Inspection Reports for Bailey Pointe Assisted Living at Plattsmouth

1913 Old Hwy 34, Plattsmouth, NE 68048, United States, NE, 68048

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Deficiencies per Year

4 3 2 1 0
2014
2015
2017
2024
2025
Unclassified

Census Over Time

33 36 39 42 45 48 Mar '15 Oct '17
Notice Capacity: 45 Deficiencies: 0 Feb 25, 2025
Visit Reason
This document serves as a renewal application for the assisted-living facility license for Bailey Pointe of Plattsmouth.
Findings
The document certifies that Bailey Pointe of Plattsmouth meets statutory requirements as an assisted-living facility and includes ownership information and occupancy permit details.
Report Facts
Total licensed beds: 45 License expiration date: License expires on 2026-04-30 as shown on the renewal card Occupancy maximum: 45 Occupancy permit date: Occupancy permit issued on 2024-09-25
Employees Mentioned
NameTitleContext
Sharon MakowskyAuthorized representative signing the renewal application and ownership documents
Inspection Report Renewal Capacity: 45 Deficiencies: 0 Mar 5, 2024
Visit Reason
The document is a renewal application and license verification for the assisted-living facility Bailey Pointe of Plattsmouth, confirming licensure through the renewal date.
Findings
The documents confirm that Bailey Pointe of Plattsmouth meets statutory requirements as an assisted-living facility with a licensed capacity of 45 beds. The renewal application was signed and submitted with no deficiencies or violations noted.
Report Facts
Total licensed beds: 45 Renewal application date: Mar 5, 2024
Employees Mentioned
NameTitleContext
Sharon MakowskyAuthorized RepresentativeSigned the renewal application and is listed as authorized signer for ownership
Kimberlie CundallAdministratorNamed as facility administrator on the renewal application
Inspection Report Complaint Investigation Census: 39 Deficiencies: 3 Oct 26, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to ensure appropriate food handling practices to prevent food borne illness.
Findings
The facility failed to prepare and store foods properly, including undated and expired food items, improper thawing of meat, and serving unpasteurized soft cooked eggs, violating the Nebraska Food Code 175 NAC 4-006.10C.
Complaint Details
The complaint was substantiated as the facility failed to ensure appropriate food handling practices to prevent food borne illness.
Deficiencies (3)
Description
Failure to prepare and store foods to protect residents from potential food borne illness, including undated and expired food items in refrigerators.
Serving soft cooked eggs that were not labeled as pasteurized.
Improper thawing of roast beef on the kitchen counter instead of under refrigeration or running water.
Report Facts
Census: 39 Dates of observation: Inspection conducted between October 26, 2017 and November 14, 2017 Correction completion date: Correction completed on 11/21/2017
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned the complaint investigation report
Suprina TubbsAdministratorFacility administrator addressed in the report
Dietary Department ManagerInterviewed regarding food handling practices and findings
Inspection Report Complaint Investigation Deficiencies: 0 Feb 15, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint at The Waterford At Woodbridge on February 15, 2017, by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The investigation reviewed multiple allegations including staffing sufficiency, record keeping, resident grievances, medication administration, abuse prevention, dignity and respect, practitioner's orders, and discharge procedures. The facility was found to be in compliance with all related regulatory requirements with no deficiencies identified.
Complaint Details
The complaint investigation addressed allegations of insufficient staffing, inaccurate record keeping, residents' inability to voice concerns without fear, improper medication administration, resident abuse, lack of dignity and respect, failure to follow practitioner's orders, and failure to follow discharge service agreements. All allegations were found to be unsubstantiated and the facility was compliant.
Employees Mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS
Katie FesterAdministratorFacility administrator addressed in the report
Director of NursingInterviewed regarding discharge procedures
Inspection Report Complaint Investigation Census: 41 Deficiencies: 2 Mar 26, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to ensure residents meet retention criteria and to provide services as agreed upon in the resident service agreement.
Findings
The facility failed to ensure one resident did not require complex nursing interventions related to blood sugars, violating retention criteria. However, the facility was found to be in compliance regarding providing services as agreed upon in the resident service agreement.
Complaint Details
