Deficiencies (last 12 years)
Deficiencies (over 12 years)
4.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
12% worse than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
59% occupied
Based on a June 2018 inspection.
Census over time
Notice
Capacity: 46
Deficiencies: 0
May 7, 2025
Visit Reason
Issuance of a Skilled Nursing Facility license to Accura HealthCare of Tekamah due to a change of ownership from Arbor Care Centers - Tekamah to Accura HealthCare of Tekamah.
Findings
The document confirms the issuance of a new license effective May 1, 2025, and includes a renewal card valid through March 31, 2026. It also provides ownership and facility information.
Report Facts
Total licensed beds: 46
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joshua Yeutter | Administrator | Named as the facility administrator in the license issuance letter and licensure application. |
| Shayla Risch | Director of Nursing | Named as the Director of Nursing in the licensure application. |
| Timothy Tesmer | Chief Medical Officer | Signed the license issuance letter. |
| Dan Taylor | RN, Administrator | Health Facilities Licensure Unit, signed the license issuance letter. |
Notice
Capacity: 46
Deficiencies: 0
Mar 13, 2025
Visit Reason
This document serves as a renewal application for the nursing home license of Arbor Care Centers-Tekamah LLC and includes related licensing and occupancy permit information.
Findings
The documents certify that Arbor Care Centers-Tekamah LLC meets statutory requirements for licensure renewal, with a licensed capacity of 46 beds and an occupancy permit valid through 10/30/2024.
Report Facts
Licensed beds: 46
License expiration date: 2026
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Josh Yeutter | Administrator | Named in the Nursing Home Licensure Renewal Application |
| Shayla Risch | Director of Nursing | Named in the Nursing Home Licensure Renewal Application |
| Aaron Klaasmeyer | Authorized Representative | Signed the Nursing Home Licensure Renewal Application on 3/13/2025 |
| Linda Klaasmeyer | Authorized Representative | Signed the Nursing Home Licensure Renewal Application on 3/13/2025 |
| Ty Hernes | Deputy State Fire Marshal | Inspected the facility and approved the occupancy permit |
Inspection Report
Renewal
Capacity: 46
Deficiencies: 0
Mar 25, 2021
Visit Reason
The document is a Nursing Home Licensure Renewal Application and related certification and occupancy permit for Arbor Care Centers-Tekamah LLC, indicating renewal of the facility's license and certification.
Findings
The documents certify that Arbor Care Centers-Tekamah LLC meets statutory requirements for licensure renewal as a skilled nursing facility with specified therapies and a maximum occupancy of 46 beds. No deficiencies or violations are noted in the provided documents.
Report Facts
Total licensed beds: 46
Renewal license expiration date: Mar 31, 2022
Renewal application date: Mar 25, 2021
Inspection Report
Renewal
Capacity: 46
Deficiencies: 0
Mar 16, 2020
Visit Reason
The document is a Nursing Home Licensure Renewal Application and related certification materials for Arbor Care Centers-Tekamah LLC, indicating the renewal of the facility's license.
Findings
The documents certify that Arbor Care Centers-Tekamah LLC meets statutory requirements for SNF/NF dual certification and includes licensing renewal information, ownership details, and occupancy permit with a maximum capacity of 46 beds.
Report Facts
Number of beds to be relicensed: 46
Maximum Occupancy: 46
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Geis | Administrator | Named on Nursing Home Licensure Renewal Application |
| Leandrea Bowmann | Director of Nursing | Named on Nursing Home Licensure Renewal Application |
| Kenneth Klaasmeyer | Ownership information with 50% ownership | |
| Linda Klaasmeyer | Ownership information with 50% ownership |
Inspection Report
Renewal
Capacity: 46
Deficiencies: 0
Aug 1, 2019
Visit Reason
The document is a renewal license issuance for Arbor Care Centers-Tekamah LLC, formerly Tekamah Operations LLC, reflecting a change of ownership and facility name.
Findings
The facility was licensed to operate as a Skilled Nursing Facility with 46 beds. The renewal license was issued based on compliance with statutory requirements and regulatory oversight.
