13 Reports
Inspection Report — Apr 8, 2024
Renewal
Date: Apr 8, 2024
Visit Reason
The document is a renewal licensure application and related certification for Remington Heights Assisted-Living Facility, including a fire marshal certificate of occupancy issued on April 8, 2024.
Findings
The documents confirm that Remington Heights meets statutory requirements for licensure as an assisted-living facility with a maximum occupancy of 79 beds. The fire marshal certificate indicates approval of the facility's occupancy and layout.
Report Facts
Total licensed beds: 79
Maximum Occupancy: 79
Inspection Report — Apr 1, 2019
Renewal
Date: Apr 1, 2019
Visit Reason
The document is related to the renewal of the assisted-living facility license for Remington Heights, including submission of the renewal application, floor plan, certificate of occupancy, and payment of the renewal fee.
Findings
The documents confirm that Remington Heights is licensed as an assisted-living facility with a total licensed capacity of 79 beds. The renewal application and supporting documents were submitted, including a certificate of occupancy dated March 21, 2018, and a renewal fee payment of $1,950.
Report Facts
Renewal fee amount: 1950
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shelly Watson | Administrator | Named as facility administrator on renewal application |
| Teresa L. Thigpen | Assistant Licensure Coordinator | Signed cover letter submitting renewal documents |
| Cindy S. Cross | Vice President/Secretary | Authorized representative signing renewal application |
| Forrest L. Preston | Member | Authorized representative signing renewal application |
Inspection Report — Sep 26, 2018
Complaint Investigation
Date: Sep 26, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Remington Heights on September 26, 2018. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.
Complaint Details
The complaint allegations included failure to ensure residents meet admission criteria, protect residents from retaliation, address grievances/complaints, ensure medications are accounted for, ensure employees with adverse backgrounds are appropriate, and follow the resident service agreement. The facility was found compliant on all except the medication aide certification issue.
Findings
The facility was found to be in compliance with admission criteria, protection from retaliation, grievance handling, medication accounting, and resident service agreements. However, a violation was cited for failure to ensure one medication aide met the requirements for certification as a 40 hour Medication Aide.
Deficiencies (1)
Failure to ensure one medication aide had met the requirements for certification as a 40 hour Medication Aide.
Report Facts
Number of medication aides: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shelly Watson | Administrator | Interviewed regarding medication aide certification and background checks |
| Connie Vogt | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the inspection report letter |
Inspection Report — Jul 5, 2018
Complaint Investigation
Date: Jul 5, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging the facility fails to ensure residents are free from abuse.
Complaint Details
The complaint alleged failure to ensure residents are free from abuse. The allegations were investigated and not substantiated.
Findings
The facility was found to ensure residents are free from abuse. An investigation was conducted and the abuse allegations were not substantiated. Staff were knowledgeable about abuse and neglect reporting, and the facility had policies in place regarding abuse protection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed the report and identified as representative of the Office of LTC Facilities - Licensure Unit |
Inspection Report — Apr 17, 2018
Renewal
Date: Apr 17, 2018
Visit Reason
The document is related to the renewal of the assisted-living facility license for Remington Heights, including submission of renewal application, fee payment, and supporting documents.
Findings
The report includes the renewal application, facility floor plans, certificate of occupancy, and payment of the renewal fee. No deficiencies or violations are noted in the provided documents.
Report Facts
Renewal fee amount: 1950
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gary Eby | Administrator | Named as facility administrator in the renewal application. |
| Cindy S. Cross | Assistant Secretary | Authorized representative signing the renewal application. |
| Teresa L. Thigpen | Assistant Licensure Coordinator | Signed cover letter submitting renewal documents. |
Inspection Report — Feb 22, 2016
Complaint Investigation
Date: Feb 22, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Remington Heights on February 22-23, 2016 by the Department of Health and Human Services Division of Public Health.
Complaint Details
The complaint investigation included allegations that the facility failed to provide sufficient supervision, adequate staffing, competent medication administration, accounting for controlled substances, protection from misappropriation, water temperature regulation, medication security, confidentiality, and a safe environment to prevent falls. The facility was found compliant on most allegations except for deficiencies in staff registry checks, orientation, ongoing training, and infection control practices.
Findings
The facility was found to be in compliance with many allegations including supervision, staffing, medication competency, controlled substances accounting, medication security, confidentiality, and fall prevention. However, deficiencies were found related to failure to complete registry checks for direct care staff, failure to provide timely orientation and ongoing training, and failure to follow proper hand hygiene and Foley catheter care protocols.
Deficiencies (4)
Failed to ensure APS and CPS registry checks were completed for 6 direct care staff members and nurse aide registry checks for 5 direct care staff members.
Failed to provide evidence of orientation being completed within two weeks of hire for 4 direct care staff members.
Failed to provide evidence of 12 hours of ongoing training for 4 direct care staff members.
Failed to complete hand hygiene between glove changes and failed to provide Foley catheter care to protect a resident from potential contamination.
Report Facts
Direct Care Staff with missing APS/CPS registry checks: 6
Direct Care Staff with missing Nurse Aide registry checks: 5
Direct Care Staff without timely orientation: 4
Direct Care Staff without required ongoing training hours: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christine Plog | LPN, Resident Care Director | Responsible for rounds to ensure nursing staff follow proper handwashing, gloving, and catheter care protocols. |
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the inspection report. |
Notice — APP2025
Date: APP2025
Visit Reason
This document serves to verify the assisted-living facility's license renewal and includes the renewal application, corporate management information, and related operating agreements.
