Inspection Reports for
Highland Park Assisted Living

150 WEST 24TH STREET, ALLIANCE, NE, 69301

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Inspection Report — Jun 1, 2018

Renewal
Capacity: 40 Deficiencies: 0 Date: Jun 1, 2018

Visit Reason
The document is related to the issuance and renewal of the assisted living facility license for Highland Park Assisted Living following a change of ownership and DBA name change from Crossroads at Alliance to Highland Park Assisted Living.

Findings
The facility was licensed to operate as an assisted living facility with a capacity of 40 beds. The license was issued based on compliance with state regulations, and the change of ownership was completed as of June 1, 2018.

Report Facts
Number of beds licensed: 40 Licensure issuance date: Jun 1, 2018

Employees mentioned
NameTitleContext
Felishia HoaglandAdministratorNamed as facility administrator in licensure application
Thomas L. WilliamsChief Medical Officer, Director, Division of Public HealthSigned licensure issuance letter
Dan TaylorProgram Manager, RNContact person for questions about the license
Brian StuhrChief Financial OfficerSigned letter regarding change of ownership
Jack D. VetterChairman of the Board and CEOBoard of Directors and Officers of Vetter Senior Living
Eldora D. VetterSecretaryBoard of Directors and Officers of Vetter Senior Living
Glenn Van EkerenPresidentBoard of Directors and Officers of Vetter Senior Living
Gary LangendoenManagerSigned Special Warranty Deed and Bill of Sale documents

Inspection Report — Aug 17, 2016

Renewal
Census: 28 Deficiencies: 2 Date: Aug 17, 2016

Visit Reason
The inspection was a licensure compliance inspection conducted at the assisted-living facility to assess compliance with licensure regulations.

Findings
The inspection found noncompliance related to failure to obtain a health history screening prior to employment for one staff member and failure to complete assessments to ensure safe self-administration of medications for two residents. The violations did not create imminent danger or immediate adverse effects to residents.

Deficiencies (2)
Failure to obtain a health history screening prior to allowing provision of care for one of two sampled employees.
Failure to complete assessments to ensure safe self-administration of medications for two sampled residents.
Report Facts
Facility census: 28 Estimated time to correct: 30

Employees mentioned
NameTitleContext
Joseph SchumacherRegistered NurseSurveyor conducting the inspection
Kaylene StraetkerRegistered NurseSurveyor conducting the inspection
Eve LewisProgram ManagerAuthor of the cover letter and acceptance of statement of compliance

Inspection Report — Jul 7, 2015

Routine
Deficiencies: 0 Date: Jul 7, 2015

Visit Reason
The inspection was conducted as a Compliance Inspection to assess the facility's adherence to the regulations governing licensure of Assisted-Living Facilities.

Findings
The facility was found in compliance with the applicable regulations, and the results of the inspection were commendable.

Employees mentioned
NameTitleContext
Kathy GibbonsSocial WorkerConducted the Compliance Inspection
Keeli KleinRegistered NurseConducted the Compliance Inspection
Joseph SchumacherRegistered NurseConducted the Compliance Inspection

Inspection Report — Nov 6, 2014

Complaint Investigation
Census: 27 Deficiencies: 1 Date: Nov 6, 2014

Visit Reason
An unannounced visit was conducted to investigate a complaint at Crossroads At Alliance on November 6, 2014, regarding the facility's failure to ensure residents are not beyond facility level of care.

Complaint Details
The complaint alleged the facility fails to ensure residents are not beyond facility level of care. The investigation included review of resident records, observations, and interviews. The violation was cited at 175 NAC 4-006.07B.
Findings
The facility was found to have provided wound care to two sampled residents with unstable and complex wounds, failing to ensure assisted living staff performed complex wound care treatments properly. The violations did not create imminent danger but required a statement of compliance.

