Inspection Reports for Accura HealthCare of Hartington

Issuance of a new Skilled Nursing Facility license to Accura Healthcare Of Hartington due to a change of ownership from Arbor Care Centers - Hartington.

The document confirms the facility meets statutory requirements for licensure and provides the effective date and expiration date of the license. It includes instructions for displaying the license and renewal notification procedures.

The document is a Nursing Home Licensure Renewal Application for Arbor Care Centers-Hartington LLC, submitted to renew the facility's license.

The documents certify that Arbor Care Centers-Hartington LLC meets statutory requirements for licensure renewal and includes an occupancy permit confirming the maximum licensed capacity of 47 beds.

This document is a Nursing Home Licensure Renewal Application for Arbor Care Centers-Hartington LLC, submitted to renew the facility's license.

The document certifies that the facility meets statutory requirements for licensure renewal and includes information about the facility's capacity, services, and ownership.

The document is a Nursing Home Licensure Renewal Application and related certification and occupancy permit for Arbor Care Centers-Hartington LLC, indicating the renewal of the facility's license and certification.

The documents certify that Arbor Care Centers-Hartington LLC meets statutory requirements for SNF/NF dual certification and includes approval of occupancy for 47 beds. No deficiencies or violations are noted in the provided documents.

The document is related to the transfer of operations and issuance of a new Skilled Nursing Facility license due to change of ownership and facility name change from Hartington Care and Rehabilitation Center LLC to Hartington Operations LLC.

The transfer of operations to the new operator was approved by the court and the Nebraska Department of Health and Human Services. The new operator assumed responsibility for the facility operations effective April 16, 2019. The facility is licensed for 47 beds and the transfer included all assets except those specifically excluded. The new operator agreed to comply with all regulatory requirements and to maintain the facility's Medicare and Medicaid certifications.

An unannounced visit was conducted to investigate a complaint and annual survey at Hartington Care And Rehabilitation Center, Llc on October 31, 2018-November 6, 2018, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found in violation for failure to provide appropriate positioning/transfers, failure to follow individualized plans of care, failure to maintain resident dignity related to gait belt use, failure to provide routine bathing and ambulation assistance, failure to prevent and treat pressure ulcers, failure to implement fall prevention interventions, failure to provide adequate hydration, failure to ensure sufficient nursing staff, failure to properly store insulin, failure to prevent urinary tract infections related to catheter care, and failure to follow infection prevention and control procedures.

The complaint investigation included allegations that the facility failed to serve food at appropriate temperatures, failed to provide services for appropriate positioning/transfers, failed to answer call notification systems promptly, failed to ensure resident property was accounted for to prevent loss, and failed to follow the plan of care. The investigation found violations related to positioning/transfers and plan of care.

An unannounced visit was conducted to investigate a complaint at Hartington Care And Rehabilitation Center, LLC on September 26-27, 2017, regarding allegations of failure to notify practitioners of changes in condition, failure to provide care for drainage devices, failure to prevent skin breakdown, and failure to identify changes of condition.

The investigation found that the facility properly notified practitioners of changes in condition, provided care to prevent skin breakdown, and identified changes of condition with no violations. However, the facility failed to provide adequate care and treatment for drainage devices due to lack of monitoring urine output for one resident with an indwelling urinary catheter. The allegation was substantiated but no deficiency was cited as corrective actions were implemented.

The complaint included allegations that the facility failed to notify practitioners of changes in condition, failed to provide care for drainage devices, failed to prevent skin breakdown, and failed to identify changes of condition. The allegation regarding drainage device care was substantiated; others were not substantiated.

An unannounced visit was conducted to investigate a complaint and annual survey at Hartington Care And Rehabilitation Center from July 31, 2017 to August 3, 2017.

The facility was found to have multiple deficiencies including failure to notify physicians of low blood sugars, failure to report neglect, inadequate ADL care, fall prevention issues, medication labeling errors, expired medications, infection control lapses, and life safety code violations.

The visit was complaint-related due to allegations including failure to provide appropriate positioning/transfers and failure to notify physicians of low blood sugars. The complaint was investigated and some allegations were substantiated.

The document serves as a license issuance and renewal notification for Hartington Care and Rehabilitation Center, LLC, confirming the facility's licensure to operate as a Skilled Nursing Facility (SNF/NF) following a change of ownership and name.

The facility was granted a new Skilled Nursing Facility license effective October 1, 2016, replacing the previous license. The license is valid through March 31, 2017, and the facility is required to display the license documents prominently on the premises.

An unannounced visit was conducted to investigate a complaint and annual survey at Golden Livingcenter - Hartington from June 22, 2016 to June 29, 2016 by the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with the allegation regarding adequate supervision of residents at risk for falls. However, deficiencies were identified related to failure to provide adequate bathing care to Resident 7 and failure to determine causal factors and implement interventions to prevent falls for Resident 28 and failure to ensure fall risk alarms were properly used for Resident 2.

The complaint alleged the facility failed to ensure residents had adequate supervision according to their plan of care. The investigation included review of resident records, observations, and interviews. The facility was found compliant with supervision requirements but had deficiencies related to bathing care and fall prevention.

