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Establishment profile

OMAHA NURSING AND REHABILITATION CENTER, INC.

4835 SOUTH 49TH STREET, OMAHA, NE, 68117
Operated by THE ENSIGN GROUP · 1 of 296 establishments
623110Nursing Care Facilities (Skilled Nursing Facilities)

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OSHA inspections
2
over 5 years
Violations
3
$10,800 in penalties
Penalties
$10,800
$3,600 avg
Accident investigations on record
1 fatality · 1 National Emphasis Program inspections · 1 OSHA follow-up

Summary

OMAHA NURSING AND REHABILITATION CENTER, INC. has accumulated 3 OSHA violations across 2 inspections over 5 years of recorded history, with $10,800 in total assessed penalties.

The establishment sits in the 47th percentile for violations within its industry-state peer group of 110 employers. Inspection frequency runs at the 70th percentile. The most recent enforcement activity was recorded 4 years ago.

Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

OMAHA NURSING AND REHABILITATION CENTER, INC. appears in OSHA workplace safety and CMS nursing home enforcement records only. No matching records were found in WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, CPSC product recalls, or NHTSA vehicle recalls.

OSHA workplace safety

Inspections
2
0.4 / yr · last 5 yrs
Violations
3
0.6 / yr
Penalties
$10,800
$3,600 avg / violation
100% serious0% other
Inspection trigger · follow-up
1 of 2

100% of inspections at this establishment produced violations, with 2 inspections producing serious-or-greater violations.

Most-cited OSHA standards

Top OSHA standards cited at this employer, ranked by citation count. Standards (CFR sections) cluster citations into safety themes -- machine guarding, lockout-tagout, hazard communication, fall protection, process safety, etc. A concentration on one or two sections reveals a pattern that individual citations don’t. 3 distinct standards shown · 3 citations in this view · $10,800 in penalties.

CFR sectionCitationsInspectionsTotal penaltyFirst citedLast cited
29 CFR 1910.0134 E0111$6,600Mar 2021Mar 2021
29 CFR 1910.0134 G01 I A11$4,200Jan 2022Jan 2022
29 CFR 1910.0134 F0211Mar 2021Mar 2021

Source: OSHA inspection citations (violation_detail). CFR section codes can be looked up at osha.gov/laws-regs for the formal standard text. Per-inspection detail and the specific violation descriptions are available by expanding individual inspections below.

Peer comparison

47th

Below average violations in NAICS 6231 within NE. Peer group: 110 employers. This establishment has 3 OSHA violations; peer median is 3.

Fewer violationsMore violations
Penalty percentile
94th
peer median: $2,438
Inspection frequency
70th
peer median: 1

Safety self-report (OSHA 300A)

Recordable injury rates the employer filed with OSHA’s Injury Tracking Application. DART covers cases with days away, restricted, or transferred; TRIR is the total recordable case rate.

DART rate
3.3
vs industry
−1.2
TRIR
6.6
vs industry
+0.3

Reported for 19 average annual employees at this establishment.

Source: OSHA ITA Form 300A (employer self-reported). Rates are per 100 full-time equivalent workers. Establishments below the ~10-FTE threshold are not required to report.

Industry benchmark

Industry avg TRIR
6.3
BLS SOII 2024
Industry avg DART
4.5
BLS SOII 2024
Self-reported TRIR
6.6
OSHA ITA Form 300A (employer self-reported)

BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.

Inspection breakdown

Follow-up
1

Complaint- and accident-triggered inspections are stronger risk signals than routine planned inspections.

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for OMAHA NURSING AND REHABILITATION CENTER, INC.. Verify directly with Occupational Safety and Health Administration

OSHA accident events

Accidents, fatalities, and catastrophes documented during OSHA inspections at this employer. Each entry links to the inspection that recorded it.

DateEventInjuriesHospitalizedFatalities
Nov 13, 2020Infectious DiseaseFatality11

Source: OSHA accident investigations. Narratives are recorded by the inspecting officer and may be truncated.

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
4 years ago

No federal enforcement activity has been recorded against this establishment in 4+ years. Most recent activity: 4 years ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

No WHD wage, overtime, or child-labor enforcement cases on file for OMAHA NURSING AND REHABILITATION CENTER, INC.. Verify directly with Wage and Hour Division

Mine safety (MSHA)

No MSHA mine safety violations on file for OMAHA NURSING AND REHABILITATION CENTER, INC.. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

No NLRB unfair labor practice charges or union representation cases on file for OMAHA NURSING AND REHABILITATION CENTER, INC.. Verify directly with National Labor Relations Board

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for OMAHA NURSING AND REHABILITATION CENTER, INC.. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for OMAHA NURSING AND REHABILITATION CENTER, INC.. Verify directly with Environmental Protection Agency

CMS nursing-home record

CCN 285240 · Chain: THE ENSIGN GROUP

Overall rating
1 of 5 stars
Certified beds
70
Deficiencies (3y)
33
CMS fines
$39,146

Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →

CMS Care Compare deficiencies

Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 49 citations across 10 surveys · 1 immediate jeopardy · 6 actual-harm · 17 complaint-triggered · 49 marked corrected.

