Inspection Reports for Ambassador Health of Lincoln

The document is a hospital license renewal application and certification for The Ambassador Lincoln, Inc dba Ambassador Health Of Lincoln for the renewal period 1/1/2024 - 12/31/2024.

The facility meets statutory requirements for licensure as a Long Term Care Hospital/Dual. The renewal application includes provider information, ownership details, and fee payment confirmation.

An unannounced visit was conducted to investigate a complaint at The Ambassador Lincoln on February 11-12, 2019, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found the facility was in compliance with all relevant regulations regarding prompt medical treatment, staff training, following practitioner's orders, routine dental care, and infection control guidelines to prevent the spread of pests.

The complaint alleged failure to provide prompt medical treatment, ensure staff training, follow practitioner's orders, provide routine dental care, and follow infection control guidelines to prevent pests. All allegations were found to be unsubstantiated with the facility in compliance.

An unannounced visit was conducted to investigate a complaint at The Ambassador Lincoln on December 31, 2018, by representatives of the Department of Health and Human Services Division of Public Health.

The facility ensured that changes in condition were identified, and there was no violation related to the allegation. Reviews of three resident records and interviews with residents, family, and staff confirmed proper assessment and care planning.

The allegation was that the facility failed to identify change in condition. The complaint was investigated and found to be unsubstantiated as the facility had processes in place to identify changes in condition.

An unannounced visit was conducted to investigate a complaint and annual survey at The Ambassador Lincoln from July 24, 2018 to July 31, 2018.

The complaint investigation found no violations related to medication administration, documentation, staffing, diet form, or safety interventions during heat applications. However, the facility was cited for multiple deficiencies including privacy breaches with electronic medical records, unsecured medication carts, failure to provide physician ordered diet consistency, improper food handling practices, incomplete criminal background check documentation, fire safety code violations, and deficiencies in fire alarm, sprinkler, and emergency systems maintenance.

The complaint included allegations of failure to provide medications according to the Five Rights, ensure accurate documentation, sufficient staffing, food form following physician orders, and safety interventions during heat applications. The investigation found no violations related to these allegations.

An unannounced visit was conducted to investigate a complaint at The Ambassador Lincoln on April 10-11, 2018, regarding failure to change interventions after residents were identified at risk for falls, failure to submit investigations within 5 working days, and failure to put interventions in place to prevent injuries.

The investigation found the facility was in compliance with regulatory requirements for all allegations: fall risks were identified and care plans revised, investigations were submitted within 5 working days with improved fax procedures, and interventions to prevent injuries were implemented and evaluated.

The complaint included three allegations: failure to change interventions after fall risk identification, failure to submit investigations timely, and failure to implement injury prevention interventions. The facility was found compliant with all allegations after review of records, observations, and interviews.

An unannounced visit was conducted to investigate a complaint at The Ambassador Lincoln from March 22, 2018 to March 27, 2018, focusing on allegations related to NPO orders, repositioning bars, fall interventions, family notification of condition changes, call light accessibility, bladder elimination care, and oral care provision.

The investigation found that the facility failed to ensure NPO orders were followed but took corrective action promptly, resulting in no deficiency citation. All other allegations, including repositioning bars, fall interventions, family notifications, call light accessibility, bladder elimination care, and oral care, were found to be in compliance with regulatory requirements with no violations.

The complaint investigation addressed seven allegations regarding care and service failures. The facility was found to have corrected the NPO order issue promptly, and no violations were found for the other allegations.

The document serves to amend the facility's Health Insurance Benefits Agreement to reflect changes in certified bed locations and counts as requested by the facility.

The letter confirms updated certified bed assignments and totals for the facility effective March 25, 2018, maintaining a total of 122 Medicare certified beds.

The document is a nursing home licensure renewal application for The Ambassador Lincoln facility, submitted to renew the SNF/NF dual certification license.

The document includes verification of licensure renewal, ownership disclosure, fire marshal occupancy permits, and floor plans. No inspection findings or deficiencies are reported.

An unannounced visit was conducted to investigate a complaint and annual survey at The Ambassador Lincoln on August 28-31, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found deficient in several areas including failure to submit investigations within 5 working days, ineffective infection control program, failure to follow physician orders, medication administration errors, and improper storage of resident care supplies. Some allegations such as peri-care and injury prevention were found compliant.

