Old Mill Rehabilitation
1131 Papillion Parkway, Omaha, NE 68154 · Douglas County · (402) 934-7500
44 certified beds, about 37 residents a day · For profit - Corporation · Medicare and Medicaid since 2014
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 285289 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 2, 2026, inspectors cited 4 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
None of its 17 health citations since March 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.85 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.
67.3% of nursing staff left within the year CMS measured (Nebraska average 48.7%).
CMS links it to Promontory Healthcare Management, an affiliated group of 2 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
103/24
304/24
107/24
211/24
604/25
404/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
3E
2F
Potential for minimal harm
0A
0B
1C
April 2, 2026Standard inspection · 4 citations
- F 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.
Inspectors wroteBased on record review and interview, the facility failed to ensure the Dietary Manager was qualified per regulations. This had the potential to affect all 36 residents that resided in the facility. The facility census was 36.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to ensure the cleanliness of ceiling ventilation system covers in the facility kitchen and ventilation fans in the walk in cooler in the facility kitchen to prevent the potential for food borne illness. This had the potential to affect all residents that resided in the facility and ate foods prepared in the facility kitchen. The facility census was 36.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record review and interview, the facility failed to identify and monitor specific target behaviors for Resident 5 and 48, failed to monitoring for tardive dyskinesia{ movement disorders that occur as a side effect to antipsychotic medications} for Res 5 and 48 and failed to ensure an appropriate diagnosis for the use of an antipsychotic medication for Resident 48. These practices affected 2 of 5 residents reviewed for unnecessary medications, The facility staff identified a census of 36.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview, the facility failed to develop a comprehensive care plan related to fluid restrictions for 2 (Res 9 and 44) of 2 reviewed with physician ordered fluid restrictions. The facility staff identified a census of 36.
April 10, 2025Standard inspection, Complaint inspection · 6 citations
- E 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.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.19 Based on observation and interview, the facility failed to maintain the cleanliness of the interior and exterior of ventilation covers in 8 (Rooms 130, 131, 134, 144, 146, 147, 148, 150 ) of 21 occupied resident rooms on the south hallway of the facility. The facility census was 39.
- E Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspectors wroteLicensure Reference Number 175 12-007.04D Based on observation and interview, the facility failed to ensure that ventilation systems were operational in resident bathrooms in 11 (Rooms 127, 130, 139, 143, 144, 146, 147, 148, 149, 150, 152) of 21 occupied resident bathrooms on the south hallway of the facility. The facility census was 39.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteLicensure Reference Number 175NAC 12-006.04(F)(i)(5) Based on interviews and record reviews, the facility failed to notify the physician and resident representative of medication given outside of physician ordered parameters. This had the potential to affect 1 (Resident 52) out of 24 sampled residents. The facility census was 39.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(E) Based on interview and record review, the facility failed to develop a Comprehensive Care Plan (CCP, a document that includes measurable objectives and timetables to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment) that accurately reflected the care needs of the resident related to respiratory care and oxygen use for 2 (Resident 28 and Resident 10) of 2 sampled residents for respiratory services. The facility census was 39.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(I)(i) Based on record review, observation, and interview the facility staff failed to implement assessed interventions to prevent falls for 1 (Resident 46) of 3 sampled residents. The facility identified a census 39.
- C Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(A)(iii)(1) Licensure Reference Number 175 NAC 12-006.04(A)(iii)(2) Based on record review and interview, the facility failed to complete a criminal background check (CBG), an Adult Protective Services [APS] check and a Child Protective Services [CPS] check at the time of rehire for 1 [Nurse Aide - A] of 5 sampled new hired employees. The facility had a total census of 39 residents.
November 26, 2024Complaint inspection · 2 citations
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.04(G) Based on interview and record review, the facility failed to ensure resident's call lights were answered within 20 minutes as expected for 4 (Residents 1, 2, 3, and 4) of 4 sampled residents. The facility census was 26.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.09(H)(iv) Based on interview and record review, the facility failed to ensure 1 (Resident 1) of 1 sampled resident's Dulcolax (a medication for constipation) was administered (given) per provider's orders and that PRN (as needed) Imodium (a diarrhea medication) was administered to treat Resident 1's recurrent diarrhea. The facility census was 26.
July 24, 2024Complaint inspection · 1 citation
- D Ensure that residents are free from significant medication errors.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.10(D) Based on record reviews and interviews, the facility failed to ensure that Resident 1 was free from significant medication errors. This affected 1 of 5 residents sampled for medication administration. The facility census was 33.
April 16, 2024Standard inspection, Complaint inspection · 3 citations
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review and interview; the facility failed to provide written notification of discharge to 1 resident (Resident 50) of 1 sampled resident, or to the resident's representative and failed to provide a written reason of discharge to 1 resident (Resident 50) of 1 resident sampled or to the resident's representative. The facility claimed a census of 35.
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on record review and interview; the facility failed to complete tracking/discharge Minimum Data Sets (MDS, a federally mandated assessment tool used for care planning) for 17 (2, 4, 5, 10, 15, 17, 19, 21, 22, 25, 27, 33, 37, 39, 40, 41, 42, 44) of 17 residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteLicensure Reference Number 175 NAC 12.006.09D6(7) Based on record review, observation, , and interview; the facility failed to have a physician's order for Continuous Positive Airway Pressure (CPAP-a machine that uses mild air pressure to keep breathing airways open while you sleep) for 1 (Resident 56) of 1 resident sampled. The facility staff identified a census of 35.