Report Facts
Number of beds licensed: 46
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Geis | Administrator | Named as facility administrator in licensure application |
| Kaylee Magill | Director of Nursing | Named as director of nursing in licensure application |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 4, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Tekamah Care And Rehabilitation Center, Llc on October 4, 2018, by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The investigation found the facility to be in compliance with all allegations including ensuring residents are free from abuse, providing care for bowel and bladder elimination, providing scheduled activities, reporting allegations of abuse, and ensuring sufficient staffing to care for residents.
Complaint Details
The complaint allegations included failure to ensure residents are free from abuse, failure to provide care for bowel and/or bladder elimination, failure to provide activities as scheduled, failure to report allegations of abuse, and failure to ensure sufficient staffing. The facility was found to be in compliance with all these allegations.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager | Signed the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS |
Inspection Report
Complaint Investigation
Census: 26
Capacity: 44
Deficiencies: 13
Jun 5, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Tekamah Care And Rehabilitation Center, Llc on June 5, 2018-June 11, 2018, by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The complaint investigation found no violations related to elopement risk assessment, injury prevention, grievance resolution, or medication administration. However, the facility had multiple deficiencies related to Medicaid/Medicare coverage notices, environmental maintenance, infection control, life safety code violations including emergency lighting, hazardous area enclosures, sprinkler system maintenance, corridor door smoke resistance, fire drills, electrical system maintenance, and oxygen signage.
Complaint Details
The complaint investigation addressed allegations including failure to accurately assess elopement risk, failure to implement actions to prevent injuries of unknown cause, failure to resolve grievances/complaints, and failure to provide medications according to the five rights. The facility was found in compliance with these allegations.
Severity Breakdown
Level E: 9
Level F: 3
Level D: 1
Deficiencies (13)
| Description | Severity |
|---|---|
| Failed to ensure residents were offered choice for Medicare fiscal intermediary review and proper Medicare Non-Coverage notices. | Level E |
| Failed to maintain condition of wooden chair rails, door jams, bathroom doors, walls, and cleanliness of ventilation covers. | Level E |
| Failed to keep catheter bags off the floor to prevent cross contamination. | Level D |
| Failed to maintain emergency lighting in required areas. | Level E |
| Failed to provide smoke resistant enclosure for hazardous areas; doors did not latch properly. | Level E |
| Failed to train kitchen staff on procedures to extinguish grease fires properly. | Level E |
| Failed to maintain and test sprinkler system properly; storage encroached into sprinkler clearance. | Level E |
| Failed to ensure corridor doors resist passage of smoke; gaps and holes present, doors failed to latch. | Level F |
| Failed to ensure smoke barrier doors were capable of resisting passage of smoke; doors failed to latch. | Level E |
| Failed to ensure fire alarm signals were received by central monitoring service. | Level F |
| Failed to test diesel fuel annually and maintain emergency generator properly. | Level F |
| Failed to provide approved covers for electrical receptacles. | Level E |
| Failed to post 'Oxygen in Use, No Smoking' signs on rooms where oxygen was administered. | Level E |
Report Facts
Deficiencies cited: 13
Facility census: 26
Total licensed capacity: 44
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martin Brown | Administrator | Named as facility administrator in the report. |
| Dan Taylor | RN, Training Coordinator | Signed the complaint investigation letter. |
| Maintenance A | Interviewed regarding multiple facility maintenance and safety deficiencies. | |
| Licensed Practical Nurse A | LPN | Observed during catheter bag placement deficiency. |
| Interim Director of Nursing | DON | Interviewed regarding catheter bag placement and medication administration. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 4, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to provide a safe environment for residents identified at risk for elopement.
Findings
The facility was found to provide a safe environment for residents at risk for elopement, with all door alarms functional and care planned interventions in place. The facility was in compliance with regulatory guidelines.
Complaint Details
The complaint alleged the facility failed to provide a safe environment for residents at risk for elopement. The allegation was not substantiated as the facility met compliance requirements.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager | Signed the report and identified as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS |
Inspection Report
Annual Inspection
Census: 33
Capacity: 46
Deficiencies: 6
Apr 12, 2017
Visit Reason
Annual inspection of Tekamah Care and Rehabilitation Center to assess compliance with state and federal regulations including housekeeping, drug storage, life safety, and fire safety.
Findings
The facility was found deficient in multiple areas including housekeeping (unclean caulking in resident bathrooms), medication labeling and storage (unlabeled and expired medications), emergency lighting testing, hazardous area enclosure, sprinkler system maintenance, and oxygen cylinder storage. Corrective actions and monitoring plans were established for each deficiency.
