11 Reports
Inspection Report — Mar 29, 2021
Renewal
Date: Mar 29, 2021
Visit Reason
The document is a renewal application and license verification for the assisted-living facility Nye Square, confirming licensure through the renewal date and requesting renewal of the facility license.
Findings
The document certifies that Nye Square meets statutory requirements as an assisted-living facility and includes the renewal application details, ownership information, and occupancy permit confirming a maximum capacity of 50 beds.
Report Facts
Total licensed beds: 50
Renewal license expiration date: Apr 30, 2022
Occupancy permit maximum beds: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joe DiMinico | Administrator | Named as facility administrator in renewal application |
| Russell Peterson | President | Authorized representative signing renewal application |
| Jennifer Peterson | Vice-President | Authorized representative signing renewal application |
| Gary J. Anthone, MD | Chief Medical Officer, Director, Division of Public Health | Named on license certification |
| Susen Lindner | Deputy State Fire Marshal | Inspector on occupancy permit |
Inspection Report — Apr 18, 2017
Renewal
Date: Apr 18, 2017
Visit Reason
This document serves as a licensure renewal for the assisted-living facility Nye Square, verifying that the facility is licensed through the date indicated on the renewal card.
Findings
The document confirms that Nye Square meets statutory requirements as an assisted-living facility and includes the renewal of its license and occupancy permit with a maximum capacity of 50 beds.
Report Facts
Total licensed beds: 50
Renewal expiration date: Apr 30, 2018
Occupancy permit date issued: Apr 18, 2016
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gail Little-Osberg | Administrator | Named as facility administrator in the renewal application |
| Russell Peterson | Authorized Representative | Signed the renewal application as authorized representative |
| Jennifer Peterson | Authorized Representative | Signed the renewal application as authorized representative |
| James Sloup | Deputy State Fire Marshal | Inspected and approved the occupancy permit |
Inspection Report — Jan 20, 2015
Routine
Date: Jan 20, 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 Compliance Inspection were commendable.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christine Hale | Registered Nurse | Conducted the Compliance Inspection |
| Connie Heavin | Social Worker | Conducted the Compliance Inspection |
| Eve Lewis | Program Manager | Signed the inspection acknowledgment letter |
Notice — APP2016
Date: APP2016
Visit Reason
This document serves as a licensure renewal application and verification for Nye Square Assisted-Living Facility, confirming the facility's licensed status and renewal of its license.
Findings
The documents confirm the facility meets statutory requirements for licensure renewal and include an occupancy permit certifying a maximum occupancy of 50 beds.
Report Facts
Total licensed beds: 50
Notice — APP2018
Date: APP2018
Visit Reason
This document serves as a license renewal application and verification for the assisted-living facility Nye Square, confirming the facility's licensed status and capacity.
Findings
The documents confirm that Nye Square Assisted Living meets statutory requirements for licensing renewal and holds an occupancy permit for 50 beds. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 50
Renewal fees: 950
Notice — APP2019
Date: APP2019
Visit Reason
This document serves to verify that Nye Square Assisted-Living Facility is licensed through the indicated renewal date and includes the renewal application for continued licensure.
Findings
The document confirms the facility's licensure status and renewal application details, including ownership and business organization information. It also includes a fire marshal occupancy permit indicating a maximum occupancy of 42 beds.
Report Facts
Total licensed beds: 50
Maximum occupancy: 42
Renewal expiration date: Apr 30, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joe Diminico | Administrator | Named as facility administrator in the renewal application (page 2). |
| Kyle Woodgate | Deputy State Fire Marshal | Inspected and approved the occupancy permit (page 3). |
Notice — APP2020
Date: APP2020
Visit Reason
This document serves as a renewal application and verification for the assisted-living facility license for Nye Square, including confirmation of licensure through the renewal date and occupancy permit details.
Findings
The documents confirm that Nye Square Assisted Living meets statutory requirements for licensure renewal with a total licensed capacity of 50 beds and includes an occupancy permit issued by the Nebraska State Fire Marshal.
Report Facts
Total licensed beds: 50
Renewal expiration date: Apr 30, 2021
Occupancy maximum: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Russell Peterson | President | Authorized representative signing the renewal application (page 2). |
| Jennifer Peterson | Vice-President | Authorized representative signing the renewal application (page 2). |
| Gary J. Anthone, MD | Chief Medical Officer, Director, Division of Public Health | Named on the license renewal verification (page 1). |
| Kyle Woodgate | Deputy State Fire Marshal | Inspected and approved the occupancy permit (page 4). |
Notice — APP2022
Date: APP2022
Visit Reason
This document serves to verify that the assisted-living facility Nye Square is licensed through the date indicated on the renewal card and includes the renewal application and occupancy permit.
Findings
The documents confirm that Nye Square meets statutory requirements as an assisted-living facility, is licensed for 50 beds, and holds an occupancy permit issued by the Nebraska State Fire Marshal.
Report Facts
Total licensed beds: 50
Renewal license expiration date: License expiration date shown as 4/30/2023 on renewal card.
Occupancy permit issue date: Occupancy permit issued on 11/24/2020.
Notice — APP2023
Date: APP2023
Visit Reason
This document serves as a renewal application and verification that the assisted-living facility Nye Square is licensed through the date indicated on the renewal card.
Findings
The document confirms that Nye Square meets statutory requirements as an assisted-living facility and is licensed through 4/30/2024. It includes ownership information, licensing details, and an occupancy permit.
Report Facts
Total licensed beds: 50
Renewal license expiration date: Expires 4/30/2024 as shown on renewal card
Notice — APP2024
Date: APP2024
Visit Reason
This document serves as a renewal application and verification of licensure for the assisted-living facility Nye Square, confirming the facility's licensed status through the renewal period.
Findings
The documents confirm that Nye Square meets statutory requirements as an assisted-living facility with a licensed capacity of 50 beds, and includes an occupancy permit issued on 2023-11-01.
Report Facts
Total licensed beds: 50
Renewal license expiration date: Expires 2025-04-30 as shown on renewal card
Occupancy permit date issued: Issued on 2023-11-01
Notice — APP2025
Date: APP2025
Visit Reason
This document serves to verify that Nye Square Assisted-Living Facility is licensed through the date indicated on the renewal card and includes the renewal application for the facility's license.
Findings
The document confirms the facility meets statutory requirements for assisted-living licensure and includes an occupancy permit with a maximum capacity of 50 beds.
Report Facts
Renewal Licensure Fees: 1650
Total licensed beds: 50
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