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 Nursing & Rehabilitation Center
Registered name: Keystone Ridge Post Acute Nursing and Rehabilitati
Omaha, NE · Medicare-certified · 100 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Keystone Ridge Nursing & Rehabilitation Center has an overall rating of 2 out of 5 stars, with a 1-star health inspection rating and 2-star staffing. Its reported nurse staffing is 3.47 hours per resident per day, below the federal benchmark of 4.1, and it has had $70,103 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4733 hrs/resident/day
Quality measures
Last inspection: April 16, 2026Penalties, last 24 months: $70,103recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4733.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 0.80
- Nurse aides
- 2.17
- Weekend nursing
- 3.12
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 57%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
13.5%8.9%Improving
Residents with a fall causing major injury
1.6%0%Improving
Residents with pressure ulcers (bedsores)
1.6%3%Worsening
Residents with a urinary tract infection
5.1%1.7%Improving
Residents who lost too much weight
5.5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25%14.5%Improving
Residents whose ability to walk got worse
—10%—
Long-stay residents on antianxiety or sleep medication
19.3%15.8%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.7%0%Improving
Residents with new or worsening incontinence
26.4%27.8%Worsening
Residents with depressive symptoms
26.3%32.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—83.3%—
Long-stay residents given the pneumonia vaccine
88.5%100%Improving
Short-stay residents given the seasonal flu vaccine
—50.8%—
Short-stay residents given the pneumonia vaccine
86.7%98.1%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 2 health deficiencies.
See what inspectors found
- 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 · 346 homes · 3.2 stars avg
- Occupancy
- 68.9 residents on an average day (69% 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.