Deficiencies (1)
Failure to ensure assisted living staff were performing complex wound care treatments for two sampled residents.
Report Facts
Facility census: 27 Investigation/Inspection date: Nov 6, 2014

Employees mentioned
NameTitleContext
Kathy GibbonsSocial WorkerSurveyor conducting complaint investigation
Joseph SchumacherRegistered NurseSurveyor conducting complaint investigation
Kaylene StraetkerRegistered NurseSurveyor conducting complaint investigation
Felishia HoaglandLPN Crossroads ManagerNamed in response letter regarding complaint correction

Inspection Report — Aug 22, 2012

Complaint Investigation
Census: 27 Deficiencies: 1 Date: Aug 22, 2012

Visit Reason
The inspection was conducted following a complaint investigation regarding medication counting, drug storage access, drug destruction records, and drug destruction policy at Crossroads Assisted Living.

Complaint Details
The complaint investigation was substantiated for unauthorized access to medications. The facility was cited at 175 NAC 4-006.09E related to this violation.
Findings
The facility was found to keep accurate inventories for Schedule II medications and implement a drug destruction policy, but failed to prevent unauthorized staff from accessing resident medications, specifically medication cart keys were not secured on nights without a Medication Aide. No violations were found related to medication counting or drug destruction records.

Deficiencies (1)
The facility failed to ensure that only authorized personnel had access to medications on the night shift, specifically medication cart keys were not secured.
Report Facts
Facility census: 27 Correction deadline: Sep 28, 2012

Employees mentioned
NameTitleContext
Felishia HoaglandAdministratorResponsible for correcting the violation and ongoing compliance
Joseph SchumacherRegistered NurseSurveyor who conducted the complaint investigation
Kaylene StraetkerRegistered NurseSurveyor who conducted the complaint investigation

Document — APP2020

Capacity: 48 Deficiencies: 0 Date: APP2020

Visit Reason
The documents serve to verify the licensing status and renewal of Highland Park Assisted Living facility, provide renewal application details, and show the occupancy permit issued by the Nebraska State Fire Marshal.

Findings
The facility is licensed as an assisted-living facility with a licensed capacity of 48 beds per the renewal application, and has a fire marshal occupancy permit for 40 beds issued on 2019-07-03. No inspection findings or deficiencies are reported.

Report Facts
Licensed capacity: 48 Maximum occupancy: 40

Employees mentioned
NameTitleContext
Jack D. VetterChairman of the Board and CEOListed as director and officer of Vetter Senior Living and subsidiaries (page 5)
Eldora D. VetterSecretaryListed as director and officer of Vetter Senior Living and subsidiaries (page 5)
Glenn Van EkerenPresidentListed as director and officer of Vetter Senior Living and subsidiaries; also authorized representative on renewal application (page 2 and 5)
Brian StuhrTreasurerListed as officer of Vetter Senior Living and subsidiaries (page 5)
Heath BoddyListed as director of Vetter Senior Living and subsidiaries (page 5)
Felisha HoaglandAdministratorNamed on renewal application form (page 2)

Notice — APP2024

Capacity: 40 Deficiencies: 0 Date: APP2024

Visit Reason
The documents serve to verify licensure status and process the renewal application for Highland Park Assisted Living facility, including renewal of the assisted living license and Alzheimer's special care unit endorsement.

Findings
No inspection findings or deficiencies are reported. The documents include administrative information such as facility ownership, directors, occupancy permit, and detailed Alzheimer's special care unit program description and staffing.

Report Facts
Total licensed beds: 40 Maximum occupancy: 40 Maximum capacity for Alzheimer's beds: 16 Renewal application date: Feb 28, 2024 Alzheimer's special care unit application date: Mar 23, 2024

Employees mentioned
NameTitleContext
Alice SmithAdministratorNamed as facility administrator on renewal application and Alzheimer's special care unit disclosure
Brian StuhrAuthorized RepresentativeSigned renewal application and Alzheimer's special care unit disclosure as authorized representative
Glenn Van EkerenAuthorized RepresentativeNamed on renewal application as authorized representative and listed as President of Vetter Senior Living
Jack D. VetterChairman of the Board and CEOListed as Chairman of the Board and CEO of Vetter Senior Living
Eldora D. VetterSecretaryListed as Secretary of Vetter Senior Living
Brian StuhrTreasurerListed as Treasurer of Vetter Senior Living
Shari TerryListed as Board member of Vetter Senior Living
Pat GouldDeputy State Fire MarshalInspected facility for occupancy permit

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