The complaint alleged the facility failed to ensure residents meet retention criteria and failed to provide services as agreed upon in the resident service agreement. The allegation regarding retention criteria was substantiated; the allegation regarding services was not substantiated.
Deficiencies (2)
Description
Facility failed to ensure one resident did not require complex nursing interventions related to blood sugars.
Facility failed to provide training to medication aides regarding administration of glucagen injection to a resident.
Report Facts
Census: 41 Survey Date: Mar 26, 2015
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training Coordinator - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the complaint investigation letter.
Kay ReevesNutrition/dietitianSurveyor conducting the complaint investigation.
Sylvia SlattenAdministratorFacility administrator addressed in the report.
Inspection Report Complaint Investigation Deficiencies: 2 Dec 10, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint at The Waterford At Woodbridge from December 8 to December 10, 2014, regarding staff credentialing, resident property misappropriation, notification of family on change in condition, and completion of laboratory work according to practitioner's orders.
Findings
The facility was found compliant with medication aide credentials, resident property protection, family notification of condition changes, and laboratory work completion. However, deficiencies were cited for failure to complete Nurse Aide Registry checks on seven direct care staff and Nebraska Sex Offender Registry checks on four staff members.
Complaint Details
The complaint investigation was triggered by allegations that the facility failed to ensure staff had appropriate credentials, failed to protect resident property from misappropriation, failed to notify family or responsible party of change in condition, and failed to complete laboratory work according to practitioner's orders. The allegation regarding staff credentials was not substantiated but related deficiencies were cited. Other allegations were found to be in compliance.
Deficiencies (2)
Description
Failure to complete Nurse Aide Registry checks on seven unlicensed direct care staff members.
Failure to complete Nebraska State Patrol Sex Offender Registry checks on four unlicensed direct care staff members.
Report Facts
Number of direct care staff without Nurse Aide Registry checks: 7 Number of direct care staff without Nebraska Sex Offender Registry checks: 4 Survey dates: Investigation conducted December 8-10, 2014.
Employees Mentioned
NameTitleContext
Kay ReevesNutrition/dietitianSurveyor who conducted the complaint investigation.
Sylvia SlattenAdministratorFacility administrator named in the report.
Eve LewisProgram ManagerProgram Manager who signed the report and correspondence.
Notice Capacity: 45 Deficiencies: 0 APP2016
Visit Reason
This document serves as a licensure renewal application and verification for The Waterford at Woodbridge assisted-living facility, confirming its licensed status and capacity.
Findings
The documents confirm the facility's licensure renewal status, ownership information, and maximum licensed capacity of 45 beds. An occupancy permit issued by the Nebraska State Fire Marshal is also included.
Report Facts
Total licensed beds: 45 Renewal expiration date: Apr 30, 2016 Occupancy permit beds: 45
Employees Mentioned
NameTitleContext
Sylvia SlattenAdministratorNamed as the facility administrator on the renewal application.
David BrickmanAuthorized RepresentativeSigned the renewal application as an authorized representative.
Jason McClunDeputy State Fire MarshalInspected the facility and approved the occupancy permit.
Notice Capacity: 45 Deficiencies: 0 APP2017
Visit Reason
This document serves as a licensure renewal application and verification for The Waterford at Woodbridge Assisted-Living Facility, confirming the facility's license renewal through the indicated expiration date.
Findings
The document certifies that The Waterford at Woodbridge meets statutory requirements as an assisted-living facility and is licensed through the renewal date. It includes ownership information, facility capacity, and an occupancy permit issued by the Nebraska State Fire Marshal.
Report Facts
Total licensed beds: 45 Renewal expiration date: Apr 30, 2018 Occupancy permit issue date: Mar 30, 2016
Employees Mentioned
NameTitleContext
Katie FesterAdministratorNamed as the facility administrator in the licensure renewal application.
Jason McClunDeputy State Fire MarshalInspected the facility and issued the occupancy permit.
David R. BrickmanVice President and SecretaryNamed as an officer of CSL Woodbridge, LLC and Capital Senior Living Properties, Inc.
Carey P. HendricksonVice President and ControllerNamed as an officer of CSL Woodbridge, LLC and Capital Senior Living Properties, Inc.
Lawrence A. CohenChief Executive Officer and PresidentNamed as an officer of Capital Senior Living Properties, Inc. and Capital Senior Living Corporation.
Notice Capacity: 45 Deficiencies: 0 APP2018
Visit Reason
