Inspection Reports for
Richmont Terrace Assisted Living & Memory Care
620 FORT CROOK ROAD SOUTH MEMORY CARE ENDORSE, BELLEVUE, NE, 68005
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
0 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
Same as Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Renewal
Capacity: 114
Deficiencies: 0
Date: May 4, 2023
Visit Reason
The document is a renewal application and license renewal verification for Richmont Terrace Assisted Living & Memory Care, confirming the facility's licensure and renewal status.
Findings
The document verifies that Richmont Terrace Assisted Living & Memory Care meets statutory requirements for licensure as an assisted-living facility with Alzheimer's and memory care endorsement. It includes facility information, ownership details, capacity, and staffing patterns.
Report Facts
Total licensed beds: 114
Maximum occupancy: 144
Maximum endorsed capacity: 28
Renewal application date: 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Annie Dyer | Administrator | Named as facility administrator on renewal application and Alzheimer's Special Care Unit Disclosure (pages 2 and 9). |
| Jason Lange | Authorized Representative | Signed renewal application and Alzheimer's Special Care Unit Disclosure as authorized representative (pages 2 and 9). |
| MaryLynne Bolden | Authorized Representative | Signed renewal application as authorized representative (page 2). |
Inspection Report
Routine
Deficiencies: 0
Date: May 5, 2016
Visit Reason
The inspection was a Compliance Inspection conducted at the assisted living facility to assess compliance with 175 NAC 4 – 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 |
|---|---|---|
| Lori Frodsham | Registered Nurse | Conducted the Compliance Inspection |
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit | Signed the inspection results letter |
Notice
Capacity: 144
Deficiencies: 0
Date: APP2017
Visit Reason
This document serves as a licensure renewal application and certification for Richmont Terrace Assisted Living & Memory Care, verifying the facility's license status and providing detailed information about the facility, ownership, special care endorsement, staffing, and services.
Findings
The documents confirm that Richmont Terrace Assisted Living & Memory Care is licensed through the renewal date, with a maximum licensed capacity of 144 beds. The facility includes an Alzheimer's Special Care Unit and Memory Care Endorsement, with detailed descriptions of admission criteria, staffing patterns, training, physical environment, resident activities, family support, and fee structure.
Report Facts
Total licensed capacity: 144
Number of beds to be relicensed: 114
Staffing ratio: 5
Staffing ratio: 7
Staff training hours: 12
Dementia care training hours: 4
Suite monthly fee: 4800
Suite monthly fee: 5400
Deluxe suite monthly fee: 5200
Deluxe suite monthly fee: 5800
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrew Diediker | Administrator | Named as facility administrator on licensure renewal application. |
| MaryLynne Bolden | Authorized Representative | Named as contact and authorized representative on Alzheimer's Special Care Unit Disclosure and Memory Care Endorsement Application. |
| Jason W. Lange | Named as part of MJ Senior Housing, LLC ownership group. |
Document
Capacity: 144
Deficiencies: 0
Date: APP2018
Visit Reason
This document set includes licensure renewal application materials and certification documents for Richmont Terrace Assisted Living & Memory Care, verifying licensure status, ownership, capacity, and compliance with Alzheimer's Special Care Unit and Memory Care Endorsement requirements.
Findings
The documents confirm that Richmont Terrace Assisted Living & Memory Care is licensed with a total capacity of 144 beds, including 114 beds endorsed for memory care. The facility meets statutory requirements and has a detailed care philosophy, staffing patterns, training programs, and physical environment designed for residents with Alzheimer's and related dementias.
Report Facts
Total licensed capacity: 144
Memory care endorsed capacity: 114
License expiration date: 2019
Staffing ratio: 1:5-7
Activity training hours: 4
Annual continuing education hours: 12
Room rates: 5300
Room rates: 5900
Room rates: 5700
Room rates: 6300
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrew Diediker | Administrator | Named as facility administrator |
| MaryLynne Bolden | Authorized Representative | Signed renewal application and Alzheimer's Special Care Unit Disclosure and Memory Care Endorsement Application |
Inspection Report
Renewal
Capacity: 144
Deficiencies: 0
Date: APP2021
Visit Reason
The document is a renewal application and certification for the assisted-living facility license of Richmont Terrace Assisted Living & Memory Care, verifying licensure and renewal status.
Findings
The document confirms that Richmont Terrace Assisted Living & Memory Care meets statutory requirements for licensure as an assisted-living facility with Alzheimer's and memory care endorsements. It includes facility information, ownership details, staffing patterns, and care philosophies.
Report Facts
Total licensed beds: 144
Beds to be relicensed: 114
Alzheimer's/Special Care Unit beds: 28
Renewal Licensure Fee: 1950
Staffing minimums: 1
Staffing minimums: 1
Staffing minimums: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Annie Dyer | Administrator | Named as facility administrator and applicant on renewal application |
| Jason Lange | Contact | Named as contact for legal owning entity Richmont Terrace II, LLC |
| Gary J. Anthone, MD | Chief Medical Officer, Director, Division of Public Health | Named on certification of licensure |
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