Inspection Reports for
Highland Park Assisted Living
150 WEST 24TH STREET, ALLIANCE, NE, 69301
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
0.8 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
81% better than Nebraska average
Nebraska average: 4.2 deficiencies/year
Deficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
70% occupied
Based on a August 2016 inspection.
Occupancy rate over time
Inspection Report
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
| Name | Title | Context |
|---|---|---|
| Felishia Hoagland | Administrator | Named as facility administrator in licensure application |
| Thomas L. Williams | Chief Medical Officer, Director, Division of Public Health | Signed licensure issuance letter |
| Dan Taylor | Program Manager, RN | Contact person for questions about the license |
| Brian Stuhr | Chief Financial Officer | Signed letter regarding change of ownership |
| Jack D. Vetter | Chairman of the Board and CEO | Board of Directors and Officers of Vetter Senior Living |
| Eldora D. Vetter | Secretary | Board of Directors and Officers of Vetter Senior Living |
| Glenn Van Ekeren | President | Board of Directors and Officers of Vetter Senior Living |
| Gary Langendoen | Manager | Signed Special Warranty Deed and Bill of Sale documents |
Inspection Report
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
| Name | Title | Context |
|---|---|---|
| Joseph Schumacher | Registered Nurse | Surveyor conducting the inspection |
| Kaylene Straetker | Registered Nurse | Surveyor conducting the inspection |
| Eve Lewis | Program Manager | Author of the cover letter and acceptance of statement of compliance |
Inspection Report
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
| Name | Title | Context |
|---|---|---|
| Kathy Gibbons | Social Worker | Conducted the Compliance Inspection |
| Keeli Klein | Registered Nurse | Conducted the Compliance Inspection |
| Joseph Schumacher | Registered Nurse | Conducted the Compliance Inspection |
Inspection Report
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
| Name | Title | Context |
|---|---|---|
| Kathy Gibbons | Social Worker | Surveyor conducting complaint investigation |
| Joseph Schumacher | Registered Nurse | Surveyor conducting complaint investigation |
| Kaylene Straetker | Registered Nurse | Surveyor conducting complaint investigation |
| Felishia Hoagland | LPN Crossroads Manager | Named in response letter regarding complaint correction |
Inspection Report
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
| Name | Title | Context |
|---|---|---|
| Felishia Hoagland | Administrator | Responsible for correcting the violation and ongoing compliance |
| Joseph Schumacher | Registered Nurse | Surveyor who conducted the complaint investigation |
| Kaylene Straetker | Registered Nurse | Surveyor who conducted the complaint investigation |
Document
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
| Name | Title | Context |
|---|---|---|
| Jack D. Vetter | Chairman of the Board and CEO | Listed as director and officer of Vetter Senior Living and subsidiaries (page 5) |
| Eldora D. Vetter | Secretary | Listed as director and officer of Vetter Senior Living and subsidiaries (page 5) |
| Glenn Van Ekeren | President | Listed as director and officer of Vetter Senior Living and subsidiaries; also authorized representative on renewal application (page 2 and 5) |
| Brian Stuhr | Treasurer | Listed as officer of Vetter Senior Living and subsidiaries (page 5) |
| Heath Boddy | Listed as director of Vetter Senior Living and subsidiaries (page 5) | |
| Felisha Hoagland | Administrator | Named on renewal application form (page 2) |
Notice
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
| Name | Title | Context |
|---|---|---|
| Alice Smith | Administrator | Named as facility administrator on renewal application and Alzheimer's special care unit disclosure |
| Brian Stuhr | Authorized Representative | Signed renewal application and Alzheimer's special care unit disclosure as authorized representative |
| Glenn Van Ekeren | Authorized Representative | Named on renewal application as authorized representative and listed as President of Vetter Senior Living |
| Jack D. Vetter | Chairman of the Board and CEO | Listed as Chairman of the Board and CEO of Vetter Senior Living |
| Eldora D. Vetter | Secretary | Listed as Secretary of Vetter Senior Living |
| Brian Stuhr | Treasurer | Listed as Treasurer of Vetter Senior Living |
| Shari Terry | Listed as Board member of Vetter Senior Living | |
| Pat Gould | Deputy State Fire Marshal | Inspected facility for occupancy permit |
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