Inspection Reports for Beatrice Health and Rehabilitaion

1800 Irving Street, BEATRICE, NE, 68310

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Deficiencies (last 10 years)

Deficiencies (over 10 years) 9.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

121% worse than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

28 21 14 7 0
2011
2012
2013
2014
2015
2016
2017
2019
2021
2024

Census

Latest occupancy rate 68% occupied

Based on a February 2019 inspection.

This facility has shown a decline in demand based on occupancy rates.

Census over time

50 60 70 80 90 100 Feb 2011 Feb 2013 Jul 2015 Nov 2017 Feb 2019

Inspection Report

Renewal
Capacity: 87 Deficiencies: 0 Date: Jan 17, 2024

Visit Reason
The document is a Nursing Home Licensure Renewal Application and related certification materials for Beatrice Health and Rehabilitation, indicating the facility's license renewal process.

Findings
The documents certify that Beatrice Health and Rehabilitation meets statutory requirements for licensure renewal as a Skilled Nursing Facility with specified services. The renewal application includes ownership and organizational information, and the occupancy permit confirms the licensed bed capacity.

Report Facts
Licensed beds: 87 Renewal application date: Jan 17, 2024 License expiration date: Mar 31, 2024

Employees mentioned
NameTitleContext
Natasha JobmanAdministratorNamed in the renewal application as facility administrator.
Kimberly MeersDirector of NursingNamed in the renewal application as director of nursing.
Soon BurnamAuthorized RepresentativeSigned the renewal application as authorized representative.
Craig FitchAuthorized RepresentativeSigned the renewal application as authorized representative.

Inspection Report

Renewal
Capacity: 87 Deficiencies: 0 Date: Feb 18, 2021

Visit Reason
The document is a Nursing Home Licensure Renewal Application for Beatrice Health and Rehabilitation, submitted to renew the facility's license.

Findings
The document certifies that Beatrice Health and Rehabilitation meets statutory requirements for licensure renewal as a skilled nursing facility with specified services including physical therapy, occupational therapy, and speech therapy.

Report Facts
Number of beds to be relicensed: 87 Renewal license fees: 1750

Employees mentioned
NameTitleContext
Spencer MorrisAdministratorNamed as facility administrator on renewal application
Kimberly MeersDirector of NursingNamed as director of nursing on renewal application
Soon BurnamAuthorized RepresentativeSigned renewal application
Craig FitchAuthorized RepresentativeSigned renewal application and listed as Secretary of Monroe Healthcare Inc.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Nov 4, 2019

Visit Reason
An unannounced visit was conducted to investigate a complaint at Beatrice Health And Rehabilitation on November 4, 2019, regarding allegations of failure to identify change in condition, over-medication, prevention of skin breakdown, and provision of transportation to medical appointments.

Complaint Details
The complaint alleged the facility failed to identify change in condition, ensure residents were not over-medicated, provide care to prevent skin breakdown, and provide transportation to medical appointments. All allegations were found to be unsubstantiated as the facility was in compliance.
Findings
The investigation found the facility was in compliance with state and federal regulations on all allegations: identifying change in condition, ensuring residents were not over-medicated, providing care to prevent skin breakdown, and providing transportation to medical appointments.

Employees mentioned
NameTitleContext
Connie VogtProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Oct 3, 2019

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

Complaint Details
The complaint alleged failure to protect residents from injury. The investigation determined the facility was in compliance and protected residents from injury.
Findings
The facility was found to protect residents from injury. Observations, interviews, and record reviews showed interventions were in place for residents at risk when consuming hot liquids, and food temperatures were monitored as required.

Employees mentioned
NameTitleContext
Connie VogtProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health

Inspection Report

Annual Inspection
Census: 59 Capacity: 87 Deficiencies: 25 Date: Feb 7, 2019

Visit Reason
Annual state survey inspection of Beatrice Health and Rehabilitation to assess compliance with licensure and regulatory requirements including fire safety, resident care, and facility environment.

Findings
The facility was found to have multiple deficiencies including failure to follow resident bathing preferences, incomplete PASARR screenings, incomplete baseline and comprehensive care plans, lack of blood glucose monitoring parameters, environmental safety hazards, fire safety code violations including egress door signage, corridor obstructions, fire alarm and sprinkler system issues, electrical safety concerns, and incomplete fire safety and evacuation plans.

