Emerald Nursing & Rehabilitation Mercy

Special Focus Facility candidate · Douglas · NE · For profit - Limited Liability company · EMERALD HEALTHCARE chain · 174 certified beds · CCN 285058 · MERCY CARE CENTER LLC


Emerald Nursing & Rehabilitation Mercy operates 174 certified beds in Omaha, Nebraska. Its Medicare and Medicaid certification dates to 1981-06-22. It averages 107.3 residents a day.

What harm was found in the violations cited at Emerald Nursing & Rehabilitation Mercy?

CMS lists 82 health-inspection deficiencies for Emerald Nursing & Rehabilitation Mercy since 2023-02-14, 75 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 2026-06-16.

Survey dateTagDeficiencySeverity
2026-06-16F0686, F0835, F0867Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.H
2026-06-16F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F
2026-06-16F0609, F0610, F0657, F0689, F0693Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D
2026-05-07F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-05-07F0580, F0609, F0693, F0842, F0880Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2026-04-09F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-04-09F0580, F0692, F0697, F0698, F0745, F0760Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure that residents are free from significant medication errors.D
2026-03-24F0610, F0689Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-03-18F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2026-03-18F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-03-18F0554, F0580, F0657, F0684, F0761, F0880Allow residents to self-administer drugs if determined clinically appropriate. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide 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
2025-07-28F0760Ensure that residents are free from significant medication errors.G
2025-07-28F0580, F0658Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure services provided by the nursing facility meet professional standards of quality.D
2025-06-05F0580, F0686Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2025-04-30F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D
2025-04-17F0585, F0684, F0690Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2025-03-20F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-03-20F0880Provide and implement an infection prevention and control program.E
2025-03-20F0580, F0677, F0684, F0686, F0689, F0756, F0758Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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.D
2024-11-14F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2024-11-14F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F
2024-10-01F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2024-07-23F0580, F0622, F0623, F0689, F0760Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that residents are free from significant medication errors.D
2024-02-15F0801, F0803, F0812, F0880Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2024-02-15F0685, F0688, F0690, F0692, F0698, F0699, F0791Assist a resident in gaining access to vision and hearing services. / 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / Provide or obtain dental services for each resident.D
2024-02-15F0850Hire a qualified full-time social worker in a facility with more than 120 beds.C
2023-11-07F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D
2023-09-20F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2023-09-20F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F
2023-09-20F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E
2023-02-14F0880Provide and implement an infection prevention and control program.F
2023-02-14F0584Honor 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.E
2023-02-14F0578, F0637, F0695, F0698, F0761Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Assess the resident when there is a significant change in condition / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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.D

Why was Emerald Nursing & Rehabilitation Mercy fined 3 times?

DateTypeAmount
2025-07-28Fine$22,386
2024-11-14Fine$23,491
2023-09-20Fine$15,990

Has Emerald Nursing & Rehabilitation Mercy had payment denied by Medicare?

Payment denial startLength in days
2023-10-173

How is Emerald Nursing & Rehabilitation Mercy staffed relative to the NE average?

MeasureThis facilityNE average
Total nurse staffing hours per resident per day3.284773.97992
Total nursing staff turnover (%)64.848.7
Average number of residents per day107.355.3

Who owns Emerald Nursing & Rehabilitation Mercy, and what chain is it in?

Emerald Nursing & Rehabilitation Mercy is registered with CMS as For profit - Limited Liability company, operates under the legal business name MERCY CARE CENTER LLC and belongs to the EMERALD HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTRIVER CITY O[CP HOLDINGS LLCsince 03/01/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTJW RIVER CITY LLC, YC RIVER CITY LLCsince 03/01/2023
OPERATIONAL/MANAGERIAL CONTROLEMERALD HEALTHCARE LLC, EVOLVE THERAPY SERVICES LLC, LIMESTONE FISCAL SERVICES LLC, MERCH PAY INC, PRIVATE BANCORP INC, SAUL N FRIEDMAN & COMPANY, WELLSKY CORPORATION, ZIMMET HEALTHCARE SERVICES GROUP LLC, FISH, AMY, FLEISCHMANN, DAVID, FRANKLIN, BRENDA, GOPIN, BRIAN, GREGERSON, KELLI, SATTAR, ARIF, SOBRILSKY, CHRIS, WICHMAN, JERI JOsince 03/01/2023
ADP OF THE SNFEMERALD HEALTHCARE LLC, EVOLVE THERAPY SERVICES LLC, LIMESTONE FISCAL SERVICES LLC, MERCH PAY INC, PRIVATE BANCORP INC, SAUL N FRIEDMAN & COMPANY, WELLSKY CORPORATION, ZIMMET HEALTHCARE SERVICES GROUP LLC, FISH, AMY, FLEISCHMANN, DAVID, FRANKLIN, BRENDA, GOPIN, BRIAN, GREGERSON, KELLI, SATTAR, ARIF, SOBRILSKY, CHRIS, WICHMAN, JERI JOsince 03/01/2023

Were you or a family member harmed at Emerald Nursing & Rehabilitation Mercy?