Inspection Reports for
Pathfinder Senior Living

NE, 68025

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 0.6 deficiencies/year

Deficiencies are regulatory findings recorded during state inspections.

86% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2011
2012
2014
2019
2023

Occupancy

Latest occupancy rate 68% occupied

Based on a February 2019 inspection.

Occupancy rate over time

40% 60% 80% 100% Mar 2011 Feb 2012 Mar 2014 Sep 2014 Dec 2014 Feb 2019

Notice

Capacity: 47 Deficiencies: 0 Date: Apr 30, 2023

Visit Reason
This document serves to verify that Pathfinder Senior Living is licensed as an assisted-living facility through the date indicated on the renewal card and includes the renewal application and occupancy permit.

Findings
The documents confirm the facility meets statutory requirements for licensure renewal as an assisted-living facility with a maximum occupancy of 47 beds. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 47

Inspection Report

Complaint Investigation
Census: 32 Deficiencies: 1 Date: Feb 5, 2019

Visit Reason
An unannounced visit was conducted to investigate a complaint at Pathfinder Place regarding allegations that the facility failed to protect resident rights, obtain emergency care, and provide assistance with activities of daily living.

Complaint Details
The complaint investigation was substantiated for failure to protect one resident from elopement. The facility had a total census of 32 residents. Resident 5 eloped multiple times between 2/2/2019 and 2/4/2019, with incomplete 15-minute check documentation and door security issues noted.
Findings
The facility was found to be in compliance with regulatory requirements related to resident rights, emergency care, and assistance with activities of daily living. However, the facility failed to protect one resident from elopement, with multiple documented incidents of the resident leaving the facility unsupervised.

Deficiencies (1)
Facility failed to protect Resident 5 from elopement, with multiple incidents of the resident leaving the facility unsupervised and inadequate door security measures.
Report Facts
Census: 32 Elopement incidents: 2 15-minute checks missing documentation: 1

Employees mentioned
NameTitleContext
Connie VogtProgram ManagerSigned letter as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health
Charlotte RuncieAdministratorFacility Administrator named in the report

Inspection Report

Complaint Investigation
Census: 37 Deficiencies: 0 Date: Dec 29, 2014

Visit Reason
An unannounced visit was conducted to investigate a complaint regarding multiple allegations about the facility's appropriateness for assisted living, provision of services, equipment availability, meal nutrition, staffing adequacy, and nursing task complexity.

Complaint Details
The complaint alleged the facility failed to ensure residents were appropriate for assisted living, failed to provide services as agreed, lacked appropriate equipment, failed to provide nutritionally adequate meals, had inadequate staffing, and allowed staff to perform complex nursing tasks. All allegations were found unsubstantiated.
Findings
The investigation found no violations related to any of the allegations. The facility was determined to provide appropriate care, services, equipment, meals, and staffing consistent with resident needs and service agreements.

Report Facts
Facility census: 37

Employees mentioned
NameTitleContext
Connie HeavinSocial WorkerConducted the complaint investigation
Eve LewisProgram ManagerSigned the report as representative of the Office of Long Term Care Facilities

Inspection Report

Complaint Investigation
Census: 35 Deficiencies: 0 Date: Sep 24, 2014

Visit Reason
An unannounced visit was conducted to investigate a complaint at Pathfinder Place on September 24, 2014, regarding failure to implement fall interventions after a resident was noted as fall risk.

Complaint Details
The complaint alleged failure to implement fall interventions, ensure food handling, provide agreed services, clean equipment between usage, meet retention criteria, and have appropriate equipment. All allegations were found to have no concerns or violations upon investigation.
Findings
The facility was found to have no violations related to the allegations including fall interventions, food handling, service provision, equipment cleaning, resident retention criteria, and appropriate equipment to meet residents' needs. Observations, record reviews, and staff interviews confirmed compliance in all areas.

Report Facts
Resident census: 35

Employees mentioned
NameTitleContext
Christine HaleRegistered NurseRepresentative of the Department of Health and Human Services conducting the investigation
Daniel WoodwardRegistered NurseRepresentative of the Department of Health and Human Services conducting the investigation
Eve LewisProgram ManagerSigned the report as Program Manager, Office of Long Term Care Facilities

Inspection Report

Complaint Investigation
Census: 28 Deficiencies: 0 Date: Mar 4, 2014

Visit Reason
An unannounced visit was conducted to investigate a complaint at Pathfinder House regarding whether residents were appropriate for assisted living and met retention criteria.

Complaint Details
The complaint alleged the facility failed to ensure residents were appropriate for assisted living and failed to ensure residents met retention criteria. Both allegations were found to have no violations.
Findings
The facility ensured residents were appropriate for assisted living and met retention criteria, resulting in no violations related to the allegations. Three records were reviewed and interviews and observations were conducted to support these findings.