This document serves as a licensure renewal notice and application for The Waterford at Woodbridge Assisted-Living Facility, verifying the facility's license renewal through the indicated expiration date.
Findings
The document certifies that The Waterford at Woodbridge meets statutory requirements as an assisted-living facility and is licensed through the renewal date. It includes ownership, business organization, and accreditation information but does not report inspection findings or deficiencies.
Report Facts
Total licensed beds: 45 Renewal expiration date: Apr 30, 2019
Employees Mentioned
NameTitleContext
Suprina TubbsAdministratorNamed as facility administrator in the renewal application
Jason McClunDeputy State Fire MarshalInspected and approved occupancy permit as shown on page 7
Notice Capacity: 45 Deficiencies: 0 APP2019
Visit Reason
This document serves as a licensure renewal notification for The Waterford at Woodbridge Assisted-Living Facility, confirming the license is valid through the indicated expiration date.
Findings
The document confirms that The Waterford at Woodbridge meets statutory requirements as an assisted-living facility and is licensed through the renewal date. It includes ownership, business organization, and corporate officer information, as well as a fire marshal occupancy permit.
Report Facts
Total licensed beds: 45 Renewal expiration date: Apr 30, 2020
Employees Mentioned
NameTitleContext
Suprina TubbsAdministratorNamed as facility administrator in renewal application
Lawrence A. CohenChief Executive OfficerOfficer of CSL Woodbridge, LLC
David W. BeathardPresidentOfficer of CSL Woodbridge, LLC and Capital Midwest, LLC
David R. BrickmanVice President and SecretaryOfficer of CSL Woodbridge, LLC and Capital Senior Living Properties, Inc.
Carey P. HendricksonVice President and ControllerOfficer of CSL Woodbridge, LLC and Capital Senior Living Properties, Inc.
Michael W. SchumacherVice PresidentOfficer of CSL Woodbridge, LLC
Gloria M. HollandVice PresidentOfficer of CSL Woodbridge, LLC and Capital Senior Living Properties, Inc.
Kimberly S. LodyPresident, Chief Executive OfficerOfficer of Capital Senior Living Corporation
Document Capacity: 45 Deficiencies: 0 APP2020
Visit Reason
The documents pertain to the renewal of the assisted-living facility license for The Waterford at Woodbridge and include ownership information and an occupancy permit.
Findings
The documents certify that The Waterford at Woodbridge meets statutory requirements as an assisted-living facility and holds a valid occupancy permit for 45 beds issued by the Nebraska State Fire Marshal.
Report Facts
Total licensed beds: 45 Occupancy permit date: Sep 24, 2018
Notice Capacity: 45 Deficiencies: 0 APP2021
Visit Reason
This document serves as a licensure renewal application and verification for The Waterford at Woodbridge assisted-living facility, including renewal of the facility license and occupancy permit.
Findings
The documents confirm that The Waterford at Woodbridge meets statutory requirements as an assisted-living facility with a licensed capacity of 45 beds. The renewal application was signed and dated in April 2021, and the occupancy permit was issued in October 2020.
Report Facts
Total licensed beds: 45
Notice Capacity: 45 Deficiencies: 0 APP2022
Visit Reason
This document serves as a renewal application for the assisted-living facility license for The Waterford at Woodbridge and includes related licensing and occupancy permits.
Findings
The documents certify that The Waterford at Woodbridge meets statutory requirements as an assisted-living facility and is licensed through the renewal date. The occupancy permit confirms a maximum occupancy of 45 beds.
Report Facts
Total licensed beds: 45
Employees Mentioned
NameTitleContext
Brittani EgleyAdministratorNamed as administrator in the renewal application.
Brandon M RibarPresidentListed as President and Chief Operating Officer in ownership and officers documents.
David R BrickmanVice President and SecretaryListed as Vice President and Secretary in ownership and officers documents.
Michael FryarVice PresidentListed as Vice President in ownership and officers documents.
Liz BartelsVice PresidentListed as Vice President in ownership documents.
Kimberly S. LodyChief Executive Officer and PresidentListed as CEO and President in ownership documents.
Notice Capacity: 45 Deficiencies: 0 APP2023
Visit Reason
The document serves as a renewal application for the assisted-living facility license for Bailey Point of Plattsmouth, confirming licensure through the renewal date and providing ownership and contact information.
Findings
The documents confirm that Bailey Point of Plattsmouth meets statutory requirements as an assisted-living facility and holds a valid occupancy permit for 45 beds.
Report Facts
Total licensed beds: 45 Occupancy permit beds: 45
Employees Mentioned
NameTitleContext
Mary Ellen PisanelliSenior Vice PresidentAuthorized signer on the renewal application and ownership documents.
Kimberlie CundallAdministratorNamed as facility administrator on the renewal application.

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