Douglas County Health Center

4102 Woolworth Avenue · Omaha, NE · 68105 · 4024447041

254 certified beds Government - City/county

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 94
Staffing 20% 92
Federal penalties 15% 82
Trend 10% 32
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.773.48 min · 4.1 strong
RN hours / resident-day0.890.55–0.75
Weekend hours / resident-day4.38≈ weekday level
Nursing turnover / year17%median 45%
Fines (3-yr window)none

Inspection citations (33 in the current record)

  • Actual harm · G October 30, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected December 12, 2025 · Pharmacy Service

  • Potential for harm · D October 30, 2025 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected December 12, 2025 · Quality of Life and Care

  • Potential for harm · D May 13, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected June 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 13, 2025

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected June 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 13, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 13, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 27, 2025 · Quality of Life and Care

  • Potential for harm · D May 13, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected June 27, 2025 · Quality of Life and Care

  • Potential for harm · D May 13, 2025

    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.

    Corrected June 27, 2025 · Quality of Life and Care

  • Potential for harm · D May 13, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 27, 2025 · Quality of Life and Care

  • Potential for harm · D May 13, 2025

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected June 27, 2025 · Quality of Life and Care

  • Potential for harm · D May 13, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected June 27, 2025 · Quality of Life and Care

  • Potential for harm · F May 13, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 27, 2025 · Nutrition and Dietary

  • Potential for harm · D May 13, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 27, 2025 · Infection Control

  • Potential for harm · D May 13, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 13, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected June 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 13, 2025 · found via complaint

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Corrected June 27, 2025 · Nursing and Physician Services

  • Potential for harm · D July 18, 2024 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected July 31, 2024 · Resident Rights

  • Potential for harm · D May 16, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 14, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 26, 2024

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected June 9, 2024 · Resident Rights

  • Potential for harm · D April 26, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected June 9, 2024 · Resident Rights

  • Potential for harm · D April 26, 2024

    Honor 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.

    Corrected June 9, 2024 · Resident Rights

  • Potential for harm · D April 26, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected June 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 26, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 9, 2024 · Quality of Life and Care

  • Potential for harm · E April 26, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 9, 2024 · Nutrition and Dietary

  • Potential for harm · D April 26, 2024

    Provide and implement an infection prevention and control program.

    Corrected June 9, 2024 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 30, 2025Payment Denial8 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285019 · certified since March 24, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.