Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Florence Home during CMS and state inspections, most recent first.
A resident reported to an LPN that a nurse aide had thrown them against the wall, but the LPN did not immediately report the allegation to the DON or remove the accused aide from duty. The aide continued to work on the same hall, potentially affecting other residents, in violation of the facility's abuse prevention policy.
A resident alleged that a nurse aide physically abused them, but the assigned LPN did not immediately report the incident to the DON or remove the aide from duty. The DON only learned of the allegation the next day through documentation, and the aide continued to work with other residents during the shift, contrary to facility policy requiring immediate reporting and intervention.
A resident with a physician order to hold Midodrine if systolic blood pressure (SBP) was above 120 received the medication multiple times when their SBP exceeded this threshold. The DON confirmed the medication should have been held, and facility policy requires staff to follow such orders, but this was not done, resulting in a medication discrepancy.
The facility failed to properly seal, label, and date food items in storage, and did not maintain cleanliness in the kitchen, as observed during a survey. Numerous unlabeled and undated food items were found, and the kitchen had unclean equipment and fixtures. The Dietary Manager confirmed these deficiencies, and cleaning records showed incomplete adherence to the cleaning schedule.
The facility failed to ensure proper infection control practices in COVID-19 isolation rooms. Staff did not don the correct PPE, failed to doff PPE inside isolation rooms, and left room doors open. Additionally, hand hygiene was not performed during glove changes while providing peri-care to two residents. The Director of Nursing confirmed these practices were not in line with facility policies.
A facility failed to update the care plan for a resident on NPO status, who was dependent on a g-tube for nutrition due to a stroke, aphasia, and dysphagia. The care plan included inappropriate interventions such as meal assistance and snacks, which were not applicable. The DON confirmed the care plan was confusing and did not reflect the resident's needs.
A resident with multiple medical conditions, including Parkinson's and chronic heart failure, was not placed on the Restorative Nursing Program (RNP) despite recommendations from OT and PT. The resident, who had impairments in range of motion, was not receiving any assistance with exercises, as confirmed by observations and interviews. The Director of Nursing admitted the oversight, and facility records did not show the resident was on the RNP.
A resident with multiple chronic conditions and a recent urinary tract infection did not receive the required catheter care as per physician orders and care plans. Despite preparations by an LPN and NA to perform catheter care, the task was not completed, as confirmed by the LPN.
The facility's admission policy failed to ensure it did not waive liability for losses of residents' personal property. The policy, acknowledged and signed by residents or their representatives, stated that the home would not be liable for any loss or damage to personal property. This deficiency had the potential to affect all 77 residents.
Failure to Remove Accused Staff After Abuse Allegation
Penalty
Summary
The facility failed to protect residents from potential abuse when an employee accused of abuse by a resident was allowed to continue working their shift. Specifically, a resident reported to an LPN that they did not want a particular nurse aide to provide care because the aide allegedly threw them against the wall. The LPN assigned another staff member to care for the resident for the remainder of the evening but did not immediately report the allegation to the Director of Nursing (DON) or send the accused aide home. The DON only became aware of the incident the following day after reading the progress notes and confirmed that the LPN had not followed the facility's abuse policy, which requires immediate intervention and reporting of abuse allegations. The accused nurse aide continued to work on the 200 hall, covering multiple rooms and potentially affecting several residents during the shift in question. The facility's abuse policy outlines the need for immediate action to protect residents and prevent further abuse while an investigation is conducted, but this protocol was not followed. The DON acknowledged that the LPN received only undocumented verbal education regarding the reporting process after the incident, and there was no evidence of immediate intervention or removal of the accused staff member from resident care duties at the time of the allegation.