Deficiencies (25)
Failed to follow a resident bathing preference for Resident #20.
Failed to complete PASARR screening for Resident #39 prior to or within 30 days after admission.
Baseline care plans did not include advanced directives and other key health information for Residents #208 and #209.
Failed to develop comprehensive care plans addressing advanced directives and hospice wishes for Residents #8, 20, 27, and 51.
Failed to have a policy defining insulin use with blood glucose parameters for physician notification affecting 7 residents.
Heating unit covers in dining room and hall had loose and sharp edges posing safety hazards.
Delayed egress exit doors lacked required operating instruction signage.
Exit corridor obstructed by oscillating fans projecting into corridor reducing clearance and headroom.
Doors to hazardous areas failed to close and latch properly and had unsealed penetrations.
Fire alarm system circuit breaker lacked lockout device and red marking.
Areas open to corridors lacked required smoke detection.
Fire sprinkler coverage missing behind dryers.
Fire sprinkler system supervisory signal location unknown to staff.
Fire safety plan incomplete, lacking key components such as alarm use, evacuation procedures, and fire response.
Fire drills not conducted under varying conditions and staff participation limited to discussions on third shift.
Annual inspection and testing of fire and smoke doors not documented or performed.
Corridor doors failed to latch and resist passage of smoke; metal hook used to restrict door closure.
Travel distance in smoke compartment exceeded 200 feet, delaying evacuation.
Smoke barrier walls had unsealed penetrations allowing smoke migration between compartments.
Smoke barrier doors failed to close properly within doorframe.
Electrical outlets at sinks in resident rooms and other areas lacked required GFCI protection.
Electrical equipment had broken or missing faceplates posing fire and shock hazards.
Use of nonhospital grade power strips, electrical adaptors, and extension cords in patient care areas.
Oxygen in use signs not posted on rooms where oxygen was administered.
Empty oxygen cylinders stored intermixed with full cylinders without separation or signage.
Report Facts
Deficiencies cited: 27 Facility census: 59 Facility capacity: 87 Resident weight: 395 Bath audits: 5 Blood glucose audits: 5 Heating unit inspections: 1 Egress door signage inspections: 1 Corridor obstruction inspections: 1 Fire alarm breaker lock inspections: 1 Smoke detector inspections: 1 Sprinkler system inspections: 1 Fire door inspections: 1 Fire drills: 1 Oxygen storage inspections: 1

Inspection Report

Complaint Investigation
Census: 66 Capacity: 87 Deficiencies: 7 Date: Nov 15, 2017

Visit Reason
An unannounced visit was conducted to investigate a complaint at Beatrice Health And Rehabilitation from November 15, 2017 to November 21, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

Complaint Details
Complaint allegations included failure to investigate causative factors in falls and failure to ensure residents are free from misappropriation. Investigation found no violations related to these allegations.
Findings
The facility was found to have no violations related to the complaint allegations regarding failure to investigate causative factors in falls and failure to ensure residents are free from misappropriation. However, deficiencies were identified related to food procurement and sanitary conditions in the kitchen, life safety code violations including exit signage, hazardous area enclosures, cooking facilities, sprinkler system maintenance, and electrical equipment safety.

Deficiencies (7)
Door frame to the northwest storeroom in the kitchen was damaged exposing broken drywall, wood, and metal bead; exhaust vent above dishwasher had dried brown substance; rubber wall base in kitchen was loose and had dried brown and black substances.
Exit sign by Room #37 had one bulb not working, causing inadequate illumination.
Hazardous area doors (kitchen, dietary storage, activity room storage) failed to latch and could be opened without using door handles.
Wet chemical system hood extinguishing control box not replaced as recommended; shelf installed above burners obstructing spray nozzles.
Fire sprinkler dry system failed to have required 3-year air leakage test conducted for full 2 hours.
Electrical junction box above boiler not secured; electrical receptacle near sink not GFCI protected.
Power strips daisy chained in nurse's station; speaker plugged into extension cord in dining room.
Report Facts
Facility census: 66 Total licensed beds: 87 Deficiency count: 7 Fire sprinkler air leakage test duration: 86 Fire sprinkler air pressure loss: 3

Employees mentioned
NameTitleContext
Spencer MorrisAdministratorNamed in complaint investigation letter
Dan TaylorRN, Training Coordinator, Office of LTC Facilities - Licensure UnitSigned complaint investigation letter
Maintenance SupervisorInterviewed and confirmed deficiencies related to kitchen door frame, exhaust vent, rubber wall base, fire sprinkler system, and electrical issues
Facility Staff AInterviewed and verified observations related to exit signage, hazardous area doors, wet chemical system, sprinkler system, and electrical equipment

Notice

Capacity: 87 Deficiencies: 0 Date: Jun 22, 2017

Visit Reason
The letter serves to amend the Health Insurance Benefits Agreement to update the certified bed assignments at Beatrice Health and Rehabilitation as requested by the facility.

