Inspection Reports for
Off Broadway Apartments
403 SOUTH 1ST AVENUE, BROKEN BOW, NE, 68822
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
1.9 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
55% better than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
86% occupied
Based on a April 2020 inspection.
Occupancy rate over time
Inspection Report
Renewal
Census: 43
Capacity: 50
Deficiencies: 0
Date: Apr 13, 2020
Visit Reason
The document is a renewal application and related certification for the assisted-living facility Off Broadway Apartments, verifying licensure and compliance for renewal purposes.
Findings
The facility is licensed as an assisted-living facility with a total licensed capacity of 50 beds. The census during the inspection was 43 residents. The facility does not provide beds except for Medicaid Waiver Program participants and has employees occupying empty rooms due to COVID-19 precautions.
Report Facts
Licensed Capacity: 50
Beds Occupied: 43
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Karen K. Connely | Administrator | Named as administrator on renewal application |
| Gene Chapin | Vice President | Named as authorized representative signing renewal application |
| Lyle Schall | Secretary | Named as authorized representative signing renewal application |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 9, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint at Off Broadway Apartments on April 9, 2019, regarding allegations of failure to ensure clean and groomed hair, skin, teeth, and/or nails, and failure to provide care and services per the resident service agreement.
Complaint Details
The complaint alleged the facility failed to ensure clean and groomed hair, skin, teeth, and/or nails, and failed to provide care and services per the resident service agreement. Both allegations were found to be unsubstantiated as the facility was in compliance.
Findings
The facility was found to be in compliance with related regulatory requirements. Residents were observed to be clean and well groomed, and interviews revealed satisfaction with care received. Care and services were provided per the resident service agreement when needed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the inspection report letter |
Inspection Report
Routine
Census: 48
Deficiencies: 3
Date: Dec 19, 2016
Visit Reason
The inspection was a licensure compliance inspection conducted to assess the facility's adherence to licensure regulations for Assisted-Living Facilities.
Findings
The inspection found violations related to food service sanitation, including failure to properly contain hair of dietary staff and lack of a method to test dishwasher chemical sanitization, as well as failure to maintain resident records with designated medical providers for some residents. None of the violations posed imminent danger or immediate adverse effects to residents.
Deficiencies (3)
Dietary staff failed to contain hair properly, risking cross contamination.
Facility lacked a method to test chemical sanitization of the dish machine.
Resident records failed to contain a designated medical provider for 3 of 4 sampled residents.
Report Facts
Census: 48
Residents affected: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ronda Gunther | Registered Nurse | Surveyor conducting inspection |
| Betty Smith | Registered Nurse | Surveyor conducting inspection |
Inspection Report
Renewal
Capacity: 50
Deficiencies: 0
Date: Mar 12, 2016
Visit Reason
The document is a licensure renewal application and related certification for Off Broadway Apartments, an assisted-living facility, verifying the facility's license renewal through the indicated expiration date.
Findings
The documents confirm that Off Broadway Apartments meets statutory requirements as an assisted-living facility and is licensed for 50 beds. The renewal application includes ownership and business organization details, and the occupancy permit confirms a maximum occupancy of 50 beds.
Report Facts
Renewal Fees: 950
Renewal Fees: 1450
Renewal Fees: 1650
Renewal Fees: 1950
Total licensed beds: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adrienne Walz | Administrator | Named as facility administrator on renewal application |
| Lois F (Peg) Keller | Authorized Representative | Signed renewal application as authorized representative |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 2, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint at Off Broadway Apartments regarding the facility's failure to put appropriate interventions in place to prevent injuries.
Complaint Details
The complaint alleged the facility failed to put appropriate interventions in place to prevent injuries. The investigation found the facility compliant and the allegation unsubstantiated.
Findings
The facility was found to have appropriate interventions in place to prevent injuries to residents and was in compliance with relevant regulatory requirements after review of records, observations, and interviews.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager | Signed the report as Program Manager of the Office of Long Term Care Facilities. |
| Dixie Jackson | Social Worker | Conducted the investigation as a representative of the Department of Health and Human Services. |
| Betty Smith | Registered Nurse | Conducted the investigation as a representative of the Department of Health and Human Services. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 18, 2013
Visit Reason
An unannounced visit was conducted to investigate a complaint at Off Broadway Apartments on July 18, 2013, to determine if the facility met retention criteria for residents.