Report Facts
Facility census: 28 Records reviewed: 3

Employees mentioned
NameTitleContext
Travis CastnerRegistered NurseRepresentative of the Department of Health and Human Services conducting the investigation
Daniel WoodwardRegistered NurseRepresentative of the Department of Health and Human Services conducting the investigation
Eve LewisProgram ManagerSigned correspondence as Program Manager, Office of Long Term Care Facilities

Inspection Report

Complaint Investigation
Census: 39 Deficiencies: 1 Date: Feb 22, 2012

Visit Reason
The inspection was conducted following a complaint investigation at Pathfinder House to determine compliance with licensure regulations for Assisted-Living Facilities.

Complaint Details
The complaint investigation addressed multiple allegations including failure to have an administrator directing daily operations, failure to provide care according to Resident Service Agreements, failure to meet nutritional requirements, inadequate staffing, inaccessible menus, lack of ongoing activities, unsanitary food preparation, and inappropriate resident placement. All allegations except the food safety violation were found to have no violations.
Findings
The facility was found to be in compliance with most allegations except for a violation related to food safety. The facility failed to prepare and store food in a sanitary manner due to no hair restraint worn by dietary staff and unclean kitchen surfaces.

Deficiencies (1)
Failure to prepare and store food in a sanitary manner related to no hair restraint worn by dietary staff and unclean surfaces in the kitchen.
Report Facts
Resident census: 39

Employees mentioned
NameTitleContext
Connie HeavinSocial WorkerSurveyor who conducted the complaint investigation.
Eve LewisAdministratorNamed in letter regarding inspection and compliance.
Angeline BuschResidence DirectorNamed in Plan of Correction letter regarding re-education and kitchen sanitation audits.

Inspection Report

Complaint Investigation
Census: 33 Capacity: 47 Deficiencies: 1 Date: Mar 3, 2011

Visit Reason
The inspection was conducted following a compliance inspection at Pathfinder House to investigate noncompliance with licensure regulations for Assisted-Living Facilities, specifically regarding medication policy review by the Registered Nurse.

Complaint Details
The visit was complaint-related as indicated by the inspection type and the letter referencing a finding of noncompliance following a compliance inspection. Substantiation status is not explicitly stated.
Findings
The facility failed to ensure that all medication policies were reviewed and individualized by the Registered Nurse to reflect facility practices. Policies were corporate and not individualized, and the Registered Nurse was unaware that review at the facility level was needed.

Deficiencies (1)
Failure to ensure all medication policies were reviewed and individualized by the Registered Nurse to reflect facility practices.
Report Facts
Licensed Beds: 47 Facility Census: 33 Inspection Dates: 3 Correction Period: 90 Statement Submission Period: 10

Employees mentioned
NameTitleContext
Lori FrodshamRegistered NurseSurveyor who conducted the inspection and identified the medication policy deficiency
Tami NewbreyAdministrator / Residence DirectorFacility representative named in the inspection and plan of correction
Eve LewisRN-C, Administrator, Office of Long Term Care FacilitiesAuthor of the letter documenting the finding of noncompliance

Notice

Capacity: 47 Deficiencies: 0 Date: APP2024

Visit Reason
This document serves as a renewal application for the assisted-living facility license of Pathfinder Senior Living and includes related licensing and occupancy permit information.

Findings
The documents verify that Pathfinder Senior Living meets statutory requirements as an assisted-living facility and is licensed through the renewal date. The occupancy permit confirms a maximum capacity of 47 beds.

Report Facts
Total licensed beds: 47 Number of beds in Alzheimer's/Special Care Unit: 39 Renewal license fees: 1650 Occupancy permit maximum capacity: 47

Employees mentioned
NameTitleContext
Angie MartinAdministratorNamed as administrator on the renewal application.
Alan LittAuthorized Representative / PresidentSigned renewal application and listed as President.
Thomas LallyAuthorized Representative / Vice PresidentSigned renewal application and listed as Vice President.
Jonathan LittSecretary/TreasurerListed as Secretary/Treasurer in ownership information.
Jim KenneyDeputy State Fire MarshalInspected facility and approved occupancy permit.

Document

Capacity: 47 Deficiencies: 0 Date: APP2016

Visit Reason
The document is a licensure renewal application for the assisted-living facility Pathfinder Place, including ownership information and an occupancy permit.

Findings
The documents verify the licensure renewal status of Pathfinder Place as an assisted-living facility with a total licensed capacity of 47 beds and include detailed ownership and management information along with a fire marshal occupancy permit.

Report Facts
Total licensed beds: 47 Renewal expiration date: Apr 30, 2016

Employees mentioned
NameTitleContext
Eric BensonAdministratorNamed as the facility administrator in the licensure renewal application.
Akhil SharmaAuthorized OfficerListed as an authorized officer in ownership/control attachments.
Daniel Marshall GuillAuthorized OfficerListed as an authorized officer in ownership/control attachments.
Ronald CamiVice PresidentListed as an officer in ownership/control attachments.
Clive BodeTreasurerListed as an officer in ownership/control attachments.
Jack Richard Callison, Jr.Authorized OfficerListed as an officer in ownership/control attachments.

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