Severity Breakdown
SS=E: 3
SS=F: 3
Deficiencies (6)
| Description | Severity |
|---|---|
| Facility failed to ensure cleanliness of caulking for toilets in multiple resident rooms affecting 14 of 34 residents. | SS=E |
| Medications were not labeled for each resident and expired medications were available for resident use, potentially affecting all 34 residents. | SS=F |
| Facility failed to conduct required monthly and annual tests of battery backup emergency lights, affecting all residents. | SS=F |
| Facility failed to provide smoke resistant enclosure for hazardous areas, allowing fire and smoke to migrate into exit corridor affecting 16 residents. | SS=E |
| Facility failed to conduct 3 year air leakage test and 10 year sample test on fire sprinkler dry system, affecting all residents. | SS=F |
| Facility failed to segregate full oxygen cylinders from empty ones and failed to label cylinders, affecting 3 residents using oxygen. | SS=E |
Report Facts
Facility census: 33
Total licensed capacity: 46
Residents potentially affected by caulking deficiency: 14
Unlabeled medications found: 6
Expired medication items found: 7
Empty oxygen cylinders: 8
Full oxygen cylinders: 18
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martin R Brown | Administrator | Interviewed and confirmed findings related to caulking, emergency lighting, sprinkler system, hazardous areas, and oxygen storage |
| LPN A | Licensed Practical Nurse | Interviewed regarding medication labeling and storage deficiencies |
| Environmental Supervisor | Responsible for daily, monthly, and annual testing of emergency lights and oxygen storage audits | |
| Regional Director of Operations | Interviewed regarding medication storage and caulking deficiencies | |
| Maintenance Director | Oversaw corrective action for caulking replacement | |
| CEO | Oversight of corrective actions, audits, and education related to deficiencies |
Inspection Report
Renewal
Capacity: 46
Deficiencies: 0
Feb 22, 2016
Visit Reason
This document is a Nursing Home Licensure Renewal Application for Golden LivingCenter - Tekamah, submitted to renew the facility's license.
Findings
The document certifies that the facility meets statutory requirements for licensure renewal as a Skilled Nursing Facility. It includes ownership, accreditation, and service details but does not report inspection findings or deficiencies.
Report Facts
Number of beds to be relicensed: 46
Renewal fee: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tammy Deemer | Administrator | Named in licensure renewal application |
| Cynthia Senkbile | Director of Nursing | Named in licensure renewal application |
Inspection Report
Complaint Investigation
Census: 43
Deficiencies: 7
Jan 27, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Golden Livingcenter - Tekamah on January 24-27, 2016, by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The facility was found to be in compliance with resident rights to communication with no violations related to the complaint allegation. However, multiple deficiencies were identified including housekeeping and maintenance issues with ventilation system cleanliness and function, accident hazards related to bed rail gaps, and life safety code violations involving exit door hardware, snow-covered exit paths, fire door latching, exit illumination, and fire drill procedures.
Complaint Details
The complaint alleged the facility failed to ensure residents' rights to communication. The investigation found no violation related to this allegation.
Severity Breakdown
Level E: 5
Level D: 1
Level F: 1
Deficiencies (7)
| Description | Severity |
|---|---|
| Facility staff failed to maintain cleanliness of ventilation systems in 16 of 33 occupied resident bathrooms, evidenced by dust buildup. | Level E |
| Facility failed to ensure resident environment was free of accident hazards; gaps between bed rails and mattresses posed entrapment risks for two residents. | Level D |
| Ventilation systems were not functional in 16 of 33 occupied resident bathrooms as evidenced by lack of air draw. | Level E |
| Exit doors (East Sun Room) failed to release with required force and snow covered exit paths, potentially impeding emergency egress. | Level E |
| Fire doors located in the horizontal exit by Room S-7 failed to latch within the door frame when closed. | Level E |
| Single bulb light fixture outside the south Sun Room exit, risking area being left in darkness if bulb failed. | Level E |
| Fire drills were not conducted at unexpected times under varying conditions on each shift, with drills occurring within one hour of each other. | Level F |
Report Facts
Facility census: 43
Number of occupied resident bathrooms with ventilation issues: 16
Number of occupied resident bathrooms inspected: 33
Number of residents affected by bed rail gaps: 2
Fire drill times less than 1 hour apart: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | RNC, Program Manager - Office of LTC Facilities - Licensure Unit | Signed complaint investigation letter |
| Tammy Deemer | Administrator | Facility administrator mentioned in findings and interviews |
| Maintenance Director | Interviewed regarding ventilation and maintenance deficiencies; responsible for corrective actions | |
| Administrator (ADM) | Interviewed regarding ventilation, bed rail gaps, and other findings | |
| Director of Nursing (DON) | Interviewed and observed bed rail gap issues | |
| Maintenance A | Verified fire safety deficiencies |
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 4
Feb 11, 2015
Visit Reason
An unannounced visit was conducted to investigate a Complaint Survey at Golden Livingcenter - Tekamah from February 11, 2015 to February 18, 2015, triggered by allegations regarding emergency generator functionality, resident safety for elopement risk, and call/alarm notification response times.
