01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-22 | 21 | 2025-07-22 | 3 |
| Cycle 2 | 2024-05-23 | 6 | 2024-05-23 | 1 |
| Cycle 3 | 2023-11-30 | 8 | 2023-11-30 | 4 |
CMS CCN 2852392026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Emerald Nursing & Rehab Legacy Pointe Llc
3110 Scott Circle · Omaha, NE 68112 · Douglas County
Certified beds108CMS provider file
Recent citation rows43current CMS citation release
Penalty rows9current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
43 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-09 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-07-28 · complaint2026-06-09 · HEALTHF0725Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction field: Deficient, Provider has date of correction · 2026-07-28 · complaint2026-06-09 · HEALTHF0835Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction field: Deficient, Provider has date of correction · 2026-07-28 · complaint2026-06-09 · HEALTHF0843Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-07-28 · complaint2026-06-09 · HEALTHF0867Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2026-07-28 · complaint2026-06-09 · HEALTHF0947Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2026-07-28 · complaint2025-11-20 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-01-04 · complaint2025-11-18 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-11-28 · complaint2025-07-22 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2025-08-22 · complaint2025-07-22 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-22 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-22 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-08-22 · complaint2025-07-22 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2025-08-22 · complaint2025-07-22 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-22 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-08-22 · complaint2025-07-22 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-22 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-08-22 · complaint2025-07-22 · HEALTHF0791Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-22 · HEALTHF0803Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary 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.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-22 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-22 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-08-222025-07-22 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-22 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-22 · FIREK0922Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-09-1503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-06-09 | Fine | $11,641 | 0 |
| 2024-02-20 | Fine | $4,938 | 0 |
| 2024-02-12 | Fine | $4,938 | 0 |
| 2024-01-22 | Fine | $14,814 | 0 |
| 2024-01-08 | Fine | $4,938 | 0 |
| 2024-01-02 | Fine | $4,587 | 0 |
| 2023-12-11 | Fine | $11,645 | 0 |
| 2023-11-06 | Fine | $3,176 | 0 |
| 2023-10-17 | Fine | $7,409 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- EMERALD NURSING & REHAB LEGACY POINTE LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 04/29/2022
- LEGACY POINTE OPCO HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 04/29/2022
- RUNYAN, CHERYLIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/29/2022
- CHAFETZ, YISROELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/29/2022
- WALDEN, JACOBIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/29/2022
- CHAFETZ, YISROELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/29/2022
- WALDEN, JACOBIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/29/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.45per resident day
RN hours0.69per resident day
Weekend nurse hours3.01per resident day
Staff turnover53.3%CMS reported field
06 / LOCAL RECORDS
Open the Omaha ledger →Other published facilities nearby
Ambassador Health Of Omaha146 beds · CMS overall 5/521 citation rowsBrookestone Village140 beds · CMS overall 5/527 citation rowsDouglas County Health Center254 beds · CMS overall 3/556 citation rowsEmerald Nursing & Rehab Omaha155 beds · CMS overall 1/584 citation rowsEmerald Nursing & Rehabilitation Mercy174 beds · CMS overall 1/5132 citation rowsFlorence Home126 beds · CMS overall 4/524 citation rowsGood Samaritan Society - Millard106 beds · CMS overall 4/534 citation rowsHillcrest Millard Llc76 beds · CMS overall 1/537 citation rows