Nursing homes across Douglas County, Nebraska, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Hillcrest Millard runs on thin staffing. At 3.13 nurse hours per resident day, it sits about 19% under the national average of 3.86, and weekends drop roughly 9% below its own weekday levels, so coverage is lightest exactly when families tend to visit. Turnover tells the other half of the story: 77.2% of staff leave within a year, well above the 45.8% national figure, which makes consistent care hard to sustain. The inspection record shows 26 deficiencies, none at harm or jeopardy level, but one abuse-related citation. Ownership is for-profit, through a limited liability company. The last inspection was February 24, 2026.
The Banyan At Montclair holds 175 beds under for-profit LLC ownership, and its staffing runs about 8% above the national average, 4.16 nurse hours per resident day. But that number hides a churn problem: 62.8% annual turnover against a national 45.8%, and weekend coverage drops roughly 7% below weekday levels. The inspection record is the harder read. Sixty-one deficiencies on file, four at harm or jeopardy level, five tied to abuse, plus three CMS fines totaling $141,793. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. A recent December 2025 inspection doesn't reset any of that.
Emerald Nursing & Rehab Legacy Pointe runs 108 beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover is 53.3% against a national 45.8%, which means more than half the staff left within a year. The home carries 29 deficiencies on its current record, including one abuse-related citation, none at the harm level, plus eight fines totaling $56,445. A July 2025 inspection is recent, and the quality measure rating of 3/5 suggests clinical outcomes are middling, not alarming.
Emerald Nursing & Rehabilitation Mercy runs 174 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.28 hours per resident day against a national average of 3.86, roughly 15% below, and weekends drop about 13% below the home's own weekday levels, while annual turnover hits 64.8% against a 45.8% national figure. The inspection history is the heavier weight: 71 deficiencies on the current record, six at harm or jeopardy level, one abuse-related, and $61,867 in fines across three events. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.