Emerald Nursing & Rehab Legacy Pointe llc
3110 Scott Circle, Omaha, NE 681124024556636108 certified beds · 61 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
35
● 0● 34● 1
Penalties · 3 yrs
$68,086
9 fines
Last survey
2026-06-09
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Nebraska DHHS · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-09 | Complaint | 051 | CMS-2567 (Care Compare) | — |
| 2025-11-20 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-11-18 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-07-22 | Standard | 0130 | CMS-2567 (Care Compare) | — |
| 2024-11-19 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-05-23 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-01-03 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-11-30 | Standard | 070 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Nebraska DHHS publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-07-28Record 285239-20260609-F689
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-28Record 285239-20260609-F725
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-07-28Record 285239-20260609-F835
F843Have 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.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-07-28Record 285239-20260609-F843
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-07-28Record 285239-20260609-F867
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-28Record 285239-20260609-F947
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-04Record 285239-20251120-F880
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-28Record 285239-20251118-F684
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 285239-20250722-F561
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 285239-20250722-F580
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 285239-20250722-F628
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 285239-20250722-F677
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 285239-20250722-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 285239-20250722-F684
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 285239-20250722-F688
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 285239-20250722-F698
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 285239-20250722-F759
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 285239-20250722-F791
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 285239-20250722-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 285239-20250722-F804
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 285239-20250722-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-10Record 285239-20241119-F686
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-10Record 285239-20241119-F880
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-19Record 285239-20240523-F584
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-19Record 285239-20240523-F609
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-19Record 285239-20240523-F699
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-19Record 285239-20240523-F761
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-17Record 285239-20240103-F580
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-03Record 285239-20231130-F561
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-17Record 285239-20231130-F580
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-03Record 285239-20231130-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-03Record 285239-20231130-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-03Record 285239-20231130-F812
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-03Record 285239-20231130-F847
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-03Record 285239-20231130-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-06-09 | Civil money penalty | $11,641 | CMS · Penalties |
| 2024-02-20 | Civil money penalty | $4,938 | CMS · Penalties |
| 2024-02-12 | Civil money penalty | $4,938 | CMS · Penalties |
| 2024-01-22 | Civil money penalty | $14,814 | CMS · Penalties |
| 2024-01-08 | Civil money penalty | $4,938 | CMS · Penalties |
| 2024-01-02 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-12-11 | Civil money penalty | $11,645 | CMS · Penalties |
| 2023-11-06 | Civil money penalty | $3,176 | CMS · Penalties |
| 2023-10-17 | Civil money penalty | $7,409 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.69
Facility
Nebraska
National
Nebraska 0.67 · National 0.69
Total nurse hours per resident day3.45
Facility
Nebraska
National
Nebraska 3.98 · National 3.86
Weekend total nurse hours3.01
Facility
Nebraska
National
Nebraska 3.49 · National 3.42
Total nursing staff turnover53%
Facility
Nebraska
National
Nebraska 49% · National 46%
Registered nurse turnover43%
Facility
Nebraska
National
Nebraska 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Nebraska | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.7% | 4.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.2% | 4.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 29.4% | 20.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.0% | 2.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 10.1% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.6% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 23.1% | 19.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Emerald Nursing & Rehab Legacy Pointe LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Legacy Pointe Opco Holdings LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Chafetz, Yisroel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Walden, Jacob Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Chafetz, Yisroel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Runyan, Cheryl Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Walden, Jacob Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Emerald Healthcare — 14 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Nebraska.
No county cost figures on file for Douglas.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Florence Home Omaha | 0.4 mi | 2025-11-17 | 0130 |
| Ambassador Health of Omaha Omaha | 3.2 mi | 2025-07-10 | 050 |
| Life Care Center of Omaha Omaha | 2.6 mi | 2026-03-10 | 1322 |
| Quality Living, Inc. Omaha | 3.2 mi | 2025-03-03 | 0140 |
| Maple Crest Health Center Omaha | 4.0 mi | 2026-04-30 | 0310 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |