Inspection Reports for Bailey Pointe Assisted Living at Roxbury Park

The document is related to the renewal of the assisted-living facility license for The Waterford at Roxbury Park.

The documents certify that The Waterford at Roxbury Park meets statutory requirements as an assisted-living facility and includes a fire safety certificate of occupancy with a maximum occupancy of 75 beds.

The document is a renewal application and certification for the assisted-living facility license of The Waterford at Roxbury Park, verifying the facility's license renewal and compliance with state regulations.

The documents confirm the facility's licensure renewal and compliance with statutory requirements, including ownership and business organization details, and a certificate of occupancy with a maximum capacity of 75 beds.

This document serves as verification that THE WATERFORD AT ROXBURY PARK is licensed as an assisted-living facility through the renewal date indicated, and includes renewal application details and a certificate of occupancy.

The facility is licensed and meets statutory requirements as an assisted-living facility with a maximum occupancy of 75 beds. No inspection deficiencies or findings are reported.

To acknowledge the increase in the number of licensed beds at the assisted-living facility as requested by the facility's letter dated January 7, 2019.

The number of licensed beds at the facility will increase from 70 to 75 effective January 24, 2019.

An unannounced visit was conducted to investigate a complaint regarding insufficient supervision during travel to and from appointments at The Waterford at Roxbury Park.

The facility failed to provide supervision after returning a resident from an appointment, resulting in a resident being left in the facility van. The facility completed an investigation, updated procedures, and provided staff education. The allegation was substantiated but no deficiency was cited as appropriate corrective actions were taken.

The allegation that the facility failed to provide sufficient supervision during travel to and from appointments was substantiated. The facility took corrective actions including updating procedures and staff education, resulting in no deficiency being cited.

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

The facility was found to have protected residents from abuse. The investigation included interviews, record reviews, and observations, and found the facility compliant with regulatory requirements after implementing safety checks, staff education, and additional safety interventions such as installation of cameras and changes in locking systems.

The complaint alleged failure to protect residents from abuse. The allegation was not substantiated as the facility was found compliant after investigation.

An unannounced visit was conducted to investigate a complaint regarding resident grievances, staffing, meals, medication administration, and resident communication at The Waterford At Roxbury Park.

The facility was found compliant with resident grievances, staffing, meals, and communication access. However, the facility failed to administer medications as ordered by a medical practitioner for three sampled residents, constituting a violation of state regulations.

The complaint investigation was substantiated with findings that the facility failed to administer medications correctly for three residents. Other allegations regarding grievances, staffing, meals, and communication were found to be in compliance.

This document serves as verification that The Waterford at Roxbury Park is licensed as an assisted-living facility through the renewal date indicated, and includes licensure renewal application details and fire marshal certificate of occupancy.

The facility is licensed as an assisted-living facility with a total licensed capacity of 70 beds. The Nebraska State Fire Marshal issued a certificate of occupancy approving a maximum occupancy of 70 persons/beds. Ownership and corporate officer information is provided.

An unannounced visit was conducted to investigate a complaint at The Waterford At Roxbury Park from March 22, 2017 to March 30, 2017 by the Department of Health and Human Services Division of Public Health.

The facility was found compliant with maintaining a pest-free environment, timely equipment repair, bladder elimination care, provision of baths, protection from misappropriation, following service agreements, ensuring privacy, providing care and services according to practitioner's orders, medication administration, sufficient staffing, and administrator presence. However, the facility failed to act upon resident/family grievances, treat residents with respect and dignity, ensure prompt response to call lights, protect residents from abuse, and complete investigations of potential abuse and neglect.

The complaint investigation was triggered by multiple allegations including failure to maintain a pest-free environment, failure to act on grievances, disrespectful treatment of residents, delayed call light responses, failure to protect from abuse, and insufficient staffing. Specific substantiated issues included failure to follow up on a broken hearing aide complaint, failure to treat residents with dignity, and failure to promptly answer call lights, including a call light left unanswered for over 87 minutes leading to a resident fall. Investigations into abuse allegations were incomplete at the time of the report.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to administer medications according to practitioner's orders and failure to provide services as agreed upon in the resident service agreement.

The investigation found that the facility failed to administer medications according to practitioner's orders but took appropriate corrective actions, resulting in no deficiency being written. The facility was found to be in compliance with providing services as agreed upon in the resident service agreement.

The complaint alleged failure to administer medications according to practitioner's orders and failure to provide services as agreed upon in the resident service agreement. The medication administration issue was not substantiated with deficiencies due to appropriate corrective actions. The service agreement allegation was found to be unsubstantiated.

An unannounced visit was conducted to investigate a complaint survey at The Waterford At Roxbury Park regarding failure to maintain a pest-free environment for residents.

The facility failed to maintain a pest-free environment and an effective pest control system, specifically related to bed bug activity. The facility was found to be in compliance with requirements related to protecting residents from recurring abuse.

The complaint investigation was substantiated with findings of pest control failures but found the facility in compliance regarding interventions to protect residents from recurring abuse.

The inspection was conducted following a complaint investigation regarding the facility's failure to allow residents to exercise their rights as citizens, make private telephone calls, and maintain bathing fixture thermometers in working order.

The facility was found to allow residents to exercise their rights and make private phone calls without violation. However, a violation was found related to maintenance of the whirlpool tub's center regulator knob, which was broken and not functioning properly, leading to a deficiency citation.

The complaint alleged failure to allow residents to exercise their rights as citizens and to make private telephone calls, and failure to maintain thermometers in bathing fixtures. The investigation found no violations related to resident rights or telephone calls, but did find a violation related to maintenance of the whirlpool tub equipment.

This document serves as a licensure renewal application and verification for the assisted-living facility THE WATERFORD AT ROXBURY PARK.

The documents confirm the facility's licensure renewal status, ownership information, and maximum licensed capacity of 70 beds. No inspection findings or deficiencies are reported.

This document serves to verify that THE WATERFORD AT ROXBURY PARK is licensed as an assisted-living facility through the indicated renewal date and includes ownership, corporate officers, shareholders, and occupancy certification information.

The document confirms the facility's licensure renewal status, ownership structure, corporate officers, shareholders owning 5% or more, and the maximum occupancy as certified by the Nebraska State Fire Marshal.

This document serves to verify that THE WATERFORD AT ROXBURY PARK assisted-living facility is licensed through the date indicated on the renewal card, which expires on 2021-04-30.

The document confirms that the facility meets statutory requirements as an assisted-living facility and is licensed through the renewal date. No inspection findings or deficiencies are reported.

This document serves as a renewal application and verification of licensure for the assisted-living facility Bailey Point at Roxbury Park.

The documents confirm the facility meets statutory requirements for licensure renewal, with no inspection findings or deficiencies reported.

The document serves as a renewal application for the assisted-living facility license for Bailey Pointe at Roxbury Park, confirming licensure through the renewal date and providing related ownership and occupancy information.

The documents confirm the facility meets statutory requirements for licensure renewal as an assisted-living facility with a total licensed capacity of 75 beds. No inspection findings or deficiencies are reported.

This document serves as a renewal application and verification of licensure for the assisted-living facility Bailey Pointe at Roxbury Park.

The document confirms that Bailey Pointe at Roxbury Park is licensed as an assisted-living facility with a total licensed capacity of 75 beds. It includes ownership information, licensing details, and a fire marshal certificate of occupancy.