The home failed to ensure residents’ medications were free from unnecessary drugs. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: J
Nursing home report
Keystone Ridge Post Acute Nursing and Rehabilitati
Omaha, NE · Medicare-certified · 100 beds
Needs attention
For-profitChain member
2 of 5 overall
2 out of 5 stars overall. This facility has a 1-star health inspection rating and 2-star staffing, with reported nurse staffing below the federal benchmark (3.65 vs 4.1 hours per resident per day), plus $70,103 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.6481 hrs/resident/day
Quality measures
Last inspection: May 21, 2025Penalties, last 24 months: $70,103recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6481.
Staffing detail
- Registered nurses
- 0.67
- Licensed practical nurses
- 0.69
- Nurse aides
- 2.28
- Weekend nursing
- 3.26
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 64%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.9%Improving
Residents with a fall causing major injury
1.6%Improving
Residents with pressure ulcers (bedsores)
5.4%Worsening
Residents with a urinary tract infection
2%Improving
Residents who lost too much weight
5.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.1%Improving
Residents whose ability to walk got worse
13.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
23.3%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.3%Improving
Residents with new or worsening incontinence
30.4%Worsening
Residents with depressive symptoms
23.4%Worsening
Long-stay residents given the seasonal flu vaccine
83.3%Steady
Long-stay residents given the pneumonia vaccine
87.9%Improving
Short-stay residents given the seasonal flu vaccine
50.8%Steady
Short-stay residents given the pneumonia vaccine
92.6%Improving
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $70,103 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $70,103 in total fines.
- $70,103
Federal fine
Oct 10, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 70.4 residents on an average day (70% of 100 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 26 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.