The Banyan at Montclair

Nursing Home · Omaha, NE

Special Focus Facility For profit - Corporation

CMS certification number285054
CMS lists this nursing home as a Special Focus Facility – a facility with a persistent record of serious quality problems that is inspected more often.

Contact & location

2525 South 135th Avenue
Omaha, NE 68144
Douglas County
Phone
(402) 333-2304
ZIP code
68144 – all care providers

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Facility details

Certified beds
175
Residents per day
108.7 (62% occupied)
Ownership
For profit - Corporation
Legal name
Banyan at Montclair LLC
Chain
Avid Healthcare Group (11 facilities, avg 1.7★)
Medicare certified since
December 1, 1978
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

OverallNot rated
State avg 2.8
Health inspectionsNot rated
State avg 2.8
StaffingNot rated
State avg 3.2
Quality measuresNot rated
State avg 3.0
Long-stay qualityNot rated
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.16 (state 3.98 · U.S. 3.86)
Registered nurses (RN)
0.51 (state 0.67 · U.S. 0.69)
Licensed practical nurses
0.90 (state 0.67 · U.S. 0.86)
Nurse aides
2.75 (state 2.64 · U.S. 2.32)
Weekend total
3.87 (state 3.49 · U.S. 3.42)
Nursing staff turnover
62.8 (state 48.7 · U.S. 45.8)%
RN turnover
61.9 (state 44.1 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
May 12, 2026
Health deficiencies (last cycle)
10.0 (state 7.2 · U.S. 9.3)
From complaints
6
Citations on record (3 years)
61 health · 18 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-12 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-21
2026-05-12 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-21
2026-05-12 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-21
2026-05-12 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-21
2026-05-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-21
2026-05-12 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-21
2026-05-12 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-21
2026-05-12 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-21
2026-01-29 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-08
2026-01-29 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-08
2025-12-16 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-01-31
2025-12-16 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-31
2025-12-16 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-31
2025-12-16 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-31
2025-12-16 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-31
2025-12-16 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-31
2025-12-16 Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
F0808 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-31
2025-12-16 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-31
2025-06-30 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 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.
F0688 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
F0700 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-06-30 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-23
2025-04-02 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-02
2025-02-24 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 L
Immediate jeopardy to resident health or safety		 Corrected 2025-04-21
2025-02-24 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-04-21
2024-12-05 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-03
2024-12-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-03
2024-12-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-03
2024-11-14 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-09
2024-11-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-09
2024-09-26 Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
F0563 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-22
2024-09-26 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-22
2024-08-26 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-09-26
2024-08-26 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-26
2024-07-09 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-08-06
2024-07-09 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-06
2024-06-26 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-06

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

5 penalties in the last three years, including $141,793 in fines.

DateTypeAmount
2025-02-18Payment Denial45 days payment denial
2025-02-18Fine$33,862
2024-06-03Fine$55,795
2024-03-04Payment Denial31 days payment denial
2024-03-04Fine$52,136

Ownership & management

NameRoleSince
NE M2 Holdco Opco LLC (organization)5%+ Direct Ownership Interest · 100%
Brass NE Trust (organization)5%+ Indirect Ownership Interest
BSD Beis Health Trust (organization)5%+ Indirect Ownership Interest
Douro Valley Investment, LLC (organization)5%+ Indirect Ownership Interest
Gold NE Trust (organization)5%+ Indirect Ownership Interest
NE SNF Holdco LLC (organization)5%+ Indirect Ownership Interest
NE SNF Holdings LLC (organization)5%+ Indirect Ownership Interest
SF 4140 Olde Washington Boulevard Real Property LLC (organization)5%+ Indirect Ownership Interest
Silver NE Trust (organization)5%+ Indirect Ownership Interest
Tulip Investments NE LLC (organization)5%+ Indirect Ownership Interest
Sharp, David (individual)Contracted Managing Employee · NOT APPLICABLE
Silberstein, Ari (individual)Corporate Officer · NOT APPLICABLE
Pihlgren, Lindsey (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

How many beds does The Banyan at Montclair have?

It has 175 certified beds and cares for about 109 residents per day.

Has The Banyan at Montclair been fined?

Yes. CMS lists 5 penalties totaling $141,793 in the last three years.

Who owns The Banyan at Montclair?

It is part of Avid Healthcare Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of The Banyan at Montclair?

(402) 333-2304. The facility is located at 2525 South 135th Avenue, Omaha, NE 68144.

Other nursing homes in Omaha

Compare all nursing homes in Omaha, NE →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.