Failure to Timely Report and Respond to Alleged Abuse
Penalty
Summary
The facility failed to report an allegation of abuse involving a resident within the required timeframe. On the evening in question, a resident stated they did not want a particular nurse aide to provide care, alleging that the aide had thrown them against the wall. The assigned LPN reassigned another employee to care for the resident for the remainder of the evening but did not immediately notify the Director of Nursing (DON) about the allegation. The DON only became aware of the incident the following day after reading the resident's progress notes and subsequently contacted the LPN for a verbal report. The nurse aide in question continued to work their assigned shift and was not removed from duty after the allegation was made. The facility's abuse policy requires immediate intervention, reporting to proper authorities, and prevention of further potential abuse while an investigation is in process. However, the LPN did not follow these procedures, as they neither reported the incident to management immediately nor removed the accused aide from resident care. The DON confirmed that the LPN had only received undocumented verbal education regarding the need to report such incidents promptly. The nurse aide had access to multiple residents during the shift in question, potentially affecting other individuals in the facility.
Failure to Hold Blood Pressure Medication per Physician Order
Penalty
Summary
Facility staff failed to follow physician orders regarding the administration of Midodrine for a resident who required extensive assistance with daily activities and had a pressure ulcer. The resident's medication order specified that Midodrine 5 mg should be held if the systolic blood pressure (SBP) was above 120. However, medication administration records for August and September showed that the drug was administered multiple times when the resident's SBP exceeded the prescribed threshold. The Director of Nursing confirmed that the medication should have been held on the identified dates when the SBP was above 120, as per the physician's order. Facility policy requires staff to follow physician and non-physician provider orders, and failure to do so may result in a medication discrepancy. The report documents that the staff did not adhere to these guidelines, resulting in the administration of unnecessary medication.
Deficiencies in Food Storage and Kitchen Cleanliness
Penalty
Summary
The facility failed to ensure that all food items in the refrigerators, freezers, and dry storage were properly sealed, labeled, and dated, as observed during a survey. The survey revealed numerous unlabeled and undated food items, including chocolate-covered cakes, mixed vegetables, breaded items, various substances in steam pans, and several other food items in both the walk-in refrigerator and freezer. The Dietary Manager confirmed that these items should have been sealed, labeled, and dated according to the facility's guidelines. Additionally, the facility did not maintain cleanliness in the kitchen, as evidenced by observations of unclean equipment and fixtures. The ice maker had a gray fuzzy substance and a black slimy substance, the steam table had a brown crusty substance, and the toaster had crumbs. The walk-in freezer floor was sticky, and various kitchen appliances and surfaces had food splatters and sticky residues. The Dietary Manager acknowledged that these areas were not clean and should have been maintained according to the facility's cleaning checklists. The facility's cleaning records indicated that several cleaning tasks were not completed as required. The Cooks Weekly Clean List showed that essential cleaning tasks, such as sweeping and mopping the storeroom, cleaning underneath shelves, deliming the steam table, and cleaning the hot box, ovens, and ice machine, were either not done or only partially completed. The Dietary Manager confirmed the lack of adherence to the cleaning schedule, which contributed to the unsanitary conditions observed during the survey.
Infection Control Deficiencies in COVID-19 Isolation Rooms
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices in COVID-19 isolation rooms. Observations revealed that staff did not don the correct personal protective equipment (PPE) and failed to doff gowns and gloves inside the resident's COVID-19 isolation rooms. Specifically, a Nursing Assistant and a Unit Manager were observed exiting isolation rooms while still wearing PPE and disposing of it in the hallway, contrary to the facility's policy that required PPE to be removed inside the room. Additionally, a Nursing Assistant was seen entering a COVID-19 isolation room with a surgical mask instead of the required N-95 mask, and the Director of Nursing confirmed that PPE should have been removed before exiting the room. The facility also did not ensure that COVID-19 isolation room doors remained closed. Multiple observations noted that staff left the doors open after exiting the rooms, and one instance involved a resident taking a nebulizer treatment with the door partially open. The facility's Administrator confirmed that staff were expected to keep the doors closed when not entering or exiting. Furthermore, the facility did not ensure proper hand hygiene during glove changes while performing peri-care on two residents. Observations showed that Nursing Assistants changed gloves multiple times without performing hand hygiene in between, despite the facility's policy requiring hand hygiene with each glove change. Interviews with the Nursing Assistants and the Director of Nursing confirmed that hand hygiene should have been performed with every glove change.