Complaint investigation included allegations of failure to submit investigations timely, ineffective infection control, failure to follow physician orders, failure to provide appropriate peri-care, and failure to prevent injuries. Some allegations were substantiated (e.g., infection control, medication errors), others were not (peri-care, injury prevention).

An unannounced visit was conducted to investigate a complaint that the facility fails to use fall interventions when residents have been identified at risk for falls.

The investigation included review of resident records, observations, and interviews, and determined the facility was in compliance with all regulatory requirements regarding fall interventions.

The complaint alleged failure to use fall interventions for residents identified at risk for falls. The investigation found the facility in compliance.

An unannounced visit was conducted to investigate a complaint at The Ambassador Lincoln on February 7, 2017, by representatives of the Department of Health and Human Services Division of Public Health. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The investigation addressed ten allegations related to call system response, fall prevention, medication administration, resident dignity, wellbeing, pest control, safety, accident prevention, pressure sore prevention, and grooming. Observations, interviews, and record reviews found the facility in compliance with all regulatory requirements with no violations identified.

The investigation was complaint-related, triggered by ten specific allegations regarding facility care and safety. The complaint was found to be unsubstantiated as the facility met all regulatory requirements.

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

An incident resulting in injury was identified, but no deficient practice was found. The facility took steps to prevent recurrence, including staff education, care plan revisions, and policy updates, and was found to be in compliance.

The complaint alleged failure to protect residents from injury. The investigation found the incident isolated with no other injuries of this type and no deficient practice identified. The facility was found in compliance.

An unannounced visit was conducted to investigate multiple complaints at The Ambassador Lincoln from November 3, 2016 to November 17, 2016, including allegations of failure to identify changes in condition, protect residents from abuse, notify appropriate parties of changes, ensure grooming, resolve grievances, prevent infections, follow isolation procedures, prevent unnecessary seclusion, provide care to prevent skin breakdown, and submit investigations timely.

The investigation found the facility was generally compliant with abuse protection, infection control, isolation procedures, grievance resolution, and timely submission of investigations. However, deficiencies were found related to failure to notify family of changes in condition, failure to provide grooming care to one resident, and failure to prevent a pressure sore on another resident. Plans of correction were submitted for these deficiencies.

The complaint investigation was substantiated in part with findings of noncompliance related to failure to notify family of changes in condition, failure to provide grooming care, and failure to prevent pressure sores. Other allegations such as abuse, infection control, grievance resolution, and isolation procedures were found to be in compliance.

An unannounced visit was conducted to investigate a complaint and perform the annual survey at The Ambassador Lincoln from May 25, 2016 to June 8, 2016 by the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with allegations related to misappropriation, injury prevention interventions, and noise control during the annual survey and complaint investigation. However, deficiencies were identified in life safety code compliance, including fire door hardware, oxygen cylinder storage and labeling, emergency generator signage, and oxygen use signage.

The complaint investigation focused on allegations of failure to protect residents from misappropriation, failure to implement interventions to prevent injuries, and failure to provide a home-like environment with adequate noise control. The facility was found to be in compliance with these allegations.

An unannounced visit was conducted to investigate a complaint alleging the facility failed to protect residents from abuse and failed to ensure residents are free from verbal abuse.

The investigation included observations, interviews, and record reviews. Residents, family members, and staff reported no physical or verbal abuse. The facility was found to be in compliance with abuse prevention regulations.

The complaint alleged failure to protect residents from abuse and failure to ensure residents are free from verbal abuse. The facility was found to be in compliance with these allegations.

An unannounced visit was conducted to investigate a complaint that the facility fails to maintain and monitor equipment for resident safety.

The facility failed to ensure that an oximeter monitoring device was turned on and functioning for Resident 1, resulting in the resident's death due to respiratory failure. The facility took immediate corrective actions including equipment checks, staff education, disciplinary actions, and ongoing audits.

The complaint alleged the facility failed to maintain and monitor equipment for resident safety. The investigation substantiated that the oximeter was not on for Resident 1 during a critical incident leading to death.

An unannounced visit was conducted to investigate a complaint regarding the facility's care and treatment to prevent skin breakdown, medication administration according to practitioner's orders, necessity of medications, and notification of charges for medications.

The investigation found no violations related to the allegations. The facility provided appropriate care to prevent skin breakdown, administered medications according to orders, ensured medications were necessary, and properly notified residents or their representatives of medication charges.

The complaint alleged failure to provide care to prevent skin breakdown, failure to administer medications according to orders, failure to ensure medications were necessary, and failure to notify residents or their representatives of medication charges. All allegations were found to be unsubstantiated.

