Maple Crest Health Center
2824 North 66th Avenue
Omaha, NE, 68104
4025512110
CCN: 285149
3
Overall2
Health5
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| AMERICAN BAPTIST HOMES OF THE MIDWEST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| ALLEN, RYAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| FORD, ASHLEY | CORPORATE DIRECTOR | NOT APPLICABLE |
| HANSON, PHILLIP | CORPORATE DIRECTOR | NOT APPLICABLE |
| JOHNSON, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| KILLIAN, GEORGE | CORPORATE DIRECTOR | NOT APPLICABLE |
| PETERS, MARSHALL | CORPORATE DIRECTOR | NOT APPLICABLE |
| VANOSTRAM, STEVEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| WAGONER FORD, ANNE | CORPORATE DIRECTOR | NOT APPLICABLE |
| WHITAKER, BRUCE | CORPORATE DIRECTOR | NOT APPLICABLE |
| BLATNIK, ANDREA | CORPORATE OFFICER | NOT APPLICABLE |
| DAVIDSON, ROGER | CORPORATE OFFICER | NOT APPLICABLE |
| JOHNSON, DOROTHY | CORPORATE OFFICER | NOT APPLICABLE |
| JOHNSON, LARS | CORPORATE OFFICER | NOT APPLICABLE |
| NEIMAN, RUTH | CORPORATE OFFICER | NOT APPLICABLE |
| VAN DER BEEK, BRUCE | CORPORATE OFFICER | NOT APPLICABLE |
| VAUGHN-GRAY, STEPHANIE | CORPORATE OFFICER | NOT APPLICABLE |
| KOTZ, CHRISTINA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (27)
2025-09-03 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F638 · Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-07-11 · Health
E
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F791 · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
E
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2023-07-13 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F791 · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.50
RN Hrs/Resident/Day0.54
0.87
LPN Hrs/Resident/Day0.81
0.46
CNA Hrs/Resident/Day2.33
3.17
PT Hrs/Resident/Day0.12
0.02
Data as of 2026-03-01