Inspection Reports for AVIVA Woodlands

NE

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 0 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

Same as Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2018
2019
2020
2025

Census

Latest occupancy rate 89% occupied

Based on a April 2025 inspection.

Census over time

80 88 96 104 112 Jan 1970 Jan 2019 Apr 2025

Inspection Report

Renewal
Census: 85 Capacity: 95 Deficiencies: 0 Date: Apr 4, 2025

Visit Reason
The document is a renewal application and related licensing and certification materials for Aviva Woodlands Assisted-Living Facility, verifying licensure through the renewal date and providing updated facility and ownership information.

Findings
The documents confirm that Aviva Woodlands meets statutory requirements as an assisted-living facility with Alzheimer's and Memory Care endorsement. The renewal application includes detailed facility capacity, ownership, and staffing information, with no deficiencies or violations noted.

Report Facts
Total licensed beds: 95 Current residents: 85 Alzheimer's unit beds: 32 Total beds to be relicensed: 107

Employees mentioned
NameTitleContext
Candyce HaydenAdministratorNamed as facility administrator on renewal application and Alzheimer's endorsement application
Christopher FinlayLegal OwnerListed as 100% member/owner of OpCo and contact on Alzheimer's endorsement application

Notice

Capacity: 107 Deficiencies: 0 Date: Apr 17, 2020

Visit Reason
The document serves as a renewal application for licensure of The Woodlands at Hillcrest Assisted-Living Facility, including renewal of the Alzheimer's Special Care Unit Disclosure and Memory Care Endorsement.

Findings
The documents confirm licensure renewal, describe the facility's memory care program philosophy, staffing, environment, and services, and provide ownership and operational permit details. No inspection findings or deficiencies are reported.

Report Facts
Number of Beds: 32 Total Licensed Capacity: 107 Renewal Application Date: Apr 17, 2020 Fee Schedule: 6325 Fee Schedule: 6775 Fee Schedule: 7200 Fee Schedule: 5900 Fee Schedule: 6350 Fee Schedule: 6675

Employees mentioned
NameTitleContext
Michael K NelsonAuthorized RepresentativeSigned renewal application and Alzheimer's Special Care Unit Disclosure
David B SiegelAuthorized RepresentativeSigned renewal application
Hannah ElliottAdministratorNamed as facility administrator in renewal application

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Feb 27, 2020

Visit Reason
An unannounced visit was conducted to investigate a complaint at The Woodlands At Hillcrest on February 27, 2020, 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.

Complaint Details
The complaint included allegations regarding medication administration errors, failure to provide agreed services, failure to complete daily weights, failure to assess residents' ability to self-administer medications, failure to protect narcotic medications from diversion, failure to protect residents from adverse behaviors, failure to notify family/POA of falls/incidents, failure to ensure personal grooming, and failure to use appropriate fall prevention interventions. All allegations were found to be unsubstantiated as the facility was in compliance.
Findings
The facility was found to be in compliance with all related regulatory requirements for the allegations investigated, including medication administration, resident service agreements, daily weights, medication self-administration assessments, narcotic medication protection, protection from residents with adverse behaviors, notification of family/POA of falls/incidents, personal grooming, and fall prevention interventions.

Employees mentioned
NameTitleContext
Hannah ElliottAdministratorFacility administrator named in the report header.
Connie VogtProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSAuthor of the inspection report letter.

Inspection Report

Renewal
Census: 107 Capacity: 107 Deficiencies: 0 Date: Jan 1, 2019

Visit Reason
The document is a renewal application and associated approvals for the assisted living facility license for The Woodlands at Hillcrest, including renewal of the Alzheimer's Special Care Unit Disclosure and Memory Care Endorsement.

Findings
The facility is licensed as an assisted living facility with a maximum capacity of 107 beds, including 32 beds in the Alzheimer's Special Care Unit. The facility meets fire safety requirements per the Bureau of Fire Prevention and has an operational permit valid for 2019. The Memory Care Endorsement application details the facility's philosophy, staffing, environment, and care programs for residents with dementia.

Report Facts
Maximum Occupancy: 107 Alzheimer's Unit Capacity: 32 Licensing Fee: 1950 License Expiration Date: Dec 31, 2019 Staff Training Hours: 4

Employees mentioned
NameTitleContext
Patricia JarnaginAdministratorNamed as facility administrator in renewal application
Michael NelsonContact Name / ManagerNamed as legal owning entity contact and manager
Jacob WolfgangAuthorized RepresentativeSigned Memory Care Endorsement application

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Aug 2, 2018

Visit Reason
An unannounced visit was conducted to investigate a complaint at The Woodlands At Hillcrest from August 2, 2018 to August 6, 2018 by the Department of Health and Human Services Division of Public Health.

Complaint Details
The complaint alleged that the facility failed to provide care and services per the resident service agreement and failed to provide medications according to the five rights. Both allegations were found to be unsubstantiated.
Findings
The facility was found to be in compliance with regulatory requirements regarding care and services per the resident service agreement and medication administration according to the five rights. Residents reported satisfaction with care and medication management.