Findings
The facility was found to be in compliance with regulatory guidelines regarding the emergency generator, resident safety for elopement risk, and call/alarm notification response times. Observations, interviews, and record reviews supported these findings.
Complaint Details
The complaint investigation was substantiated with findings related to fire safety code violations including fire door maintenance, fire alarm system documentation, kitchen exhaust system inspection, and electrical equipment use.
Severity Breakdown
SS=E: 2
SS=F: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| The facility failed to maintain the two-hour fire wall and 90 minute fire door used as a horizontal exit, allowing smoke and fire to migrate throughout the facility affecting 22 residents, staff, and visitors. | SS=E |
| The facility failed to provide documentation from their Central Receiving Station to verify the operation of the fire alarm system and failed to conduct fire drills in accordance with NFPA 101. | SS=F |
| The facility failed to inspect the kitchen exhaust system semi-annually in accordance with NFPA 96, increasing potential grease fire risk. | SS=E |
| The facility failed to use electrical wiring and equipment in accordance with NFPA 70, evidenced by use of unapproved surge protector multi strips throughout the facility. | SS=F |
Report Facts
Facility census: 37
Facility census: 41
Deficiency count: 4
Fire drills missing documentation: 1
Fire door latch failures: 2
Surge protector multi strips: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tammy Deemer | Administrator, Interim Executive Director, RN-BC | Named in relation to complaint investigation and plan of correction |
| Connie Kincaid | Registered Nurse | Investigator for Department of Health and Human Services Division of Public Health |
| Lori Frodsham | Registered Nurse | Investigator for Department of Health and Human Services Division of Public Health |
| Maintenance A | Acknowledged and verified fire door and fire alarm system deficiencies | |
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Contact person for the complaint investigation |
| Doug Hohbein | Chief Plans Examiner | Conducted Informal Conference and prepared report |
| Alan Viox | Deputy Fire Marshal | Conducted Life Safety Code survey and inspection of kitchen exhaust systems |
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 0
Feb 11, 2015
Visit Reason
An unannounced visit was conducted to investigate a Complaint Survey at Golden Livingcenter - Tekamah from February 11, 2015 to February 18, 2015, triggered by allegations regarding the facility's emergency generator, resident safety for those at risk of elopement, and responsiveness to call/alarm notification systems.
Findings
The facility was found to be in compliance with regulatory guidelines regarding having a working emergency generator, providing a safe environment for residents at risk of elopement, and promptly answering call/alarm notification systems. Observations, interviews, and record reviews supported these findings.
Complaint Details
The complaint investigation addressed three allegations: failure to have a working emergency generator, failure to provide a safe environment for residents at risk of elopement, and failure to answer call/alarm notifications promptly. All allegations were found to be unsubstantiated as the facility met compliance standards.
Report Facts
Facility census: 37
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Connie Kincaid | Registered Nurse | Investigator conducting the complaint survey |
| Lori Frodsham | Registered Nurse | Investigator conducting the complaint survey |
| Eve Lewis | Program Manager | Signed the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS |
Inspection Report
Life Safety
Census: 37
Deficiencies: 1
May 29, 2014
Visit Reason
The inspection was conducted to assess compliance with the 2000 Edition of the Life Safety Code of the National Fire Protection Association, specifically regarding emergency generator receptacle markings.
