Inspection Reports for
Heritage Ridge

NE, 68005

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 1 deficiencies/year

Deficiencies are regulatory findings recorded during state inspections.

76% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2013
2017

Inspection Report

Renewal
Capacity: 115 Deficiencies: 0 Date: Apr 3, 2017

Visit Reason
The document is a renewal application and certification for the Assisted Living Facility license for Heritage Ridge Retirement Community, including Alzheimer's Special Care Unit Disclosure and Memory Care Endorsement.

Findings
The facility is licensed as an Assisted Living Facility with a total licensed capacity of 115 beds, including 20 beds for Alzheimer's or related dementia care. The renewal application confirms compliance with statutory requirements and includes detailed information on facility ownership, staffing, care philosophy, admission and discharge criteria, staff training, physical environment, and resident activities.

Report Facts
Total licensed beds: 115 Alzheimer's special care unit beds: 20 Staffing ratio day/evening: 5 Staffing ratio overnight: 8 Cost per month - Studio Level I: 5195 Cost per month - Studio Level II: 5795 Cost per month - Studio Deluxe Level I: 5495 Cost per month - Studio Deluxe Level II: 6095 Cost per month - Companion Level I: 3995 Cost per month - Companion Level II: 4795

Employees mentioned
NameTitleContext
Kim CundallAdministratorNamed as facility administrator and contact for the renewal application
Farhan KhanNamed as 50% owner of Heritage Partners LLC, general partner of Heritage Ridge LLC
Nate UnderwoodNamed as 50% owner of Heritage Partners LLC, general partner of Heritage Ridge LLC and signer of cover letter

Inspection Report

Complaint Investigation
Census: 87 Deficiencies: 2 Date: Oct 10, 2013

Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Heritage Ridge Retirement Community from October 10 to October 15, 2013, to assess compliance with licensure regulations and investigate specific allegations.

Complaint Details
Allegations included failure to have appropriate reason for discharge, failure to give appropriate notice for involuntary discharge, failure to protect residents from misappropriation, and failure to follow the resident service agreement. The facility was found compliant with discharge and misappropriation allegations but failed in evaluating and notifying physician regarding Resident 8's blood sugars.
Findings
The facility was found to be in compliance with discharge criteria and protection from misappropriation. However, the facility failed to maintain proper food temperatures and failed to evaluate and notify the physician of Resident 8's blood sugar levels outside established parameters.

Deficiencies (2)
Failed to maintain hot foods during service greater than 135 degrees F and cold foods less than 40 degrees F in accordance with Nebraska Food Code.
Failed to evaluate Resident 8's blood sugars and notify the physician of blood sugars outside established parameters.
Report Facts
Facility census: 87 Blood sugar readings: 461 Blood sugar readings: 404 Blood sugar readings: 426 Blood sugar readings: 56 Inspection dates: October 10, 2013 to October 15, 2013

Employees mentioned
NameTitleContext
Kelly SchmidtRegistered NurseSurveyor conducting the inspection and complaint investigation
Kay ReevesNutrition/dietitianSurveyor conducting the inspection and complaint investigation
Mary MoserAdministrator / Executive DirectorFacility administrator interviewed and signed Plan of Correction
Eve LewisProgram ManagerOffice of Long Term Care Facilities, signed correspondence

Document

Capacity: 115 Deficiencies: 0 Date: APP2018

Visit Reason
This document serves as a licensure renewal application and Alzheimer's Memory Care Endorsement application for Heritage Ridge Retirement Community, verifying compliance with state regulations and facility capacity.

Findings
The document provides detailed information on facility ownership, capacity (115 beds), special care unit for Alzheimer's or related dementia with 20 beds, staffing ratios, care philosophy, resident criteria, discharge criteria, staff training, physical environment, resident activities, family support, and cost of care. It also includes a certificate of occupancy issued by the Bellevue Fire Department confirming the maximum occupancy of 115 beds.

Report Facts
Total licensed beds: 115 Special care unit beds: 20 Staffing ratio day/evening: 5 Staffing ratio overnight: 8 Cost of care - Studio Level 1: 5345 Cost of care - Studio Level II: 5945 Cost of care - Studio Deluxe Level 1: 5645 Cost of care - Studio Deluxe Level II: 6245 Cost of care - Companion Level 1: 4195 Cost of care - Companion Level II: 4995

Employees mentioned
NameTitleContext
Kim CundallAdministratorNamed as facility administrator and contact person for the licensure renewal and Alzheimer's Memory Care Endorsement application
Farhan KhanAuthorized RepresentativeSigned licensure renewal application as authorized representative
Nate UnderwoodAuthorized RepresentativeSigned licensure renewal application as authorized representative

Notice

Capacity: 115 Deficiencies: 0 Date: APP2020

Visit Reason
This document serves to verify that Heritage Ridge Retirement Community is licensed as an assisted-living facility through the expiration date indicated on the renewal card.

Findings
The document confirms that the facility meets statutory requirements for licensure as an assisted-living facility with Alzheimer’s and memory care endorsements. It includes ownership, capacity, and contact information.

Report Facts
Total licensed capacity: 115 Number of beds in Alzheimer’s/Special Care Unit: 20 Deposit amount: 1000 Staff training hours: 4 Staffing ratio day shift: 5 Staffing ratio overnight shift: 8 Private Suite cost per month Level 1: 4525 Private Suite cost per month Level 2: 5355 Private Suite cost per month Level 1: 5795 Private Suite cost per month Level 2: 6385 Private Deluxe cost per month Level 1: 6125 Private Deluxe cost per month Level 2: 6795

Employees mentioned
NameTitleContext
Kimberlie CundallAdministratorNamed as facility administrator on page 2 and contact on page 9
Farhan KhanAuthorized RepresentativeSigned renewal application on page 2
Nathan UnderwoodAuthorized RepresentativeSigned renewal application on page 2
Shawn LahrAuthorized RepresentativeSigned application on page 11

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