ElderGrade
A

86.5/100

Excellent

Douglas County Health Center

4102 Woolworth Avenue, Omaha, NE 68105

CMS 3/5 stars #8 of 24 in Douglas County (402) 444-7041
Certified beds
254
Occupancy
90%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

22.5/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -3.5 for 27 total citations against a national median of 17

Staffing

29/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.89 total nurse hours per resident per day (national median 3.77)
  • 1.01 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 15% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record
  • -2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.78 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.01 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.39 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 14.90%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 33 citations

Last standard health inspection: May 13, 2025 (1 year ago).

G Oct 30, 2025 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Actual harm to a resident

D Oct 30, 2025 F0697 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

F May 13, 2025 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D May 13, 2025 F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D May 13, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D May 13, 2025 F0610 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

No actual harm, potential for more than minimal harm

D May 13, 2025 F0636

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D May 13, 2025 F0656

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
NELSON, ERIN Individual W-2 MANAGING EMPLOYEE
NELSON, ERIN Individual CORPORATE DIRECTOR
BORGESON, MARY ANN Individual OPERATIONAL/MANAGERIAL CONTROL
BOYLE-MANGANARO, MAUREEN Individual OPERATIONAL/MANAGERIAL CONTROL
CAVANAUGH, JAMES Individual OPERATIONAL/MANAGERIAL CONTROL
FRIEND, MIKE Individual OPERATIONAL/MANAGERIAL CONTROL
GARCIA, ROGER Individual OPERATIONAL/MANAGERIAL CONTROL
MORGAN, PJ Individual OPERATIONAL/MANAGERIAL CONTROL
NELSON, ERIN Individual OPERATIONAL/MANAGERIAL CONTROL
ROGERS, CHRIS Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Douglas County Health Center

What is the ElderGrade for Douglas County Health Center? +

Douglas County Health Center holds an ElderGrade of A (86.5 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Douglas County Health Center? +

Residents receive an average of 4.78 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Douglas County Health Center been cited for harming residents? +

Yes. 1 of the 33 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Douglas County Health Center accept Medicaid? +

Yes, Douglas County Health Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.