Survey dateF-TagSeverityDescriptionTypeCorrected
Apr 20260689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
ComplaintMay 2026
Oct 20250697D
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
ComplaintNov 2025
Oct 20250880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
ComplaintNov 2025
Jul 20250689G (harm)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
ComplaintAug 2025
Jul 20250760G (harm)
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
StandardAug 2025
Jul 20250908F
Keep all essential equipment working safely.
Environmental Deficiencies
StandardAug 2025
Jul 20250605D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
StandardAug 2025
Jul 20250609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
ComplaintAug 2025
Jul 20250610D
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
ComplaintAug 2025
Jul 20250637D
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
StandardAug 2025
Jul 20250656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
StandardAug 2025
Jul 20250688D
Provide 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.
Quality of Life and Care Deficiencies
StandardAug 2025
Jul 20250690D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
StandardAug 2025
Jul 20250695D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
StandardAug 2025
Jul 20250756D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
StandardAug 2025
Jul 20250757D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
StandardAug 2025
Jul 20250842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
StandardAug 2025
Jul 20250880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
StandardAug 2025
Jul 20250697D
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
ComplaintAug 2025
Jul 20250755D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
ComplaintAug 2025
Jul 20250757D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
ComplaintAug 2025
Mar 20250678D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies
ComplaintMar 2025
Oct 20240692G (harm)
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
ComplaintDec 2024
Oct 20240686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
ComplaintDec 2024
Oct 20240689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
ComplaintDec 2024
Oct 20240606C
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
ComplaintDec 2024
Oct 20240684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
ComplaintOct 2024
Jun 20240584D
Honor 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.
Resident Rights Deficiencies
StandardJul 2024
Jun 20240676D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
StandardJul 2024
Jun 20240760D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
StandardJul 2024
Jun 20240880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
StandardJul 2024
Oct 20230697D
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
ComplaintDec 2023
Oct 20230880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
ComplaintDec 2023
May 20230689J (IJ)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
StandardJun 2023
May 20230686G (harm)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
StandardJun 2023
May 20230692G (harm)
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
StandardJun 2023
May 20230760G (harm)
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
StandardJun 2023
May 20230801F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
StandardJun 2023
May 20230583E
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
StandardJun 2023
May 20230584E
Honor 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.
Resident Rights Deficiencies
StandardJun 2023
May 20230638E
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies
StandardJun 2023
May 20230835E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
StandardJun 2023
May 20230865E
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies
StandardJun 2023
May 20230550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
StandardJun 2023
May 20230609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
StandardJun 2023
May 20230623D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
StandardJun 2023
May 20230644D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
StandardJun 2023
May 20230684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
StandardJun 2023
May 20230880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
StandardJun 2023

Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.

Inspection history

DateTriggerViolationsSeriousPenalty
2021-11-30Follow-up11$4,200
2020-11-19Fatality/Catastrophe22$6,600

Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.

In the news

Part of a larger organization

OMAHA NURSING AND REHABILITATION CENTER, INC. is one of 296 establishments rolled up under the parent organization THE ENSIGN GROUP.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of THE ENSIGN GROUP across all 296 of its tracked locations is viewable on the parent profile.

Other employers in this industry and state

Other employers in nursing care facilities (skilled nursing facilities) within NE, ordered by federal enforcement volume:

Other locations under this parent

Other establishments operated by THE ENSIGN GROUP, ordered by federal enforcement volume:

Related searches

About this data

This profile aggregates federal enforcement records on OMAHA NURSING AND REHABILITATION CENTER, INC. from every major federal compliance and enforcement source. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup THE ENSIGN GROUP, which operates 296 establishments in our dataset.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is OMAHA NURSING AND REHABILITATION CENTER, INC.'s OSHA violation history?
OMAHA NURSING AND REHABILITATION CENTER, INC. has 2 OSHA inspections on record with 3 violations and $10,800 in total penalties.
How does OMAHA NURSING AND REHABILITATION CENTER, INC.'s safety record compare to its industry?
OMAHA NURSING AND REHABILITATION CENTER, INC. operates in the nursing care facilities (skilled nursing facilities) industry. The industry average Total Recordable Incident Rate (TRIR) is 6.3. OMAHA NURSING AND REHABILITATION CENTER, INC.'s self-reported DART rate is 3.31 compared to an industry average of 4.5.
Has OMAHA NURSING AND REHABILITATION CENTER, INC. had any workplace fatalities?
Yes. Federal records show 1 fatality investigation involving OMAHA NURSING AND REHABILITATION CENTER, INC..