Inspection Reports for
Fallbrook Assisted Living & Memory Care
6600 JULIET COURT, LINCOLN, NE, 68521
Back to Facility ProfileNotice — Mar 28, 2025
Capacity: 131
Deficiencies: 0
Date: Mar 28, 2025
Visit Reason
This document serves as a renewal application and verification of licensure for Fallbrook Assisted Living & Memory Care, confirming the facility meets statutory requirements as an assisted-living facility.
Findings
The documents confirm the facility's licensure renewal status, total licensed bed capacity, and operational permits including fire prevention. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 131
Number of special care beds: 23
Renewal license fees: 950
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Mathisen | Administrator | Named as facility administrator on renewal application. |
| Jason Lange | Authorized Representative | Signed renewal application on 03/28/2025. |
| MaryLynne Bolden | Authorized Representative | Signed renewal application on 03/28/2025. |
Inspection Report — Jan 23, 2019
Renewal
Capacity: 131
Deficiencies: 0
Date: Jan 23, 2019
Visit Reason
This document is related to the renewal of the assisted living facility license for Fallbrook Assisted Living & Memory Care, verifying that the facility meets statutory requirements and is licensed through the indicated date.
Findings
The facility was issued a license for 131 beds effective January 23, 2019, with no deficiencies or enforcement actions noted. The document includes licensing information, operational permits, zoning approval, evacuation plans, and an Alzheimer's Memory Care Endorsement application detailing facility philosophy, admission criteria, staffing, training, environment, family support, and fees.
Report Facts
Licensed capacity: 131
Licensed beds in Alzheimer's special care unit: 23
Permit maximum occupancy: 131
License issuance date: Jan 23, 2019
License expiration date: Apr 30, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Virginia Cole | Administrator | Named as facility administrator in licensing documents |
| MaryLynne Bolden | Authorized Representative | Named as authorized representative and contact for the facility owner |
| Bo Botelho | Interim CEO, Interim Director of Public Health | Signed licensing and renewal documents for the Nebraska Department of Health and Human Services |
| Jason Lange | Authorized Representative, Member of MJ Senior Housing, LLC | Named as member of ownership entity and contact in correspondence |
Notice — APP2020
Capacity: 131
Deficiencies: 0
Date: APP2020
Visit Reason
The document serves as a renewal application and licensure verification for Fallbrook Assisted Living & Memory Care, including Alzheimer's Memory Care Endorsement and Complex Nursing Intervention services.
Findings
The documents confirm the facility's licensure status, renewal application details, ownership information, and endorsement for Alzheimer's Memory Care with a maximum endorsed capacity of 23 beds. The facility has a total licensed capacity of 131 beds as per the fire permit and renewal application.
Report Facts
Total licensed capacity: 131
Maximum endorsed capacity: 23
Renewal license expiration date: Apr 30, 2021
Renewal application date: Apr 8, 2020
Fire permit issue date: Jan 1, 2020
Fire permit expiration date: Dec 31, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Virginia Cole | Administrator | Named as facility administrator on renewal application and Alzheimer's Memory Care endorsement application. |
| Jason Lange | Authorized Representative | Signed renewal application and Alzheimer's Memory Care endorsement application. |
| MaryLynne Bolden | Authorized Representative | Named contact and signed renewal application and Alzheimer's Memory Care endorsement application. |
| Gary J. Anthone, MD | Chief Medical Officer, Director, Division of Public Health | Name on licensure verification certificate. |
Document — APP2021
Capacity: 131
Deficiencies: 0
Date: APP2021
Visit Reason
The document serves to verify licensure renewal, provide operational permits, and disclose facility information for Fallbrook Assisted Living & Memory Care.
Findings
The document contains no inspection findings or deficiencies; it primarily includes licensing and renewal information, facility capacity, ownership details, floor plans, and staffing and care program descriptions.
Report Facts
Total licensed capacity: 131
Maximum endorsed capacity: 23
Renewal licensure fees: 1650
Staffing numbers: 1
Staffing numbers: 1
Staffing numbers: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Magill | Administrator | Named as facility administrator on renewal application and Alzheimer's endorsement application. |
| Jason Lange | Authorized Representative | Signed renewal application and listed as contact name for legal owning entity. |
| MaryLynne Bolden | Authorized Representative | Signed renewal application and listed as member of facility ownership. |
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