Failure to Revise Care Plan for NPO Resident
Penalty
Summary
The facility failed to revise the care plan for a resident who was on NPO (nothing by mouth) status. The resident, who had a history of a stroke affecting his dominant side, aphasia, and dysphagia, was admitted on 2/21/2024 and was unable to complete the Brief Interview of Mental Status due to communication difficulties. The resident was entirely dependent on a gastrointestinal tube for nutrition and medication due to his inability to swallow. Despite this, the care plan dated 5/8/2024 included interventions such as assisting with meals, monitoring meal intake, and providing snacks and supplements, which were inappropriate for a resident on NPO status. The Director of Nursing confirmed that the care plan interventions were confusing and not applicable to the resident's needs, as the resident did not eat meals, did not require assistance at mealtimes, and would not be given snacks or supplements. The care plan failed to accurately reflect the resident's nutritional needs and the method of feeding, which was entirely through a g-tube. This oversight in updating the care plan to match the resident's current medical status and needs constituted a deficiency in the facility's care planning process.
Failure to Implement Restorative Nursing Program for Resident
Penalty
Summary
The facility failed to ensure that a resident, identified as Resident 30, was placed on the Restorative Nursing Program (RNP) following discharge and recommendations from Occupational Therapy (OT) and Physical Therapy (PT). Despite being identified as a candidate for the RNP based on therapy referrals and facility screenings, Resident 30 was not enrolled in the program. The resident had a history of several medical conditions, including encephalopathy, Parkinson's disease with dyskinesia, epilepsy, chronic diastolic heart failure, chronic kidney disease stage 3, and morbid obesity. The resident's Minimum Data Set (MDS) indicated cognitive awareness and dependence on staff for various activities, with impairments in range of motion (ROM) on one side of the upper and lower extremities. Observations and interviews revealed that Resident 30 had difficulty moving both upper and lower extremities and was not receiving any OT, PT, or staff assistance with exercising the extremities. The resident confirmed willingness to perform the exercises if offered. The Director of Nursing acknowledged that Resident 30 was not placed on the RNP as recommended by OT and PT, which was a failure on the facility's part. The facility's records, including the resident's electronic medical record and hard chart, did not indicate that the resident was receiving the RNP, highlighting a lapse in implementing the recommended care plan.
Failure to Provide Catheter Care for a Resident
Penalty
Summary
The facility staff failed to provide appropriate catheter care for a resident, leading to a deficiency in care. The resident, who was admitted to the facility following orthopedic surgery, had a history of chronic kidney disease, chronic atrial fibrillation, diabetes mellitus, spinal stenosis with prior spinal fusion, and chronic diastolic congestive heart failure. The resident was noted to be always incontinent of bladder and bowel, and a urinary tract infection caused by Klebsiella pneumoniae was identified. Despite physician orders and care plans indicating the need for catheter care twice daily, observations revealed that catheter care was not performed as required. On a specific observation, a Licensed Practical Nurse (LPN) and a Nursing Assistant (NA) were seen preparing to perform catheter care for the resident. Although they gathered the necessary supplies and began personal care tasks, they failed to complete the catheter care. An interview with the LPN confirmed that catheter care had not been completed for the resident, highlighting a lapse in following the established care protocol for catheter maintenance.
Facility's Admission Policy Waives Liability for Residents' Personal Property
Penalty
Summary
The facility failed to ensure its admission policy did not waive the potential liability for losses of a resident's personal property for three residents. The facility's Admission Agreement and Personal Property policy, both revised in January 2024, explicitly stated that the home would not be liable for loss or damage to any personal property belonging to the residents. This policy was acknowledged and signed by the residents or their representatives upon admission. During an interview, the Social Services confirmed that the facility's policies indeed waived the liability of the facility for losses of residents' personal property. This deficiency had the potential to affect all 77 residents in the facility.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 300 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Omaha
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Emerald Nursing & Rehab Legacy Pointe Llc | 0.4 mi | — | 2 | 0 |
| Life Care Center Of Omaha | 2.8 mi | — | 24 | 0 |
| Quality Living, Inc. | 3.3 mi | — | 0 | 0 |
| Ambassador Health Of Omaha | 3.6 mi | — | 0 | 0 |
| Keystone Ridge Post Acute Nursing And Rehabilitati | 4.2 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Florence Home.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.