Inspection Reports for
Bailey Pointe Assisted Living at Plattsmouth
1913 Old Hwy 34, Plattsmouth, NE 68048, United States, NE, 68048
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
1.4 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
67% better than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
87% occupied
Based on a October 2017 inspection.
Occupancy rate over time
Notice
Capacity: 45
Deficiencies: 0
Date: 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
| Name | Title | Context |
|---|---|---|
| Sharon Makowsky | Authorized representative signing the renewal application and ownership documents |
Inspection Report
Renewal
Capacity: 45
Deficiencies: 0
Date: 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
| Name | Title | Context |
|---|---|---|
| Sharon Makowsky | Authorized Representative | Signed the renewal application and is listed as authorized signer for ownership |
| Kimberlie Cundall | Administrator | Named as facility administrator on the renewal application |
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 3
Date: 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.
Complaint Details
The complaint was substantiated as the facility failed 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.
Deficiencies (3)
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
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed the complaint investigation report |
| Suprina Tubbs | Administrator | Facility administrator addressed in the report |
| Dietary Department Manager | Interviewed regarding food handling practices and findings |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: 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.
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.
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.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager | Signed the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS |
| Katie Fester | Administrator | Facility administrator addressed in the report |
| Director of Nursing | Interviewed regarding discharge procedures |
Inspection Report
Complaint Investigation
Census: 41
Deficiencies: 2
Date: 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.
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.
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.
Deficiencies (2)
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
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the complaint investigation letter. |
| Kay Reeves | Nutrition/dietitian | Surveyor conducting the complaint investigation. |
| Sylvia Slatten | Administrator | Facility administrator addressed in the report. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: 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.
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.
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.
Deficiencies (2)
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
| Name | Title | Context |
|---|---|---|
| Kay Reeves | Nutrition/dietitian | Surveyor who conducted the complaint investigation. |
| Sylvia Slatten | Administrator | Facility administrator named in the report. |
| Eve Lewis | Program Manager | Program Manager who signed the report and correspondence. |
Notice
Capacity: 45
Deficiencies: 0
Date: 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
| Name | Title | Context |
|---|---|---|
| Suprina Tubbs | Administrator | Named as facility administrator in renewal application |
| Lawrence A. Cohen | Chief Executive Officer | Officer of CSL Woodbridge, LLC |
| David W. Beathard | President | Officer of CSL Woodbridge, LLC and Capital Midwest, LLC |
| David R. Brickman | Vice President and Secretary | Officer of CSL Woodbridge, LLC and Capital Senior Living Properties, Inc. |
| Carey P. Hendrickson | Vice President and Controller | Officer of CSL Woodbridge, LLC and Capital Senior Living Properties, Inc. |
| Michael W. Schumacher | Vice President | Officer of CSL Woodbridge, LLC |
| Gloria M. Holland | Vice President | Officer of CSL Woodbridge, LLC and Capital Senior Living Properties, Inc. |
| Kimberly S. Lody | President, Chief Executive Officer | Officer of Capital Senior Living Corporation |
Document
Capacity: 45
Deficiencies: 0
Date: 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
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