Findings
The facility failed to mark the electrical receptacles powered by the emergency generator with a distinctive color or marking, which could lead to equipment being plugged into non-generator powered outlets, potentially affecting residents, staff, and visitors.
Severity Breakdown
SS=F: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to mark the receptacles on the generator with a distinctive color or marking. | SS=F |
Report Facts
Facility census: 37
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance A acknowledged and verified the observation during interview |
Inspection Report
Complaint Investigation
Census: 35
Deficiencies: 8
Dec 11, 2013
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Golden Livingcenter - Tekamah on December 5, 2013-December 11, 2013, by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The facility was found to be in compliance with allegations related to medical equipment use and grooming. However, deficiencies were found related to psychosocial well-being of Resident 12, failure to establish target behaviors and monitoring for Residents 5 and 39, food temperature maintenance issues, fire safety code violations including obstructed fire doors, incomplete fire drills, sprinkler system maintenance issues, flammable decorations, and boiler inspection documentation.
Complaint Details
The complaint allegations included failure to ensure medical equipment was used as directed and failure to ensure clean and groomed hair, skin, teeth, and/or nails. The facility was found compliant with these allegations after review and observation.
Severity Breakdown
SS=D: 2
SS=E: 3
SS=F: 3
Deficiencies (8)
| Description | Severity |
|---|---|
| Facility failed to ensure one resident (Resident 12) received care and services related to psychosocial well-being. | SS=D |
| Facility failed to establish target behaviors and provide monitoring for two residents (Resident 5 and 39). | SS=D |
| Facility failed to ensure temperatures of food on the steam table were maintained at a temperature to prevent food borne illness. | SS=F |
| Doors protecting corridor openings were obstructed preventing proper closing, not resisting passage of smoke as required. | SS=E |
| Fire drills were not conducted for each shift per quarter as required. | SS=F |
| Required automatic sprinkler systems were not continuously maintained in reliable operating condition; phone lines wrapped around sprinkler pipes. | SS=E |
| Highly flammable decorations (artificial Christmas trees) were used in the dining room without documentation of flame retardant treatment. | SS=E |
| Facility failed to provide current inspection certifications of boilers and failed to clean lint behind dryers in laundry room. | SS=F |
Report Facts
Facility census: 35
Fire drills missing: 4
Food temperatures: 75
Food temperatures: 85
Food temperatures: 120
Medication dose: 25
Medication dose: 37.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed letter regarding complaint and annual survey |
| Maintenance A | Verified fire door obstruction, sprinkler pipe wiring, fire drill records, boiler inspection documentation, and flammable decorations | |
| Director of Nursing | Director of Nursing | Interviewed regarding psychosocial care, behavior monitoring, and physician communication |
| Social Service Director | Social Service Director | Interviewed regarding Resident 12's psychosocial care and behavior monitoring |
Inspection Report
Annual Inspection
Census: 35
Deficiencies: 7
Nov 8, 2012
Visit Reason
Annual inspection of Golden Livingcenter - Tekamah to assess compliance with state and federal regulations including resident care, medication management, activities, discharge summaries, food safety, and life safety code.
Findings
The facility was found deficient in multiple areas including incomplete discharge summaries for discharged residents, failure to provide individualized activity programs, incomplete comprehensive assessments related to activities, medication regimen issues including unnecessary drugs and missing medication order details, unsanitary conditions in the ice machine, and life safety code violations such as doors not latching properly and lack of fire alarm central monitoring.
Severity Breakdown
SS=D: 2
SS=E: 4
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to complete required elements in discharge summaries for 3 of 7 closed record reviews (Residents 48, 40, and 45). | — |
| Failed to provide an individualized activity program to meet interests and needs of Resident 49. | SS=D |
| Failed to complete comprehensive assessments related to activity for Residents 5 and 49. | SS=D |
| Failed to ensure drug regimen was free from unnecessary drugs and failed to identify medication frequencies and rationale for PRN medications for Residents 5, 25, and 31. | SS=E |
| Failed to maintain inside of ice machine free of black fuzzy and brownish/pink debris, risking foodborne illness. | SS=E |
| Resident room door (Room E101) would not stay closed tightly within the door frame, violating fire safety code. | SS=E |
| Fire alarm system was not verified to be monitored by an approved central station to notify fire department. | SS=E |
Report Facts
Resident census: 35
Sample size: 30
Facility capacity: 44
Facility capacity: 45
Resident census: 36
Resident census: 38
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Larson | Administrator | Signed initial comments and deficiency statements |
| RN C | Registered Nurse | Verified discharge summaries incomplete and medication order issues |
| RN D | Registered Nurse | Confirmed medication order corrections |
| Dietary Manager | Acknowledged ice machine cleaning issues | |
| Maintenance Director | Acknowledged ice machine cleaning issues and fire safety door issues | |
| Director of Nursing | DON | Interviewed regarding medication order issues |
Inspection Report
Routine
Census: 39
Deficiencies: 10
Jul 21, 2011
Visit Reason
Routine inspection of Golden Livingcenter - Tekamah to assess compliance with federal and state regulations including resident care, safety, and facility maintenance.
