Emerald Nursing & Rehab Legacy Pointe llc

Special Focus Facility candidate · CCN 285239 · EMERALD NURSING & REHAB LEGACY POINTE LLC · For profit - Limited Liability company · EMERALD HEALTHCARE chain · 108 certified beds · Douglas · NE


Emerald Nursing & Rehab Legacy Pointe llc is a 108-bed nursing home in Omaha, Nebraska. CMS has certified it for Medicare and Medicaid since 2000-06-01. It averages 60.5 residents a day.

What harm was found in the violations cited at Emerald Nursing & Rehab Legacy Pointe llc?

CMS lists 35 health-inspection deficiencies for Emerald Nursing & Rehab Legacy Pointe llc, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-09.

Survey dateTagDeficiencySeverity
2026-06-09F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2026-06-09F0835, F0843, F0867Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2026-06-09F0725, F0947Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E
2025-11-20F0880Provide and implement an infection prevention and control program.D
2025-11-18F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-07-22F0880Provide and implement an infection prevention and control program.F
2025-07-22F0803, F0804Ensure 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-07-22F0561, F0580, F0628, F0677, F0679, F0684, F0688, F0698, F0759, F0791Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide 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. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / Provide or obtain dental services for each resident.D
2024-11-19F0686, F0880Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide and implement an infection prevention and control program.D
2024-05-23F0584, F0761Honor 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. / 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.E
2024-05-23F0609, F0699Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide care or services that was trauma informed and/or culturally competent.D
2024-01-03F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2023-11-30F0561, F0580, F0758, F0759, F0812, F0847, F0880Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure medication error rates are not 5 percent or greater. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Provide and implement an infection prevention and control program.D

Why was Emerald Nursing & Rehab Legacy Pointe llc fined 9 times?

DateTypeAmount
2026-06-09Fine$11,641
2024-02-20Fine$4,938
2024-02-12Fine$4,938
2024-01-22Fine$14,814
2024-01-08Fine$4,938
2024-01-02Fine$4,587
2023-12-11Fine$11,645
2023-11-06Fine$3,176
2023-10-17Fine$7,409

How is Emerald Nursing & Rehab Legacy Pointe llc staffed relative to the NE average?

MeasureThis facilityNE average
Total nurse staffing hours per resident per day3.446533.97992
Total nursing staff turnover (%)53.348.7
Average number of residents per day60.555.3

Who owns Emerald Nursing & Rehab Legacy Pointe llc, and what chain is it in?

Emerald Nursing & Rehab Legacy Pointe llc is registered with CMS as For profit - Limited Liability company, operates under the legal business name EMERALD NURSING & REHAB LEGACY POINTE LLC and belongs to the EMERALD HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTEMERALD NURSING & REHAB LEGACY POINTE LLCsince 04/29/2022
5% OR GREATER INDIRECT OWNERSHIP INTERESTLEGACY POINTE OPCO HOLDINGS LLCsince 04/29/2022
W-2 MANAGING EMPLOYEERUNYAN, CHERYLsince 04/29/2022
CORPORATE DIRECTORCHAFETZ, YISROEL, WALDEN, JACOBsince 04/29/2022
OPERATIONAL/MANAGERIAL CONTROLCHAFETZ, YISROEL, WALDEN, JACOBsince 04/29/2022

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