Inspection Reports for
Carter Place Senior Living
1028 Joann Dr, Blair, NE 68008, United States, NE, 68008
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
0.8 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
81% better than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Renewal
Capacity: 36
Deficiencies: 0
Date: Apr 2, 2025
Visit Reason
The document is related to the renewal of the assisted-living facility license for Carter Place, including submission of a renewal application and related correspondence.
Findings
The documents confirm that Carter Place meets statutory requirements as an assisted-living facility and is licensed for 36 beds. The renewal application was signed by the appointed receiver due to a receivership ruling, and the facility is under court-appointed management to ensure compliance and proper operation.
Report Facts
Total licensed beds: 36
Renewal application date: Apr 2, 2025
License expiration date: Apr 30, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Fitchhorn | Executive Director/Administrator | Named as Executive Director/Administrator in renewal application and supporting letter. |
| Matthew D Mason | Agent of Receiver | Signed renewal application as authorized representative and appointed receiver by court order. |
| Cinda Stygar | Licensing Project Coordinator | Signed letter providing explanation for renewal application. |
Inspection Report
Renewal
Capacity: 36
Deficiencies: 0
Date: Mar 25, 2024
Visit Reason
The document is related to the renewal of the assisted-living facility license for Carter Place, including submission of renewal application and related correspondence.
Findings
The documents confirm that Carter Place meets statutory requirements as an assisted-living facility and is licensed for 36 beds. There is no indication of deficiencies or inspection findings; rather, the documents focus on licensing renewal and court-appointed receivership management.
Report Facts
Total licensed beds: 36
Renewal application date: Mar 25, 2024
Occupancy permit date: Oct 9, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janice Fitchhorn | Executive Director/Administrator | Named in letter explaining renewal application and licensing-related matters (page 3). |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 30, 2020
Visit Reason
A focused infection control survey was conducted to investigate a complaint alleging that the facility failed to protect residents from infection.
Complaint Details
The complaint alleged failure to protect residents from infection. The investigation found the allegation unsubstantiated as the facility complied with infection control regulations.
Findings
The facility was found to have protected residents from infection by implementing recommended interventions and providing staff education regarding COVID-19, and was determined to be in compliance with related regulatory requirements.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager | Signed the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health |
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 3
Date: Feb 1, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint and perform the annual survey at Carter Place on February 1, 2016.
Complaint Details
The complaint investigation included allegations of failure to protect resident property, failure to protect residents from abuse, failure to ensure appropriate assisted living placement, failure to provide a comfortable home-like environment, failure to train staff for dementia/Alzheimer's care, failure to implement interventions for resident behaviors, and failure to provide services as agreed. The abuse allegation was substantiated based on a closed record review showing one resident was abused by a staff member, who was subsequently removed. Other allegations were found unsubstantiated.
Findings
The facility was found compliant in protecting resident property, ensuring appropriate assisted living placement, providing a comfortable environment, staff training on dementia/Alzheimer's care, interventions for resident behaviors, and service agreement adherence. However, the facility failed to protect residents from abuse in one closed record and failed to ensure medication aides were trained to administer insulin and to properly store catheter bags to prevent contamination.
Deficiencies (3)
Facility failed to protect residents from abuse as one resident was abused by a staff member.
Medication Aide (MA-B) administered insulin without documented training or competency evaluation.
Catheter bags were stored uncovered with tubing tip open to air, risking cross contamination.
Report Facts
Facility census: 30
Inspection date: Feb 1, 2016
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed report letter |
| Brenda Harbison | Registered Nurse | Surveyor |
| Kelly Darling | Registered Nurse | Surveyor |
| Lori Frodsham | Registered Nurse | Surveyor |
| Carol Neneman | Social Worker | Surveyor |
| Wellness Director | Interviewed regarding medication aide training and catheter bag storage | |
| RCP A | Resident Care Partner | Interviewed regarding catheter bag storage |
Document
Capacity: 36
Deficiencies: 0
Date: APP2016
Visit Reason
The documents pertain to the renewal of the assisted-living facility license for Carter Place, including submission of renewal application, occupancy permit issuance, and ownership information updates.
Findings
No inspection findings or deficiencies are reported. The documents confirm licensure renewal, occupancy permit approval, and updated ownership and FEIN information.
Report Facts
Total licensed beds: 36
Date of occupancy permit inspection: Dec 7, 2015
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Akhil Sharma | Authorized Officer | Listed as an authorized officer on ownership/control attachments. |
| Daniel Marshall Guill | Authorized Officer | Listed as an authorized officer on ownership/control attachments. |
| Ronald Cami | Vice President | Listed as an officer on ownership/control attachments. |
| Clive Bode | Treasurer | Listed as an officer on ownership/control attachments. |
| John Kresl | Corporate Counsel | Signed letter explaining FEIN changes on ALF renewal applications. |
Notice
Capacity: 36
Deficiencies: 0
Date: APP2017
Visit Reason
This document serves to verify that Carter Place Assisted-Living Facility is licensed through the indicated renewal date and includes the licensure renewal application and ownership/control attachments.
Findings
The document confirms the facility's licensure renewal status, provides ownership and management details, and includes the state fire marshal occupancy permit indicating a maximum capacity of 36 beds.
Report Facts
Total licensed beds: 36
Renewal expiration date: Apr 30, 2017
Fire marshal maximum occupancy: 36
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Dyke | Administrator | Named in the licensure renewal application |
| Akhil Sharma | Authorized Officer | Listed as officer in ownership/control attachments |
| Daniel Marshall Guill | Authorized Officer | Listed as officer in ownership/control attachments |
| Ronald Cami | Vice President | Listed as officer in ownership/control attachments |
| Clive Bode | Treasurer | Listed as officer in ownership/control attachments |
| Jack Richard Callison, Jr. | Authorized Officer | Listed as officer and manager in ownership/control attachments |
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