Inspection Reports for
Stone Hearth Estates

110 W 20TH STREET, SUITE 400, GOTHENBURG, NE, 69138

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 0.5 deficiencies/year

Deficiencies are regulatory findings recorded during state inspections.

88% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2014
2017

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Nov 16, 2017

Visit Reason
An unannounced visit was conducted to investigate a complaint that the facility fails to protect residents from abuse.

Complaint Details
The allegation that the facility failed to protect residents from abuse was investigated and found to be unsubstantiated.
Findings
The investigation found no evidence of abuse; residents were protected from abusive residents and staff were attentive. The facility was found to be in compliance with related regulatory requirements.

Employees mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned the report and identified as Training Coordinator, Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: May 17, 2017

Visit Reason
An unannounced visit was conducted to investigate a complaint that the facility fails to have staff in accordance with regulations.

Complaint Details
The allegation that the facility failed to have staff in accordance with regulations was investigated and found to be unsubstantiated.
Findings
The investigation found that the facility had staff to meet the regulated requirements and was in compliance with related regulatory requirements.

Employees mentioned
NameTitleContext
Eve LewisProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the report and identified as the program manager overseeing the investigation.

Inspection Report

Complaint Investigation
Census: 57 Deficiencies: 1 Date: Sep 24, 2014

Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Stone Hearth Estates on September 24, 2014. The investigation included review of resident records, observation of care, and interviews with residents, family members, and staff.

Complaint Details
The complaint alleged the facility failed to ensure residents were free from abuse and failed to act upon grievances and complaints. The investigation found the facility was in compliance with abuse-related requirements and grievance handling, including staff discipline and termination.
Findings
The facility was found to be in compliance with regulatory requirements regarding abuse and grievance handling. However, the facility failed to ensure direct care staff received required orientation training within two weeks of employment, including topics such as resident rights, infection control, emergency procedures, and disaster preparedness.

Deficiencies (1)
Failure to ensure direct care staff received orientation training within two weeks of employment covering resident rights, service agreements, infection control, emergency procedures, abuse reporting, and disaster preparedness.
Report Facts
Facility census: 57 Number of direct care staff: 7

Employees mentioned
NameTitleContext
Carmen BlakeRegistered NurseSurveyor conducting the inspection
Betty SmithRegistered NurseSurveyor conducting the inspection
Barbara NuxollAdministratorFacility administrator named in correspondence and plan of correction
Eve LewisProgram ManagerOffice of Long Term Care Facilities, Licensure Unit, Department of Health and Human Services

Notice

Capacity: 65 Deficiencies: 0 Date: APP2021

Visit Reason
This document set serves as a renewal application and licensure verification for the assisted-living facility Stone Hearth Estates, including occupancy permits and disclosure forms related to Alzheimer's special care and memory care endorsement.

Findings
The documents confirm the facility's licensure renewal status, ownership information, total licensed bed capacity, and include floor plans and staffing details. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 65 Alzheimer's special care beds: 14 Renewal license fee: 1950 Cost of care: 6795 Additional monthly fee for ambulation assistance: 350 Additional daily fee for palliative care: 50 Guest meal charge: 7.5 Holiday buffet meal cost: 12.5

Employees mentioned
NameTitleContext
Jacob FlintAdministratorNamed as facility administrator and contact person in multiple documents.
Deb BaconListed as a Limited Liability Owner of the facility.
Lisa NielsenListed as a Limited Liability Owner of the facility.

Document

Capacity: 65 Deficiencies: 0 Date: APP2025

Visit Reason
The documents pertain to the renewal of the assisted-living facility license for Stone Hearth Estates, including submission of renewal application, occupancy permit, and Alzheimer's special care unit endorsement.

Findings
No inspection findings or deficiencies are reported. The documents verify licensure renewal, facility capacity, ownership, and special care unit endorsement.

Report Facts
Total licensed beds: 65 Alzheimer's special care beds: 14 License renewal expiration date: Apr 30, 2025 Occupancy permit issue date: Nov 13, 2024 Monthly room and board rate: 7865

Employees mentioned
NameTitleContext
Ashley JohnsonAdministratorNamed as facility administrator on renewal application and Alzheimer's special care unit disclosure.
Michael BaconContactContact name listed on Alzheimer's special care unit disclosure and ownership information.
Deborah L BaconAuthorized RepresentativeAuthorized representative who signed renewal application.
Lisa NielsenAuthorized RepresentativeAuthorized representative who signed renewal application and listed as 50% owner of Ray Brown & Associates.
Michael HoeftDeputy State Fire MarshalInspected the facility and approved occupancy permit.

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