March 5, 2024Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.04C3a(6) Based on record review and interviews, the facility staff failed not notify the practitioner or responsible party of a fall for 2 (Resident 1 and 3) of 3 sampled residents The facility identified a census of 17.
Fire safety inspections
22 fire safety citations on file: 3 on April 2, 2026, 9 on April 10, 2025, 10 on April 16, 2024.
Every fire safety citation22 citations
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have simulated fire drills held at unexpected times.
- F Ensure proper usage of power strips and extension cords.
- F Implement emergency and standby power systems.
- F Provide properly protected cooking facilities.
- F Install corridor and hallway doors that block smoke.
- F Have properly installed electrical wiring and gas equipment.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Meet requirements for the use of electrical equipment.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Ensure proper usage of power strips and extension cords.
- F Implement emergency and standby power systems.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Install corridor and hallway doors that block smoke.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Nebraska | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.85 | 3.98 | 3.86 |
| Registered nurses | 0.61 | 0.67 | 0.69 |
| All nursing staff on weekends | 4.28 | 3.48 | 3.42 |
| Nurse aides | 2.89 | ||
| Licensed practical nurses | 1.35 | ||
| Nursing staff turnover (share who left in a year) | 67.3% | 48.7% | 45.8% |
| Registered nurse turnover | 77.8% | 44.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.60 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.08 on weekdays and 4.28 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 18.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.94 in April to June 2025 to 4.85 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.85 | 0.61 | 5.08 | 4.28 | 18.1% | 0 of 90 | 37 |
| Oct to Dec 2025 | 5.14 | 0.80 | 5.28 | 4.78 | 16.7% | 1 of 92 | 34 |
| Jul to Sep 2025 | 4.96 | 0.71 | 5.10 | 4.60 | 17.5% | 0 of 92 | 36 |
| Apr to Jun 2025 | 4.94 | 0.88 | 5.10 | 4.53 | 32.7% | 0 of 91 | 37 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nebraska, Jan to Mar 2026 | 4.01 | 0.66 | 4.21 | 3.53 | 7.1% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nebraska | US |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 2.0 | 1.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.3 | 20.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.7 | 11.4 | 12.0 |
Owners and operators
Legal business name: SNF OMAHA OPERATING COMPANY, LLC. CMS links this home to Promontory Healthcare Management, a group of 2 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Micah Harper PLLC | Direct ownership interest | Organization | 01/01/2014 | |
| Promontory Healthcare Companies LLC | Direct ownership interest | Organization | 10/22/2009 | |
| Promontory Healthcare Holdings LLC | Direct ownership interest | Organization | 01/01/2021 | |
| Zamwell Group LLC | Direct ownership interest | Organization | 10/22/2009 | |
| Biddulph, Gregory | Direct ownership interest | Individual | 12/20/2013 | |
| Huntsman, Casey | Direct ownership interest | Individual | 11/20/2013 | |
| Promontory Healthcare Management LLC | Operational/managerial control | Organization | 01/01/2014 | |
| Haynes, Anna | Operational/managerial control | Individual | 10/01/2014 | |
| Pajnigar, Arman | Operational/managerial control | Individual | 10/01/2013 | |
| Stroud, Courtney | Operational/managerial control | Individual | 01/01/2026 | |
| Hcii-1131 Papillion Parkway LLC | Adp of the SNF | Organization | 03/01/2019 | |
| Promontory Healthcare Management LLC | Adp of the SNF | Organization | 07/16/2026 | |
| Pajnigar, Arman | Adp of the SNF | Individual | 06/23/2026 | |
| Stroud, Courtney | Adp of the SNF | Individual | 06/23/2026 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on April 10, 2025: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 2, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on April 10, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 2, 2026: "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."
Other nursing homes nearby
- Rose Blumkin Jewish Home Omaha, 2.1 mi · 5 of 5 stars · 8 citations
- The Banyan at Montclair Omaha, 3.3 mi · 1 of 5 stars · 61 citations
- Keystone Ridge Post Acute Nursing and Rehabilitati Omaha, 3.6 mi · 2 of 5 stars · 26 citations
- Hillcrest Millard LLC Omaha, 3.8 mi · 1 of 5 stars · 28 citations
- Maple Crest Health Center Omaha, 4 mi · 2 of 5 stars · 38 citations
- Emerald Nursing & Rehabilitation Mercy Omaha, 4.2 mi · 1 of 5 stars · 84 citations
- Quality Living, Inc. Omaha, 4.6 mi · 3 of 5 stars · 16 citations
- Brookestone Village Omaha, 4.8 mi · 5 of 5 stars · 9 citations
Nebraska contacts for a concern about a nursing home
These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Nebraska Department of Health and Human Services, Licensure Unit, Long Term Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Nebraska Long-Term Care Ombudsman Program, (800) 942-7830. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Old Mill Rehabilitation's Medicare star rating?
- CMS rates Old Mill Rehabilitation 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Old Mill Rehabilitation get at its last inspection?
- 4 health deficiencies at the standard inspection on April 2, 2026. The Nebraska average is 7.4.
- Has Old Mill Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Old Mill Rehabilitation accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Old Mill Rehabilitation?
- CMS lists 14 owners and managers, and links the home to Promontory Healthcare Management. Legal business name: SNF OMAHA OPERATING COMPANY, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.