Inspection Reports for
Westgate Assisted Living

NE, 68124

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 0.3 deficiencies/year

Deficiencies are regulatory findings recorded during state inspections.

93% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2012
2015
2016
2019

Occupancy

Latest occupancy rate 75% occupied

Based on a December 2015 inspection.

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

Occupancy rate over time

64% 72% 80% 88% 96% 104% Oct 2012 Dec 2015

Notice

Capacity: 80 Deficiencies: 0 Date: Apr 9, 2019

Visit Reason
The document serves as a licensure renewal application and certificate of occupancy for Westgate Assisted Living, verifying the facility's license renewal and maximum occupancy.

Findings
The facility is licensed as an assisted-living facility with a total licensed capacity of 80 beds. The certificate of occupancy confirms a maximum occupancy of 80 persons/beds as of July 30, 2018.

Report Facts
Total licensed beds: 80 Maximum occupancy: 80

Employees mentioned
NameTitleContext
Brad BuschowAdministratorNamed as facility administrator in the licensure renewal application
Dan CosgroveInspector who issued the Certificate of Occupancy
Katherine E. PotterPresident & Chief Executive OfficerOfficer of Five Star Quality Care-NE, LLC, the ownership entity
Richard A. DoyleExecutive VP, Chief Financial Officer & TreasurerOfficer of Five Star Quality Care-NE, LLC, the ownership entity
Lisa J. CooneyVice President, General Counsel & Assistant SecretaryOfficer of Five Star Quality Care-NE, LLC, the ownership entity
Jennifer B. ClarkCorporate SecretaryOfficer of Five Star Quality Care-NE, LLC, the ownership entity
Adam D. PortnoyDirectorDirector of Five Star Quality Care-NE, LLC, the ownership entity
Gerard M. MartinDirectorDirector of Five Star Quality Care-NE, LLC, the ownership entity

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Feb 13, 2019

Visit Reason
An unannounced visit was conducted to investigate a complaint at Heritage Crossings on February 13, 2019, regarding failure to identify changes of condition, notify responsible parties of changes, and provide adequate fluid intake to prevent dehydration.

Complaint Details
The complaint alleged failure to identify a change of condition, failure to notify the responsible party of changes in condition, and failure to provide adequate fluid intake to prevent dehydration. The investigation found the facility compliant with all these allegations.
Findings
The facility was found to be in compliance with all relevant regulations related to identifying changes in condition, notifying responsible parties, and providing adequate fluid intake to prevent dehydration.

Employees mentioned
NameTitleContext
Connie VogtProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Aug 3, 2016

Visit Reason
An unannounced visit was conducted to investigate a complaint that the facility fails to administer medications according to practitioner's orders.

Complaint Details
The complaint alleged failure to administer medications according to practitioner's orders. The complaint was not substantiated as the facility was found compliant.
Findings
The facility was found to administer medications according to practitioner's orders based on observations, record reviews, and resident interviews, and was determined to be in compliance with all related regulatory requirements.

Employees mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS

Inspection Report

Complaint Investigation
Census: 60 Deficiencies: 0 Date: Dec 8, 2015

Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Westgate Assisted Living on December 8-9, 2015 by the Department of Health and Human Services Division of Public Health.

Complaint Details
The complaint investigation included allegations regarding misappropriation of residents' property, incomplete transfer information, unauthorized handling of residents' finances, failure to follow service agreements, failure to protect residents from verbal abuse, and other concerns. All allegations were found to be unsubstantiated with the facility in compliance.
Findings
The facility was found to be in compliance with regulatory guidelines across multiple allegations including residents' property accounting, transfer information completeness, handling of residents' finances, resident service agreements, protection from verbal abuse, call notification response, appropriateness of residents for assisted living, grievance resolution, and provision of a clean and safe environment.

Report Facts
Facility census: 60

Employees mentioned
NameTitleContext
Dan TaylorRN, Training Coordinator - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the inspection report and correspondence
Lori FrodshamRegistered NurseConducted the Compliance Inspection on December 9, 2015
Carol NenemanSocial WorkerConducted the Compliance Inspection on December 9, 2015

Inspection Report

Complaint Investigation
Census: 65 Deficiencies: 1 Date: Oct 3, 2012

Visit Reason
An unannounced visit was conducted to investigate a complaint survey at Westgate Assisted Living on October 3, 2012, focusing on allegations that the facility failed to prevent accidents and honor resident requests for emergency services.

Complaint Details
The allegation that the facility failed to prevent accidents was substantiated. The allegation that the facility failed to honor resident requests for emergency services was found to have no violation.
Findings
The facility was found to have substantiated violations related to failure to prevent accidents for one resident and no violation related to emergency services requests. The investigation included interviews, record reviews, and observations, revealing a failure to securely strap a resident during transport resulting in injury.

Deficiencies (1)
Failure to prevent accidents for one resident of eight sampled residents, specifically failure to securely strap a resident during transport causing injury.
Report Facts
Resident census: 65 Resident sample size: 6 Number of drivers re-inserviced: 3

Employees mentioned
NameTitleContext
Dain WeissRegistered NurseSurveyor conducting complaint investigation
Susan GriepestrohRegistered NurseSurveyor conducting complaint investigation
Brad BuschowExecutive DirectorNamed in plan of correction and interview regarding findings
Van Driver AInterviewed regarding transport incident and van safety practices
Van Driver BInterviewed regarding van safety education
Eve LewisAdministratorSigned initial letter and noted acceptance of plan of correction

Notice

Capacity: 80 Deficiencies: 0 Date: APP2018

Visit Reason
This document serves as a licensure renewal application and verification for Westgate Assisted Living, confirming the facility's license status and renewal fees.

Findings
The document confirms that Westgate Assisted Living is licensed as an assisted-living facility with a total licensed capacity of 80 beds. It includes ownership and corporate structure details, renewal fees, and certification of compliance with state regulations.

Report Facts
Total licensed beds: 80 Renewal fees: 1950 Maximum occupancy: 80

Employees mentioned
NameTitleContext
Brad BuschowAdministratorNamed as facility administrator in the licensure renewal application
Richard A. DoyleTreasurer & Chief Financial OfficerNamed as Treasurer & CFO in corporate officers list
Bruce J. Mackey Jr.President & Chief Executive OfficerNamed as President & CEO in corporate officers list
R. Scott HerzigSenior Vice President & Chief Operating OfficerNamed as Senior VP & COO in corporate officers list
Katherine E. PotterVice President, General Counsel & Assistant SecretaryNamed as VP, General Counsel & Assistant Secretary in corporate officers list
Jennifer B. ClarkCorporate SecretaryNamed as Corporate Secretary in corporate officers list
Adam D. PortnoyDirectorNamed as Director in corporate officers list
Gerard M. MartinDirectorNamed as Director in corporate officers list

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