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

Inspection Report

Routine
Deficiencies: 0 Date: Apr 17, 2018

Visit Reason
The inspection was conducted as a Compliance Inspection to assess the facility's adherence to regulations governing licensure of assisted-living facilities.

Findings
The facility was found in compliance with the applicable regulations, and the results of the Compliance Inspection were commendable.

Employees mentioned
NameTitleContext
Pat HayseRegistered NurseConducted the Compliance Inspection
Christine JonesRegistered NurseConducted the Compliance Inspection
Dan TaylorRN, Training CoordinatorSigned the inspection report letter

Inspection Report

Renewal
Capacity: 107 Deficiencies: 0 Date: Apr 1, 2018

Visit Reason
The document is a renewal application and licensing approval for The Woodlands at Hillcrest Assisted Living Facility, including a Memory Care Endorsement.

Findings
The facility meets statutory requirements for licensure as an assisted living facility with Alzheimer's Memory Care Endorsement. The facility has been inspected and approved for use and occupancy, including fire safety and life safety code compliance. The Memory Care program is described in detail, including staffing, training, environment, and resident care philosophy.

Report Facts
Total licensed capacity: 107 Memory Care endorsed capacity: 32 Licensing fee: 1950 Memory Care monthly fees: 5700

Employees mentioned
NameTitleContext
Patricia JarnaginAdministratorNamed as facility administrator
Michael NelsonAuthorized RepresentativeNamed as contact and authorized representative for ownership entity Lincoln Senior Living, LLC
D. Richard Ten BraakManagerManager of Einstein Financial Services, P.C., a controlling entity
Mike NelsonManagerManager of Nelson Development 1, LLC, a controlling entity
Trish JarnaginAdministratorNamed as administrator in Memory Care Endorsement application

Inspection Report

Renewal
Capacity: 107 Deficiencies: 0 Date: APP2021

Visit Reason
This document serves as a renewal application and verification that the assisted-living facility, The Woodlands at Hillcrest, is licensed through the date indicated on the renewal card.

Findings
The document confirms the facility meets statutory requirements as an assisted-living facility with Alzheimer's unit and memory care endorsement. It includes licensing details, ownership information, and maximum occupancy limits.

Report Facts
Total licensed beds: 107 Maximum occupancy: 107 Alzheimer's beds capacity: 32

Employees mentioned
NameTitleContext
Mike NelsonmanagerNamed as manager in the list of persons in control of the facility
Michael K NelsonAuthorized RepresentativeSigned renewal application and Alzheimer's endorsement application
Hannah ElliottAdministratorNamed as facility administrator in multiple documents

Notice

Capacity: 107 Deficiencies: 0 Date: APP2022

Visit Reason
The document serves as a renewal application for the assisted-living facility license and includes verification of licensure, ownership details, and facility capacity information.

Findings
The documents confirm that Aviva Woodlands meets statutory requirements for licensure as an assisted-living facility with a memory care endorsement. It includes details on facility capacity, ownership, and fire safety permit status.

Report Facts
Total licensed beds: 107 Alzheimer's unit beds: 32 Fire permit beds: 117 Average weighted rent: 6500

Employees mentioned
NameTitleContext
Christopher FinlayAuthorized Representative / Legal OwnerSigned the renewal application and ownership documents (pages 2, 3, 9, 10).

Document

Capacity: 107 Deficiencies: 0 Date: APP2023

Visit Reason
The documents pertain to the renewal of the assisted-living facility license and endorsement for Alzheimer's special care unit for Aviva Woodlands.

Findings
The documents verify that Aviva Woodlands meets statutory requirements as an assisted-living facility, provide ownership and contact information, and include details on facility capacity and services. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 107 Alzheimer's special care beds: 32 Fire prevention permit beds: 117 Staffing ratios: 8 Average weighted rent: 6500

Employees mentioned
NameTitleContext
Deanna HayesAdministratorNamed as facility administrator in renewal application and Alzheimer's endorsement application (pages 2 and 8).
Jackie MitchellAuthorized RepresentativeSigned renewal application and Alzheimer's endorsement application (pages 2 and 11).
Brendan McHughAuthorized RepresentativeSigned renewal application (page 2).
Christopher FinlayNamed as legal owning entity contact and owner of OpCo (pages 3 and 8).

Document

Census: 89 Capacity: 107 Deficiencies: 0 Date: APP2024

Visit Reason
The document serves to provide licensing and renewal information for Aviva Woodlands Assisted-Living Facility, including renewal application, operational permits, and endorsement applications.

Findings
The document contains no inspection findings or deficiencies; it includes licensing status, facility capacity, ownership details, occupancy data, floor plans, and Alzheimer's care program information.

Report Facts
Total licensed beds: 107 Number of residents present: 89 Alzheimer's beds capacity: 32 Memory Care residents: 23 Fire prevention permit beds: 117

Employees mentioned
NameTitleContext
Deanna HayesAdministratorNamed as administrator and authorized representative in licensing and endorsement applications on pages 2 and 16.
Christopher FinlayLegal Owner/Authorized RepresentativeNamed as legal owning entity and authorized representative in ownership and licensing documents on pages 2 and 3.

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