Findings
The facility had multiple deficiencies including failure to notify physician timely of resident skin breakdown, incomplete employee background checks, inadequate housekeeping and maintenance, failure to prevent pressure ulcers, unsafe use of shower chair lift, improper drug regimen monitoring, unsanitary food preparation areas, inadequate ventilation, incomplete fire drills, and electrical code violations.
Severity Breakdown
SS=F: 3
SS=E: 4
SS=D: 3
Deficiencies (10)
| Description | Severity |
|---|---|
| Failed to notify physician of skin breakdown to resident's left heel within 24 hours. | SS=D |
| Failed to complete required background checks for 4 of 5 employees. | SS=E |
| Failed to maintain carpeting on walls in good repair affecting 20 residents. | SS=E |
| Failed to evaluate causal factors for pressure ulcer development on resident's left heel. | SS=D |
| Failed to ensure safety during use of shower chair lift; resident not secured with seatbelt. | SS=D |
| Failed to evaluate need for scheduled antianxiety medication and follow up on dose reductions. | SS=D |
| Failed to maintain sanitary conditions in kitchen including dirty equipment and surfaces. | SS=F |
| Failed to maintain adequate ventilation in 4 bathrooms. | SS=E |
| Failed to conduct quarterly fire drills at unexpected times on all shifts. | SS=F |
| Electrical wiring and equipment not in accordance with NFPA 70; unapproved surge protector used and exposed wiring on emergency light. | SS=E |
Report Facts
Facility census: 39
Fire drills missing: 3
Residents affected by carpeting issue: 20
Residents affected by ventilation issue: 5
Inspection Report
Renewal
Capacity: 46
Deficiencies: 0
APP2018
Visit Reason
This document serves as the Nursing Home Licensure Renewal Application and related certification for Tekamah Care and Rehabilitation Center, LLC, verifying the facility's license renewal and compliance with statutory requirements.
Findings
The document confirms that Tekamah Care and Rehabilitation Center, LLC meets statutory requirements for licensure renewal as a Skilled Nursing Facility with Medicare and Medicaid certification. It includes ownership information, organizational structure, and an occupancy permit indicating a maximum capacity of 46 beds.
Report Facts
Total licensed beds: 46
Renewal fees: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martin Brown | Administrator | Named in Nursing Home Licensure Renewal Application |
| Kaylee Magill | Director of Nursing, R.N. | Named in Nursing Home Licensure Renewal Application |
| Joseph Schwartz | Authorized Representative | Signed certification for renewal application |
| Rosie Schwartz | Authorized Representative | Signed certification for renewal application |
Notice
Capacity: 46
Deficiencies: 0
APP2015
Visit Reason
This document serves as a license renewal application and occupancy permit for Golden LivingCenter - Tekamah, verifying licensure and certification status and providing ownership and accreditation details.
Findings
The documents confirm the facility's licensure renewal, certification as a Skilled Nursing Facility/Nursing Facility dual certified, and occupancy permit for 46 beds. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 46
Notice
Capacity: 46
Deficiencies: 0
APP2019
Visit Reason
The document serves as a license issuance notice for Arbor Care Centers-Tekamah LLC due to a change of ownership and name change from Tekamah Operations LLC, effective August 1, 2019.
Findings
The document confirms that the facility meets statutory requirements and is licensed to operate as a Skilled Nursing Facility with a total licensed capacity of 46 beds. It includes ownership and organizational information, an occupancy permit, and a bill of sale evidencing the transfer of ownership.