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

Observations, interviews, and record reviews found that the facility used multiple fall interventions and alarm systems to protect residents from falls, and it was determined that there was no violation related to the allegation.

The complaint alleged that the facility fails to protect residents from injury. The investigation found no violation related to this issue.

An unannounced visit was conducted to investigate a complaint at The Ambassador Lincoln on May 11, 2015, regarding allegations that the facility fails to protect residents from injury and fails to ensure resident's equipment is safe to use.

Observations, interviews, and record reviews were conducted during the complaint survey. It was determined that there were no violations related to the allegations concerning resident protection from injury and safety of resident equipment.

The complaint alleged the facility failed to protect residents from injury and failed to ensure resident's equipment was safe to use. The investigation found no violations related to these issues.

An unannounced visit was conducted to investigate a complaint regarding multiple allegations at The Ambassador Omaha.

The investigation found the facility was in compliance with all relevant regulatory requirements for all allegations including change in condition identification, call system response, bladder elimination care, wound care, discharge notice, grievance filing without retaliation, resident rights, and protection from injury of unknown origin.

The complaint included allegations that the facility failed to identify changes in condition, answer call notification systems promptly, provide care for bladder elimination and wound care, ensure 30 day notice prior to involuntary discharge, allow grievance filing without retaliation, protect resident rights, and protect residents from injury of unknown origin. All allegations were found to be unsubstantiated with no violations.

An unannounced visit was conducted to investigate a complaint and annual survey at The Ambassador Lincoln on April 15, 2015-April 21, 2015. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility was found to be in compliance with federal and state regulations regarding pain management, grievance resolution, call light response, and injury reporting. One substantiated allegation involved medication diversion by a licensed nurse who was terminated. Another substantiated allegation involved medication administration error resulting in aspiration pneumonia, with retraining provided. A deficiency was cited for failure to implement interventions after a resident fall with injury. A deficiency was also cited for failure to clean a body fluid spill properly, risking infection control.

Multiple allegations investigated including failure to assist residents with pain management, failure to resolve grievances, failure to answer call lights promptly, failure to report injuries timely, failure to ensure destruction of narcotic medications, failure to protect residents from abuse, failure to administer medications properly, failure to protect residents from injuries of unknown origin, failure to ensure appropriate housekeeping, and failure to ensure appropriate medication administration. Most allegations were found unsubstantiated or resolved except for medication diversion and medication administration error.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to provide peritoneal dialysis according to standards of practice.

The facility failed to provide appropriate care and monitoring for one resident receiving peritoneal dialysis, including failure to provide dialysis services, assess and monitor for complications, document dialysis results, care for the dialysis site, and monitor laboratory results. Other allegations related to pressure sore prevention, medication administration, and transfer positioning were found to have no violations.

The complaint alleged the facility failed to provide peritoneal dialysis according to standards of practice. The investigation confirmed violations related to peritoneal dialysis care for Resident 6.

An unannounced visit was conducted to investigate a complaint and annual survey at The Ambassador Lincoln from March 4, 2014 to March 12, 2014. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility was found deficient in multiple areas including failure to resolve grievances regarding call light response times, failure to provide a clean homelike environment due to offensive odors, failure to administer medications according to orders, failure to complete treatments as ordered, failure to maintain comprehensive care plans, failure to provide adequate dining assistance, failure to change Foley catheters as ordered, failure to ensure safety hazards such as unlocked soiled utility rooms, medication administration errors, improper labeling of insulin vials, infection control lapses, and life safety code violations including inadequate lighting and fire safety issues.

The complaint investigation included allegations that the facility failed to provide a clean homelike environment, failed to report incidents with significant injury, failed to provide respiratory support according to standards, failed to administer medications according to orders, failed to complete treatments according to orders, failed to treat residents with dignity and respect, failed to ensure equipment was used as designed, failed to resolve complaints/grievances, failed to answer call notification systems promptly, failed to protect residents from neglect, failed to address significant weight loss, failed to provide adequate fluid intake, failed to ensure resident meals served at proper temperature, failed to ensure enough staff to provide care, and failed to provide appropriate transfer services. The complaint was substantiated in part with multiple deficiencies cited.

Routine inspection of The Ambassador Lincoln nursing facility to assess compliance with regulatory standards including drug regimen, clinical records, and life safety codes.

