Inspection Reports for
Remington Heights Retirement

NE, 68154

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 1.3 deficiencies/year

Deficiencies are regulatory findings recorded during state inspections.

69% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2016
2018
2019
2024

Occupancy

Latest occupancy rate 37% occupied

Based on a September 2018 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy rate over time

20% 40% 60% 80% 100% 120% Jan 1970 Feb 2016 Apr 2018 Sep 2018

Inspection Report

Renewal
Capacity: 79 Deficiencies: 0 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

Renewal
Capacity: 79 Deficiencies: 0 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 Total licensed capacity: 79

Employees mentioned
NameTitleContext
Shelly WatsonAdministratorNamed as facility administrator on renewal application
Teresa L. ThigpenAssistant Licensure CoordinatorSigned cover letter submitting renewal documents
Cindy S. CrossVice President/SecretaryAuthorized representative signing renewal application
Forrest L. PrestonMemberAuthorized representative signing renewal application

Inspection Report

Complaint Investigation
Census: 29 Deficiencies: 1 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 Resident census: 29

Employees mentioned
NameTitleContext
Shelly WatsonAdministratorInterviewed regarding medication aide certification and background checks
Connie VogtProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the inspection report letter

Inspection Report

Complaint Investigation
Deficiencies: 0 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
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned the report and identified as representative of the Office of LTC Facilities - Licensure Unit

Inspection Report

Renewal
Census: 79 Capacity: 79 Deficiencies: 0 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
Total licensed capacity: 79 Current census: 79 Renewal fee amount: 1950

Employees mentioned
NameTitleContext
Gary EbyAdministratorNamed as facility administrator in the renewal application.
Cindy S. CrossAssistant SecretaryAuthorized representative signing the renewal application.
Teresa L. ThigpenAssistant Licensure CoordinatorSigned cover letter submitting renewal documents.

Inspection Report

Complaint Investigation
Census: 38 Deficiencies: 4 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
Census: 38 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
NameTitleContext
Christine PlogLPN, Resident Care DirectorResponsible for rounds to ensure nursing staff follow proper handwashing, gloving, and catheter care protocols.
Eve LewisProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the inspection report.

Notice

Capacity: 64 Deficiencies: 0 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
Licensed capacity: 64 Total number of beds to be relicensed: 79 Maximum occupancy: 79

Employees mentioned
NameTitleContext
Kathy BoroffRN Executive DirectorNamed as Administrator on the licensure renewal application.
Forrest L. PrestonMemberAuthorized representative signing the licensure renewal application.
Cindy S. CrossAssistant SecretaryAuthorized representative signing the licensure renewal application.
Karen DrewsContact person for renewal application information from DHHS Health Care Facilities.
Captain David MausbachInspector for Nebraska State Fire Marshal Certificate of Occupancy.

Notice

Census: 79 Capacity: 79 Deficiencies: 0 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
Census: 79 Total Capacity: 79

Employees mentioned
NameTitleContext
Shelly WatsonAdministratorListed as facility administrator on renewal application
Forrest L. PrestonMemberMember of Remington Heights Retirement Investors, LLC with 99% membership interest
Cindy S. CrossVice President/SecretaryAuthorized representative signing renewal application

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