Emerald Nursing & Rehab Legacy Pointe llc
Grade D — 69/100 composite score
CMS Star Ratings
Certified Beds
108
Ownership
For profit - Limited Liability company
Total Fines
$56,445
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
EMERALD NURSING & REHAB LEGACY POINTE LLC
100%
LEGACY POINTE OPCO HOLDINGS LLC
CHAFETZ, YISROEL
LAHASKY, EPHRAM
WALDEN, JACOB
CHAFETZ, YISROEL
WALDEN, JACOB
CHAFETZ, YISROEL
WALDEN, JACOB
RUNYAN, CHERYL
Penalties & Fines (8)
| Date | Type | Description | Amount |
|---|---|---|---|
| Feb 20, 2024 | Fine | — | $4,938 |
| Feb 12, 2024 | Fine | — | $4,938 |
| Jan 22, 2024 | Fine | — | $14,814 |
| Jan 8, 2024 | Fine | — | $4,938 |
| Jan 2, 2024 | Fine | — | $4,587 |
| Dec 11, 2023 | Fine | — | $11,645 |
| Nov 6, 2023 | Fine | — | $3,176 |
| Oct 17, 2023 | Fine | — | $7,409 |
Health Inspection Deficiencies (30)
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies
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
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies
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
Honor 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.
Resident Rights Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
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
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for Emerald Nursing & Rehab Legacy Pointe llc?
Emerald Nursing & Rehab Legacy Pointe llc in Omaha, Nebraska has a CareGrader grade of D (Below Average), with a composite score of 68.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.
What is the CMS star rating for Emerald Nursing & Rehab Legacy Pointe llc?
Emerald Nursing & Rehab Legacy Pointe llc has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does Emerald Nursing & Rehab Legacy Pointe llc have?
Emerald Nursing & Rehab Legacy Pointe llc has 30 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.
Has Emerald Nursing & Rehab Legacy Pointe llc been fined?
Yes. Emerald Nursing & Rehab Legacy Pointe llc has $56,445 in total fines from CMS enforcement actions across 8 penalties.
How many beds does Emerald Nursing & Rehab Legacy Pointe llc have?
Emerald Nursing & Rehab Legacy Pointe llc has 108 certified beds with approximately 63 current residents (58% occupancy). The facility is located at 3110 Scott Circle, Omaha, Nebraska 68112. It is a for profit - limited liability company facility.
Data Disclaimer
Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.