Keystone Ridge Post Acute Nursing and Rehabilitati
7501 Keystone Drive, Omaha, NE 68134 · Douglas County · 100 certified beds · avg 69 residents/day · certified since May 8, 2000
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 10, 2024 · F-0757 · triggered by a complaint
The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Why it matters: Unneeded drugs expose residents to side effects, drowsiness, falls, and dangerous interactions.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 11, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Oct 10, 2024 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 11, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (26)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 16, 2026 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · from a complaint |
| Apr 16, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| May 21, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 21, 2025 | F · Potential for harm, facility-wide | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint |
| May 21, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Oct 10, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint |
| Oct 10, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jul 2, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 2, 2024 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| May 2, 2024 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| May 2, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| May 2, 2024 | F · Potential for harm, facility-wide | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| May 2, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| May 2, 2024 | E · Potential for harm, repeated | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. · from a complaint |
| May 2, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| May 2, 2024 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| May 2, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| May 2, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| May 2, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Mar 9, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 9, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 17 | 2 | J ▲ |
| 2025 | 5 | 0 | F |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $70,103.
| Date | Type | Amount / length |
|---|---|---|
| Oct 10, 2024 | Fine | $70,103 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Nebraska avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.48 | 4.33 | 3.95 | bottom 16% in Nebraska; bottom 36% in the U.S. |
| Registered Nurse hours | 0.51 | 0.72 | 0.69 | bottom 24% in Nebraska; bottom 39% in the U.S. |
| Weekend total nurse staffing | 3.12 | 3.79 | 3.50 | bottom 19% in Nebraska; bottom 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.47 | 0.48 | bottom 24% in Nebraska; bottom 29% in the U.S. |
| Total nursing staff turnover (%) | 64.4 | 48.7 | 45.8 | bottom 19% in Nebraska; bottom 11% in the U.S. |
| RN turnover (%) | 57.1 | 44.1 | 42.9 | bottom 35% in Nebraska; bottom 26% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.47, RN 0.51, weekend 3.12. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Gateway Healthcare LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/24/2014 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 04/25/2014 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2015 |
| Fusion Medical Staffing LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2015 |
| Grape Tree Medical Staffing LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2015 |
| Helenthal, Tara | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2021 |
| Jorgensen, David | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Kakish, Eyad | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/13/2013 |
| Kakish, Eyad | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/13/2013 |
| Kakish, Eyad | Individual | ADP of the SNF | NOT APPLICABLE | 09/13/2013 |
| Kare Technologies LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2015 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Leimer, Sandra | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2015 |
| Leimer, Sandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2015 |
| Leimer, Sandra | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2015 |
| Menomonee Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2015 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/30/2025 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Who oversees residents' therapeutic diets, and how do the doctor and dietitian work together on them?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Quality Living, INC. | 1.2 mi | Omaha, NE | ★★★☆☆ | 3/5 | |
| Maple Crest Health Center | 1.3 mi | Omaha, NE | ★★★☆☆ | 2/5 | |
| Life Care Center of Omaha | 1.5 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | |
| Old Mill Rehabilitation | 3.6 mi | Omaha, NE | ★★★☆☆ | 3/5 | |
| Emerald Nursing & Rehab Legacy Pointe LLC | 4.0 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | SFF |
| Ambassador Health of Omaha | 4.2 mi | Omaha, NE | ★★★★★ | 4/5 | |
| Florence Home | 4.2 mi | Omaha, NE | ★★★★☆ | 3/5 | |
| Emerald Nursing & Rehabilitation Mercy | 4.3 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | SFF |
| The Cypress at Midtown | 4.4 mi | Omaha, NE | ★★★☆☆ | 3/5 | |
| Douglas County Health Center | 4.7 mi | Omaha, NE | ★★★☆☆ | 2/5 | |
| Emerald Nursing & Rehab Omaha | 5.3 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | SFF |
| Rose Blumkin Jewish Home | 5.6 mi | Omaha, NE | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285238.