Findings
The document details changes in the certified bed assignments effective July 1, 2017, compared to the previous agreement effective July 21, 2007, maintaining a total of 87 Medicare certified beds.

Report Facts
Certified beds: 87

Employees mentioned
NameTitleContext
Eve LewisRNC, Program ManagerSigned the letter amending the Health Insurance Benefits Agreement

Inspection Report

Complaint Investigation
Census: 68 Deficiencies: 11 Date: Aug 14, 2016

Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Beatrice Health And Rehabilitation from August 14, 2016 to August 18, 2016 by the Department of Health and Human Services Division of Public Health.

Complaint Details
The complaint investigation focused on allegations including failure to ensure prompt response to calls for assistance, food form within physician orders, bathing according to preferences, staff training, care according to practitioner's orders, and grievance resolution. The facility was found compliant with these allegations.
Findings
The facility was found to be in compliance with the complaint allegations related to prompt response to calls for assistance, food form within physician orders, bathing preferences, staff training, care according to practitioner's orders, and grievance resolution. However, multiple life safety code deficiencies were identified including fire safety issues such as unsealed hazardous areas, lack of emergency lighting testing, inadequate fire drills, incomplete fire alarm inspections, incomplete sprinkler coverage and testing, improperly installed fire extinguishers, delayed range hood suppression inspections, improper oxygen cylinder storage, lack of remote manual stop for emergency generator, and incomplete generator testing.

Deficiencies (11)
Failed to ensure hazardous areas were smoke resistant, allowing fire and smoke to migrate affecting 44 residents.
Failed to conduct annual 1.5 hour test of battery backup emergency lights.
Failed to hold fire drills under varied conditions for 9 of 12 drills reviewed.
Failed to ensure all initiating devices on fire alarm system were inspected annually.
Failed to provide automatic fire sprinkler coverage throughout the facility and documentation of water capacity.
Failed to complete 5 year calibration test of gauges and internal pipe examination of fire sprinkler system.
Failed to install fire extinguishers within required minimum and maximum heights above finished floor.
Failed to have range hood suppression system inspected every six months.
Failed to label oxygen cylinders as empty or full and segregate empty from full cylinders.
Failed to provide a remote manual stop for the emergency generator.
Failed to exercise generator monthly for at least 30 minutes at 30% nameplate load rating.
Report Facts
Facility census: 68 Residents affected by hazardous area deficiency: 44 Fire drills reviewed: 12 Fire drills failed varied conditions: 9 Oxygen cylinders full: 24 Oxygen cylinders empty: 5 Facility census: 68

Inspection Report

Complaint Investigation
Census: 57 Deficiencies: 14 Date: Jul 9, 2015

Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Beatrice Health And Rehabilitation on July 9, 2015-July 15, 2015.

Complaint Details
The complaint investigation included allegations that the facility failed to ensure staff had appropriate credentials and that medical records had licensed practitioner's signed medication orders. The investigation confirmed these issues but corrective actions were taken and no citations were issued for these allegations.
Findings
The facility failed to ensure staff had appropriate credentials and medical records had licensed practitioner's signed medication orders. Several life safety code deficiencies were identified including lack of smoke detectors in certain rooms, unsealed smoke barriers, sprinkler system deficiencies, and electrical wiring issues.

Deficiencies (14)
Facility failed to ensure staff have appropriate credentials to provide care for residents.
Facility failed to ensure medical record had licensed practitioner's signed orders for medications.
Facility failed to post contact information for State Agency for residents to report care concerns.
Facility failed to ensure survey results were readily accessible to residents and public.
Facility failed to ensure range of motion exercises were completed to prevent contracture for one resident.
Facility failed to ensure resident's drug regimen was free from duplicate antibiotic therapy.
Facility failed to meet conditions for use areas open to exit corridor without smoke detection in copy room and day room.
Facility failed to seal smoke barrier penetrations allowing smoke migration between compartments.
Facility failed to separate hazardous areas from exit corridor; doors failed to latch.
Facility failed to maintain battery backup emergency light in medication room.
Facility failed to maintain fire alarm system inspections and smoke detector sensitivity testing.
Facility failed to provide sprinkler protection for all required areas including physical therapy canopy and bath house closet.
Facility failed to have range hood suppression system inspected semi-annually.
Facility failed to use electrical wiring and equipment in accordance with NFPA 70; exposed wiring not in junction box.
Report Facts
Facility census: 57 Deficiencies cited: 13 Date of inspection: 2015-07-09 to 2015-07-15