The document is a nursing home licensure renewal application and related correspondence for Golden LivingCenter - Hartington, verifying the renewal of the SNF/NF dual certification and license.

The renewal application was reviewed and considered complete with no additional fees or services required. The facility is licensed for 47 beds and meets statutory requirements for skilled nursing and nursing facility services.

The inspection was a routine survey to assess compliance with federal and state regulations governing skilled nursing facilities, including nutritional status maintenance, drug regimen appropriateness, and life safety code adherence.

The facility was found deficient in maintaining nutritional status for Resident 33 due to failure to evaluate and implement adequate nutritional interventions. Additionally, the facility failed to ensure residents' drug regimens were free from unnecessary psychoactive medications without proper gradual dose reductions or documentation. A life safety code violation was identified due to a cubical curtain obstructing the fire sprinkler system.

An unannounced visit was conducted to investigate a complaint at Golden Livingcenter - Hartington regarding concerns that residents were over sedated with medications, received medications they were allergic to, staffing was insufficient to meet residents' needs, dressing changes were not provided according to standards, and care and services were not provided according to practitioner's orders.

The facility was found to be in compliance with relevant regulatory requirements. Observations and reviews showed residents were not over sedated, medications were administered according to orders without allergic reactions, sufficient staffing was provided, dressing changes met standards, and care and services followed practitioner's orders.

The complaint investigated included allegations that residents were over sedated with medications, received medications they were allergic to, staffing was insufficient, dressing changes were not provided according to standards, and care and services did not follow practitioner's orders. The investigation found no violations related to these allegations.

Annual inspection survey conducted to assess compliance with regulations governing licensure of skilled nursing facilities, including resident care, safety, and medication management.

The facility was found deficient in multiple areas including failure to provide an ongoing program of activities meeting resident interests, inadequate care planning and treatment for pressure ulcer prevention and healing, failure to maintain a safe environment to prevent falls, and improper medication management with unnecessary use of antipsychotic drugs. Additionally, life safety code violations were noted related to smoke resistance in hazardous areas.

The inspection was conducted to assess compliance with regulations governing licensure of skilled nursing facilities and to evaluate adherence to the Life Safety Code of the National Fire Protection Association.

The facility was found deficient in ensuring residents' drug regimens were free from unnecessary drugs due to lack of laboratory monitoring for thyroid therapy. Additionally, the facility failed to maintain one smoke separation door and proper cubicle curtains, which posed fire safety risks to residents.

Routine inspection of Golden Livingcenter - Hartington to assess compliance with housekeeping, maintenance, and life safety code standards.

The facility failed to maintain a clean and comfortable environment, with soiled upholstery on dining room chairs, stained toilet surfaces in multiple resident bathrooms, and a bird aviary with accumulated feathers and droppings. Additionally, the facility failed to maintain smoke resistance in a hazardous area due to voids around pipes and drywall seams.

The document is a Statement of Deficiencies and Plan of Correction for Golden LivingCenter - Hartington, detailing deficiencies identified during a survey completed on January 6, 2011, and the facility's corrective actions.

The facility failed to develop comprehensive care plans addressing residents' specific needs, including anxiety and fall prevention, failed to ensure resident environments were free of accident hazards, and did not adequately monitor medication regimens, including anti-anxiety medications and blood pressure medications. Food sanitation and call light system deficiencies were also noted.

The document is a renewal application and certification for the nursing home license of Golden LivingCenter - Hartington, verifying the facility's license renewal and compliance with statutory requirements.

The document confirms that Golden LivingCenter - Hartington meets statutory requirements for SNF/NF dual certification and is licensed through the renewal date. It includes ownership information, facility services, and a state fire marshal occupancy permit approving 47 beds.

The document serves as a renewal application and verification of licensure for Hartington Care and Rehabilitation Center, LLC, confirming the facility's license renewal and compliance with state regulations.

The documents confirm that the facility is licensed as a Skilled Nursing Facility with a total licensed capacity of 47 beds. The renewal application was signed and submitted with no deficiencies or inspection findings noted.

This document serves as a licensure renewal application for Hartington Care and Rehabilitation Center, LLC, verifying the facility's SNF/NF dual certification and providing renewal fee information.

The document confirms the facility's licensure renewal status, ownership, and organizational structure, and includes an occupancy permit certifying a maximum occupancy of 47 beds.

The document set includes a nursing home licensure renewal application and related licensing and occupancy permits for Arbor Care Centers-Hartington LLC, indicating the facility's request to renew its license and maintain compliance with state regulations.

The documents verify that Arbor Care Centers-Hartington LLC meets statutory requirements for licensure renewal as a Skilled Nursing Facility with a licensed capacity of 47 beds. The occupancy permit confirms the maximum occupancy and compliance with fire marshal regulations.

The document set serves to renew the nursing home license for Arbor Care Centers-Hartington LLC and includes related certification and occupancy permit information.

No inspection findings or deficiencies are reported; the documents confirm licensure renewal, ownership details, and occupancy permit status.

This document package serves to verify the license renewal status of Arbor Care Centers-Hartington LLC and includes the nursing home licensure renewal application, occupancy permit, and related administrative information.

No inspection findings or deficiencies are reported; the documents confirm licensure renewal and occupancy approval with no noted violations or deficiencies.