploitation, or theft.
October 1, 2024 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
June 13, 2024 · 4 citations
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DEnsure that residents are free from significant medication errors.
DProvide and implement an infection prevention and control program.
October 26, 2023 · 2 citations · includes complaint inspection
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide and implement an infection prevention and control program.
May 3, 2023 · 16 citations, includes immediate jeopardy
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
GProvide enough food/fluids to maintain a resident's health.
GEnsure that residents are free from significant medication errors.
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EKeep residents' personal and medical records private and confidential.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EAssure that each resident’s assessment is updated at least once every 3 months.
EAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
EHave a plan that describes the process for conducting QAPI and QAA activities.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Omaha Nursing and Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on May 3, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 31, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $39,146 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 10, 2025 | Fine | $39,146 |
| Jul 10, 2025 | Payment Denial | 1 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 3/5 |
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Location
Hospitals near Omaha Nursing and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
2.3 mi
Omaha VA Medical Center (VA Nebraska Western Iowa Healthcare System) OmahaEmergency room ★★★★☆ Medicare overall 4 of 5
- 2.5 mi
-
3.0 mi
Alegent Health Bergan Mercy Medical Center OmahaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 36m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Omaha Nursing and Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Ambassador Health of Omaha · Omaha · 5 stars · 5.1 mi
- Rose Blumkin Jewish Home · Omaha · 5 stars · 7.5 mi
- Brookestone Village · Omaha · 5 stars · 7.8 mi
- Brookestone of Papillion · Papillion · 4 stars · 5.1 mi
Other The Ensign Group nursing homes in Nebraska
- Beatrice Health and Rehabilitation · Beatrice · 5 stars
- Falls City Nursing and Rehabilitation Center · Falls City · 3 stars
- Wayne Countryview Care and Rehabilitation · Wayne · 3 stars
- St. Joseph's Rehabilitation and Care Center · Norfolk · 2 stars
- Colonial Manor of Randolph · Randolph · 2 stars
- Keystone Ridge Post Acute Nursing and Rehabilitation · Omaha · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.