Complaint Details
The allegation was that the facility fails to ensure residents meet retention criteria. The investigation found the allegation unsubstantiated as the facility met the retention criteria.
Findings
The facility was found to ensure that residents met retention criteria, with proper review of medical records, staff awareness of procedures, and appropriate resident placement and transfer practices. The facility was determined to be in compliance with relevant regulatory requirements.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sally Nichols | Registered Nurse | Conducted the investigation visit |
| Eve Lewis | Program Manager | Signed the report |
Inspection Report
Complaint Investigation
Census: 45
Deficiencies: 5
Date: Mar 1, 2011
Visit Reason
The inspection and complaint investigation were conducted due to allegations that the facility failed to provide dietary services as stated in the Resident Service Agreement and failed to address grievances per the procedure of the Resident Service Agreements.
Complaint Details
The complaint investigation was substantiated for failure to address grievances per the Resident Service Agreement procedure for 6 residents. The facility was found compliant with dietary services as alleged.
Findings
The facility was found compliant with dietary services for 42 residents but non-compliant in addressing grievances for 6 of 45 residents. Additional findings included failure to provide written resident rights to some residents, failure to maintain written resident service agreements for some residents, failure to maintain food safety and record keeping requirements, and failure to ensure medication administration documentation for some residents.
Deficiencies (5)
Failure to provide a written copy of all 23 resident rights upon admission for 1 of 4 sampled residents.
Failure to address and initiate efforts to resolve grievances related to food served for 6 residents.
Failure to have a written resident service agreement for 2 of 4 sampled residents.
Failure to maintain a sanitary kitchen environment including hood over stove, ovens, fryer, splash guard, fan, and unlabeled containers.
Failure to ensure medication administration documentation for 2 of 4 sampled residents.
Report Facts
Resident census: 42
Resident census: 45
Residents with grievances not addressed: 6
Residents without written resident service agreement: 2
Containers with brown substance: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Betty Smith | Registered Nurse | Surveyor who conducted the inspection and complaint investigation |
| Jewel Shea | Administrator | Facility administrator named in grievance and compliance correspondence |
| Eve Lewis | RN-C, Administrator | Office of Long Term Care Facilities administrator who signed correspondence |
Inspection Report
Plan of Correction
Deficiencies: 5
Date: Oct 26, 2010
Visit Reason
The document is a plan of correction submitted in response to licensure violations found during a survey completed on October 26, 2010, following a complaint investigation at the facility.
Complaint Details
The complaint investigation was completed on October 26, 2010, by Betty Smith, Registered Nurse. The allegation was that the facility failed to protect residents from mold. The investigation found the facility in compliance with this allegation based on observation and staff interviews.
Findings
The complaint investigation found the facility in compliance with allegations related to mold, but an unrelated licensure violation was identified. The plan of correction outlines steps to address violations related to medication administration, food preparation, cleaning, and housekeeping.
Deficiencies (5)
Medication administration deficiencies including inservice training, policy review, competency observation, and ongoing monitoring.
Noncompliance with food code regulations and ongoing monitoring of employee jewelry when preparing food.
Cleaning and storing of equipment including appliance cleaning, cleaning schedules, pan storage, and policy review with dietary workers.
Cleaning of surfaces including scheduled routine cleaning and monitoring.
Housekeeping and maintenance issues including carpet cleaning, repair of railings, debris removal from ceiling lights, vent cleaning, monitoring of vents and lights, toilet seat cleaning, and wall/ceiling stain repair.
Report Facts
Days to correct violations: 90
Working days to submit statement of compliance: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jewel Shea | Administrator | Signed plan of correction and responsible for submission. |
| Betty Smith | Registered Nurse | Surveyor who completed the complaint investigation. |
Notice
Capacity: 50
Deficiencies: 0
Date: APP2025
Visit Reason
This document serves as a renewal application and verification that Off Broadway Apartments meets statutory requirements as an assisted-living facility, including renewal of licensure and occupancy permit.
Findings
The documents confirm the facility's licensure renewal status, ownership information, occupancy permit with a maximum capacity of 50 beds, and floor plans for the assisted living facility.
Report Facts
Total licensed beds: 50
Renewal license expiration date: 2026
Occupancy permit expiration date: 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Felishia Brock | Administrator | Named as facility administrator on renewal application. |
| Michael Hoeft | Deputy State Fire Marshal | Inspected and approved occupancy permit. |
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