Employees mentioned
NameTitleContext
Spencer MorrisAdministratorNamed in corrected letter regarding complaint and annual survey
Lori WehrsRegistered NurseSurveyor conducting complaint and annual survey
Vicki LepantRegistered NurseSurveyor conducting complaint and annual survey
Victoria SmithRegistered NurseSurveyor conducting complaint and annual survey
Rebecca YoungRegistered NurseSurveyor conducting complaint and annual survey
Eve LewisProgram Manager - Office of LTC Facilities - Licensure UnitSigned letter regarding complaint and annual survey
Maintenance AAcknowledged multiple life safety deficiencies during facility tour
Director of NursingInterviewed regarding restorative program and medication issues
Licensed Practical Nurse (LPN)-GConfirmed duplicate antibiotic therapy for Resident 19
Administration AAcknowledged fire safety and sprinkler deficiencies

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jul 9, 2014

Visit Reason
An unannounced visit was conducted to investigate a complaint at Beatrice Health And Rehabilitation regarding emergency procedures for dangerous weather, fall intervention changes for residents at risk of falls, and response to call notification systems.

Complaint Details
The complaint allegations were that the facility failed to implement emergency procedures for dangerous weather, failed to change fall interventions after residents were identified at risk for falls, and failed to promptly respond to call notification systems. All allegations were found to be unsubstantiated with no violations.
Findings
The facility was found to have implemented emergency procedures for dangerous weather, changed fall interventions after residents were identified at risk, and responded promptly to call notification systems. No violations or concerns were identified related to these allegations.

Employees mentioned
NameTitleContext
Kathleen PhilippiRegistered NurseRepresentative of the Department of Health and Human Services who conducted the complaint investigation.
Victoria SmithRegistered NurseRepresentative of the Department of Health and Human Services who conducted the complaint investigation.
Eve LewisProgram ManagerSigned the report as Program Manager, Office of Long Term Care Facilities, Licensure Unit.

Inspection Report

Complaint Investigation
Census: 63 Deficiencies: 16 Date: May 28, 2014

Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Beatrice Health And Rehabilitation on May 21, 2014-May 29, 2014, including review of resident records, observations, and interviews with residents, family members and staff.

Complaint Details
The complaint investigation addressed allegations including failure to provide appropriate supervision for elopement risk residents, failure to identify change in condition, failure to ensure residents are free from abuse, failure to ensure adequate housekeeping, failure to treat residents with dignity, failure to provide necessary services, failure to ensure residents receive meals, failure to ensure equipment is not altered, failure to resolve grievances, failure to implement elopement interventions, failure to ensure meals are attractive, and failure to ensure staff wash hands prior to resident care. No violations were found related to these allegations.
Findings
The complaint investigation found no violations related to allegations of elopement supervision, change in condition identification, abuse, housekeeping, dignity, necessary services, meals, equipment, grievances, elopement interventions, meal palatability, and hand washing. However, multiple deficiencies were identified including failure to report neglect, inadequate housekeeping maintenance, incomplete care plans for dehydration risk, improper food handling, missing medication expiration dates, fire safety code violations, inadequate fire drills, sprinkler system issues, missing oxygen use signs, electrical hazards, and kitchen hood filter installation errors.

Deficiencies (16)
Facility failed to report potential neglect related to Resident 25's burns from spilled hot drink.
Facility failed to maintain cleanable surfaces in 12 rooms and failed to repair Resident 17's wheelchair armrest.
Facility failed to develop a comprehensive care plan to prevent dehydration for Resident 65.
Facility failed to ensure food was prepared and served in a sanitary manner, including improper glove use by cook.
Facility failed to ensure medications for five residents were labeled with expiration dates.
Facility failed to maintain separation between 3 of 4 smoke compartments allowing smoke migration.
Facility failed to provide smoke tight ceiling and self-closing doors in hazardous areas allowing smoke migration.
Facility failed to provide illumination along two exit discharge paths to public way.
Facility failed to provide exit sign marking exit access from assembly room into exit corridor.
Facility failed to conduct fire drills at varying times for all shifts.
Facility failed to ensure minimum spacing between fire sprinkler heads.
Facility failed to ensure sprinkler heads were free of obstructions and maintain smoke tight ceiling assembly.
Facility failed to mount three portable fire extinguishers to wall at correct height and location.
Facility failed to install kitchen hood filter with baffles in vertical position as recommended.
Facility failed to provide oxygen in use sign for oxygen concentrator in resident room.
Facility failed to cover junction boxes, maintain clearance in front of electrical panels, and improperly used splitter devices and extension cords as permanent wiring.
Report Facts
Facility census: 63 Deficiency count: 15 Residents affected: 61 Residents affected: 37 Residents affected: 4 Residents affected: 1