Findings
The documents confirm the facility's licensure status, ownership structure, and corporate management details. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 79
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gary Eby | Administrator | Named on the renewal application (page 2). |
| Cindy S. Cross | Vice President | Named as Vice President and signatory on renewal application (page 2 and 24). |
| Joan E. Thurmond | Assistant Secretary | Named as Assistant Secretary and signatory on renewal application (page 2 and 24). |
| Forrest L. Preston | Member | Named as member with 99% ownership interest (pages 3, 4, 26). |
| Aubrey B. Preston | President | Named as President of corporate manager (page 4). |
| J. Stephen Ziegler | Vice President | Named as Vice President of corporate manager (page 4). |
| Lisa M. Lay | Treasurer | Named as Treasurer of corporate manager (page 4). |
| Richard Swanker | Chief Tax Officer | Named as Chief Tax Officer of corporate manager (page 4). |
Notice — APP2016
Date: APP2016
Visit Reason
The document serves as a licensure renewal application and verification for the assisted-living facility Remington Heights, including submission of bed count forms and renewal fee information.
Findings
The documents confirm the facility's licensure renewal status, provide the licensed bed capacity, and include fire marshal occupancy certification and evacuation route maps. No inspection findings or deficiencies are reported.
Report Facts
Total number of beds to be relicensed: 79
Maximum occupancy: 79
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathy Boroff | RN Executive Director | Named as Administrator on the licensure renewal application. |
| Forrest L. Preston | Member | Authorized representative signing the licensure renewal application. |
| Cindy S. Cross | Assistant Secretary | Authorized representative signing the licensure renewal application. |
| Karen Drews | Contact person for renewal application information from DHHS Health Care Facilities. | |
| Captain David Mausbach | Inspector for Nebraska State Fire Marshal Certificate of Occupancy. |
Notice — APP2017
Date: APP2017
Visit Reason
This document serves to verify the licensure renewal of Remington Heights Assisted-Living Facility and provides occupancy and bed count information along with fire marshal occupancy certification.
Findings
The documents confirm that Remington Heights is licensed as an assisted-living facility with a total licensed capacity of 79 beds. The Nebraska State Fire Marshal issued a certificate of occupancy for a maximum of 79 persons/beds. Bed count forms detail licensed and occupied beds across multiple floors.
Report Facts
Licensed beds: 64
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathy Boroff | RN Executive Director | Named as facility administrator in licensure renewal application. |
| David Mausbach | Inspector who conducted fire marshal occupancy inspection. | |
| Forrest L. Preston | Member | Member of Remington Heights Retirement Investors LLC, ownership entity. |
| Cindy S. Cross | Assistant Secretary | Authorized representative signing licensure renewal application. |
Notice — APP2020
Date: APP2020
Visit Reason
This document serves as a licensure renewal verification and application for the assisted-living facility Remington Heights, confirming the facility's license renewal through the indicated expiration date.
Findings
The document certifies that Remington Heights meets statutory requirements as an assisted-living facility and is licensed through the renewal date. It includes ownership information, facility capacity, and contact details without any inspection findings or deficiencies.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shelly Watson | Administrator | Listed as facility administrator on renewal application |
| Forrest L. Preston | Member | Member of Remington Heights Retirement Investors, LLC with 99% membership interest |
| Cindy S. Cross | Vice President/Secretary | Authorized representative signing renewal application |
Notice — APP2021
Date: APP2021
Visit Reason
This document serves to verify that Remington Heights Assisted-Living Facility is licensed through the date indicated on the renewal card and includes a renewal application for the facility license.
Findings
The document confirms the facility meets statutory requirements for assisted-living licensure and provides ownership and corporate officer information. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 79
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shelly Watson | Administrator | Named in the renewal application |
| Forrest L. Preston | President | Corporate officer listed in Exhibit B |
| Cindy S. Cross | Vice President/Secretary | Corporate officer listed in Exhibit B |
| Joan E. Thurmond | Assistant Secretary | Corporate officer listed in Exhibit B |
Notice — APP2022
Date: APP2022
Visit Reason
This document serves as a renewal application and verification of licensure for the assisted-living facility Remington Heights, including renewal fees and certification of occupancy.
Findings
The documents confirm that Remington Heights meets statutory requirements as an assisted-living facility and is licensed through the renewal date. The facility has a maximum licensed capacity of 79 beds as verified by the fire marshal certificate.
Report Facts
Total licensed beds: 79
Renewal license expiration date: License expires on 2023-04-30 as shown on the renewal card.
Renewal license fees: 950
Renewal license fees: 1450
Renewal license fees: 1650
Renewal license fees: 1950
Notice — APP2023
Date: APP2023
Visit Reason
The document serves to verify the assisted-living facility's license renewal and includes the renewal application for the facility Remington Heights.
Findings
The documents confirm that Remington Heights meets statutory requirements as an assisted-living facility and provides details about ownership, corporate management, and fire safety occupancy certification.
Report Facts
Total licensed beds: 79
Renewal license fees: 1950
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gary Eby | Administrator | Named in the renewal application form. |
| Cindy S. Cross | Vice President | Authorized representative signing the renewal application. |
| Joan E. Thurmond | Assistant Secretary | Authorized representative signing the renewal application. |
| Forrest L. Preston | President | Corporate officer listed in corporate manager information. |
| J. Stephen Ziegler | Vice President | Corporate officer listed in corporate manager information. |
| Lisa M. Lay | Treasurer | Corporate officer listed in corporate manager information. |
| Richard Swanker | Chief Tax Officer | Corporate officer listed in corporate manager information. |
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