The facility was found deficient in ensuring residents' drug regimens were free from unnecessary drugs, maintaining complete and accurate clinical records, and compliance with life safety code standards including fire safety door integrity, hazardous area separation, oxygen signage, electrical safety, and building construction requirements.

The inspection was conducted as part of a routine survey to assess compliance with Nebraska Administrative Code and Life Safety Code regulations for skilled nursing and health care facilities.

The facility was found deficient in housekeeping and maintenance services, with broken window frames and trip hazards. Life safety code deficiencies included corridor doors not fitting tightly, unsealed penetrations, and sprinkler system maintenance issues such as painted sprinkler heads and inadequate clearance around sprinkler heads.

Investigation of a self-reported incident of a power outage during a winter storm on 12/03/2011 that disrupted electricity provision, including power to ventilators for 6 residents in the ventilation unit.

The facility failed to maintain complete medical records documenting clinical monitoring, provision of care, and resident condition during the power outage for 5 residents requiring mechanical ventilation. Resident 1 died during the outage, and documentation was lacking for the time period of 8:50 AM to 9:50 AM on 12/03/2011 for all affected residents.

Complaint investigation related to a power outage incident on 12/03/2011 affecting ventilator-dependent residents. Substantiation status is not explicitly stated.

The inspection was conducted to identify deficiencies related to the facility's compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.

The facility was found deficient in multiple areas including failure to provide privacy during catheter and tracheotomy care, failure to develop comprehensive care plans addressing hand contractures and safety interventions, failure to provide care by qualified persons per care plan, failure to post nurse staffing data including resident census, failure to ensure sanitary food handling, and failure to properly store water containers to prevent cross contamination.

The documents serve to verify the renewal of the Skilled Nursing Facility license for The Ambassador Lincoln and provide occupancy permit details.

The documents confirm the facility meets statutory requirements for licensure renewal and provide ownership and occupancy information.

This document serves as a licensure renewal application and verification for The Ambassador Lincoln skilled nursing facility, including occupancy permit and ownership disclosure.

The documents confirm the facility's licensure renewal status, ownership information, and occupancy permit with a maximum capacity of 122 beds. No inspection findings or deficiencies are reported.

The documents serve to renew the nursing home license, certify occupancy limits, and disclose ownership information for The Ambassador Lincoln facility.

No inspection findings or deficiencies are reported. The documents confirm licensure renewal, maximum occupancy of 122 beds, and ownership details.

This document serves to verify the renewal of the Skilled Nursing Facility license for The Ambassador Lincoln and includes the occupancy permit issued by the Nebraska State Fire Marshal.

The facility is licensed as a Skilled Nursing Facility with a total capacity of 122 beds. The occupancy permit was issued on 2016-06-09 by the Nebraska State Fire Marshal, confirming compliance with fire safety codes.

The document serves as a renewal application for the nursing home license of The Ambassador Lincoln facility and includes related certification and occupancy permit information.

The documents confirm the facility's licensure renewal status, ownership details, and maximum occupancy as 122 beds, with no inspection findings or deficiencies reported.

This document serves as a renewal application for the nursing home license of The Ambassador Lincoln facility and includes related licensing and occupancy permit information.

The documents verify that The Ambassador Lincoln meets statutory requirements for licensure renewal, with no inspection findings or deficiencies reported.

The document serves as a renewal application for the nursing home license of The Ambassador Lincoln facility and includes verification of licensure, ownership disclosure, and occupancy permit information.

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

This document serves as a hospital license renewal application for the period 1/1/2025 to 12/31/2025 and includes an occupancy permit issued by the Nebraska State Fire Marshal.

The document verifies that The Ambassador Lincoln, Inc dba Ambassador Health Lincoln meets statutory requirements for licensing as a long term care hospital/dual facility and includes the occupancy permit with a maximum capacity of 122 beds.

This document serves as a hospital license renewal application for the facility and includes an occupancy permit issued by the Nebraska State Fire Marshal.

The documents verify that the facility meets statutory requirements for licensure as a long term care hospital/dual and confirm the licensed bed capacity and occupancy permit status.

The notice was issued to inform The Ambassador Lincoln Skilled Nursing Facility of disciplinary action due to violations related to monitoring devices and alarm systems not functioning properly.

The facility failed to ensure monitoring devices were activated and alarm systems were functioning, leading to probation for 90 days with specific conditions to monitor and document ventilator and oximeter alarms.