Report Facts
Total licensed beds: 46
License effective date: Aug 1, 2019
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Geis | Administrator | Named as facility administrator in the license issuance letter and nursing home licensure application. |
| Kenneth Klaasmeyer | President | Named as President of Arbor Care Centers-Tekamah LLC and signatory on the bill of sale and organizational documents. |
| Ephram Lahasky | Member | Named as Member of Tekamah Operations LLC and signatory on the bill of sale. |
Notice
Capacity: 46
Deficiencies: 0
APP2022
Visit Reason
This document serves as a licensure renewal application and verification of licensure status for Arbor Care Centers-Tekamah LLC, including renewal of the SNF/NF dual certification and occupancy permit.
Findings
The documents confirm the facility meets statutory requirements for licensure renewal and occupancy with a licensed capacity of 46 beds. No inspection findings or deficiencies are reported.
Report Facts
Licensed beds: 46
Renewal license fees: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Gies | Administrator | Named on the Nursing Home Licensure Renewal Application |
| Brittany Layman | Director of Nursing | Named on the Nursing Home Licensure Renewal Application |
Notice
Capacity: 46
Deficiencies: 0
APP2023
Visit Reason
This document serves as a Nursing Home Licensure Renewal Application and includes certification of licensure through the renewal date, along with related ownership and facility information.
Findings
The document certifies that Arbor Care Centers-Tekamah LLC meets statutory requirements for SNF/NF dual certification and includes renewal license fees and ownership details. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 46
Renewal license fees: 1550
Notice
Capacity: 46
Deficiencies: 0
APP2024
Visit Reason
This document serves as a licensure renewal application and renewal notice for Arbor Care Centers-Tekamah LLC, confirming the facility's SNF/NF Dual Certification and license renewal through 3/31/2025.
Findings
The document certifies that Arbor Care Centers-Tekamah LLC meets statutory requirements for licensure renewal and includes information on facility ownership, accreditation, and special care services provided.
Report Facts
Total licensed beds: 46
Renewal license fee: 1750
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Klaasmeyer | Director of Nursing | Named in the Nursing Home Licensure Renewal Application |
| Aaron Klaasmeyer | Authorized representative signing the renewal application | |
| Kenneth Klaasmeyer | Authorized representative signing the renewal application |
Notice
Capacity: 46
Deficiencies: 0
CHOW2016
Visit Reason
Issuance of a Skilled Nursing Facility license due to change of ownership and facility name change, along with license renewal verification and occupancy permit issuance.
Findings
The documents confirm that Tekamah Care and Rehabilitation Center, LLC is licensed as a Skilled Nursing Facility with a total licensed capacity of 46 beds. The license is valid from October 1, 2016, with renewal notices to be sent prior to expiration. The occupancy permit was issued on January 27, 2016.
Report Facts
Total licensed beds: 46
License issuance date: Oct 1, 2016
Occupancy permit issue date: Jan 27, 2016
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tammy Deemer | Administrator | Named as facility administrator in license issuance letter and application |
| Cynthia Senkbite | Director of Nursing | Named as Director of Nursing in nursing home licensure application |
| Courtney N. Phillips | Chief Executive Officer | Signed license issuance letters from Department of Health and Human Services |
| Alan Viox | Deputy State Fire Marshal | Inspected facility for occupancy permit issuance |
Notice
Capacity: 44
Deficiencies: 0
APP2017
Visit Reason
This document serves as the renewal application for the nursing home license of Tekamah Care and Rehabilitation Center, LLC, including ownership disclosures and occupancy permit information.
Findings
The documents confirm the facility's licensure renewal status, ownership structure, and fire marshal occupancy permit with a maximum capacity of 46 beds. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 44
Maximum occupancy: 46
Renewal fees: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Martin R. Brown | Administrator | Named in the renewal application as facility administrator. |
| Kaylee Magill | Director of Nursing | Named in the renewal application as director of nursing. |
| Joseph Schwartz | Authorized Representative and 50% Member | Signed renewal application and listed as 50% member of the facility. |
| Rosie Schwartz | Authorized Representative and 50% Member | Signed renewal application and listed as 50% member of the facility. |
| Brandon Augustyniak | CFO of Highlite Healthcare Management, LLC | Named in ownership and control disclosure. |
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