Nursing HomeMedicaid Needs closer review

The Banyan at Montclair

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

2525 South 135th Avenue, West Omaha · Omaha, NE 68144|175 beds|Licensed & active

Google rating

3.2/5

based on 101 Google reviews

(402) 333-2304 Directions Website

Street View

Email The Banyan at Montclair to yourself

Get a one-time email with a link to this profile so it is easy to find and share later.

This sends one email and does not add you to a mailing list.

4flags

Review before deciding

Public Medicare Flags to Review

These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.

Special Focus Facility (under heightened CMS scrutiny)
5 Medicare penalties on record
Staff turnover reported at 63%
RN turnover reported at 62%

Source: Medicare data

What this means for your family

Medicare Special Focus status indicates a history of serious quality problems and heightened oversight. Review the latest inspection records, ask what corrective actions remain open, and visit in person before deciding.

Google Reviews

103 public Google reviews available

The Banyan at Montclair (formerly Azria Health) receives highly polarized feedback, with many families reporting severe neglect, poor hygiene, and communication failures. While some visitors praise recent renovations and specific staff members, a significant number of reviews describe a facility struggling with understaffing, slow response times, and missing personal belongings.

Quality Themes

Tap a score for details

Strengths

Dedicated rehab therapy department
Recent facility renovations and modern upgrades
Select compassionate and attentive nursing staff
Active and engaging activity department

Concerns

Chronic understaffing leading to ignored call lights and delayed care (mentioned by 12 reviewers)
Poor hygiene, including reports of foul odors, stained linens, and lack of cleanliness (mentioned by 9 reviewers)
Theft or loss of resident personal belongings and clothing (mentioned by 5 reviewers)
Communication barriers, including unresponsive management and faulty phone systems (mentioned by 7 reviewers)
Poor quality, cold, or unappealing food service (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 103 analyzed

How They Respond to Reviews

20%response rate

This facility rarely responds to reviews.

Questions for Your Tour

1Given the recent renovations to the building, what specific protocols are in place to ensure that the facility maintains a high standard of daily cleanliness and odor control?
2I noticed your activity department is very active; could you walk me through a typical weekly schedule and how you encourage residents to participate in these programs?
3With the current size of the facility, what is your process for ensuring that call lights are answered promptly and that residents receive consistent attention throughout the day and night?
4How do you manage the laundry and personal belongings of residents to ensure that clothing and items are tracked and returned properly?
5What steps are being taken to improve the variety and quality of the dining experience to ensure meals are served at the appropriate temperature and meet residents' nutritional preferences?
6I see that management has been engaging with feedback online; what is the best way for families to reach leadership if they have urgent questions or concerns regarding their loved one's care?

Personalized based on this facility's data

Key Review Excerpts

“She’s left in her own mess for and hour or more. When staff finally does come in they are rude, treat her as an inconvenience and have even made personal calls while they’ve cleaned her up.”

Daughter of resident · 2021★☆☆☆☆

“The nursing staff and CNA's are on the ball and do a good job. They're very responsive and friendly. The medications come on time and if I ever need my pain meds I get them within a reasonable amount of time.”

Rehab patient · 2019★★★★☆

“My mother was there from 9-19-23 to 9-24-23 before she had to go back to the hospital with a new UTI, excoriated peri area from a kinked/leaking catheter, and her wounds were infected. 5 DAYS is all she made it.”

Daughter of resident · 2023★☆☆☆☆

Source: 103 Google reviews in the current analysis set

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

0.51hrs

67%

Registered nurses for medical care

Total Nursing

4.16hrs

All nurses + aides combined

Staff Turnover

63%

Lower is better (< 30% = good)

RN Turnover

62%

Lower is better (< 30% = good)

RN hours are below the EveryPlace reference benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility28.2%

Worse than Avg

Here

28.2%

19.0%

25.9%

Douglas

25.1%

Residents on antipsychotic medication

↓ Lower is better

This Facility23.9%

Worse than Avg

Here

23.9%

15.4%

20.7%

Douglas

18.6%

Residents with depression symptoms

↓ Lower is better

This Facility4.6%

Mixed vs Avgs

Here

4.6%

12.8%

4.3%

Douglas

6.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Residents needing more daily help over time

↓ Lower is better

This Facility22.0%

Worse than Avg

Here

22.0%

13.9%

19.0%

Douglas

14.8%

Residents whose walking got worse

↓ Lower is better

This Facility20.1%

Worse than Avg

Here

20.1%

14.1%

18.2%

Douglas

16.3%

Residents who fell and were seriously hurt

↓ Lower is better

This Facility6.3%

Worse than Avg

Here

6.3%

3.2%

4.5%

Douglas

4.0%

Short-Stay Residents (Rehab / Post-Acute)

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility57.7%

Worse than Avg

Here

57.7%

82.0%

80.9%

Douglas

74.5%

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility78.8%

Mixed vs Avgs

Here

78.8%

79.8%

75.9%

Douglas

74.0%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.6%

Better than Avg

Here

0.6%

1.6%

2.0%

Douglas

1.2%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

79findings in history

5penalties

56 complaint-triggered findings

$141,793 in fines

Families should exercise significant caution before visiting this facility, as most deficiencies (56 of 89) stem from families filing complaints about serious care issues. The facility has recurring problems with medication management, maintaining safe and clean living conditions, and proper care planning and assessment. While most issues have been corrected, the pattern of repeated violations in these critical areas, especially those requiring family complaints to be identified, suggests ongoing systemic problems that warrant careful consideration.

May 12, 2026Complaint4 findings

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

May 12, 2026Routine4 findings

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Jan 29, 2026Complaint2 findings

0580Potential for harm · IsolatedCorrected

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Jan 28, 2026Complaint1 finding

0232Potential for harm · WidespreadCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Dec 16, 2025Routine12 findings

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 30, 2025Routine7 findings

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Federal Penalties

Fine

Feb 18, 2025

$33,862

Payment Denial

Feb 18, 2025

45-day denial

Fine

Jun 3, 2024

$55,795

Fine

Mar 4, 2024

$52,136

Payment Denial

Mar 4, 2024

31-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Banyan at Montclair

Organization Type

for profit

Chain Affiliation

Chain Name

Avid Healthcare Group

Chain Size

11 facilities nationwide

Ownership & Management

Owners

Ne M2 Holdco Opco LLC

Owner · Organization

100%

Brass Ne Trust