Employees mentioned
NameTitleContext
Spencer MorrisAdministratorNamed in complaint investigation letter and interview
Eve LewisProgram Manager, Office of Long Term Care FacilitiesSigned complaint investigation letter
Amie ClausenNursing Home AdministratorSurveyor for complaint and annual survey
Kathleen PhilippiRegistered NurseSurveyor for complaint and annual survey
Victoria SmithRegistered NurseSurveyor for complaint and annual survey
Rebecca YoungRegistered NurseSurveyor for complaint and annual survey
LPN BLicensed Practical NurseInterviewed about medication expiration dates
Director of NursingDirector of NursingInterviewed about medication expiration dates and neglect reporting
Assistant Director of NursingAssistant Director of NursingInterviewed about care plans and wheelchair armrest
Maintenance AInterviewed about fire safety, electrical, and maintenance deficiencies
Administrator AInterviewed about fire safety and maintenance deficiencies
Cook CObserved for food handling deficiencies
Nursing Assistant AInterviewed about hydration and fluid intake
Dietary ManagerInterviewed about food handling

Inspection Report

Routine
Census: 66 Deficiencies: 6 Date: Feb 21, 2013

Visit Reason
Routine inspection of Beatrice Manor to assess compliance with regulatory standards including housekeeping, medication administration, drug storage, and life safety code.

Findings
The facility failed to maintain functioning bathroom ventilation systems in rooms 1 through 9, had a significant medication administration error involving insulin timing for one resident, and failed to securely store discontinued medications. Additionally, life safety code violations were found including a locked exit door with a deadbolt without staff keys, oversized trash receptacles in an unprotected area, and electrical wiring issues such as missing outlet covers and unauthorized extension cords.

Deficiencies (6)
Bathroom ventilation system was not working for rooms 1 through 9.
Medication administration error: insulin given too long before meal for Resident 22.
Discontinued medications from three residents were stored in unsecured areas accessible to unauthorized personnel.
Exit door in Northwest Dining Room had a deadbolt lock and staff did not have keys to unlock it.
Trash collection receptacle exceeded 32 gallons and was not located in a protected hazardous area.
Electrical wiring and equipment issues including broken outlet cover, unlisted power tap, extension cord use, missing outlet cover, and uncovered junction box.
Report Facts
Resident sample size: 35 Facility census: 66 Residents affected by locked exit door: 25 Residents affected by trash receptacle issue: 10 Units of insulin administered: 2 Trash receptacle capacity: 32

Employees mentioned
NameTitleContext
Director of NursingAcknowledged insulin was given too long before meal
Maintenance DirectorConfirmed ventilation system motors for rooms 1 through 9 were not working
Licensed Practical Nurse AAdministered insulin to Resident 22
Licensed Practical Nurse BInterviewed regarding discontinued medications and resident death
Administrator AConfirmed deadbolt on exit door and electrical issues

Inspection Report

Routine
Census: 66 Capacity: 87 Deficiencies: 8 Date: Mar 15, 2012

Visit Reason
Routine inspection of Beatrice Manor to assess compliance with regulations governing skilled nursing facilities and life safety codes.

Findings
The facility was found deficient in medication management related to unnecessary drug use without prior non-pharmacological interventions for two residents. Life safety code violations included doors failing to latch properly, unsealed smoke barrier penetrations, hazardous areas lacking self-closing doors, sprinkler heads with foreign material, lack of remote annunciator for emergency generator, and electrical wiring issues.

Deficiencies (8)
Failed to implement non-pharmacological interventions before administering hypnotic and antianxiety medications to residents.
Doors protecting corridor openings failed to latch properly, compromising smoke resistance.
Unsealed penetrations in smoke barriers compromising fire resistance and smoke containment.
Smoke separation doors failed to close tightly, allowing smoke transmission between compartments.
Hazardous areas lacked self-closing doors and had unsealed penetrations, compromising fire safety.
Sprinkler heads had foreign material, potentially interfering with activation.
Emergency generator lacked a remote annunciator panel at a location readily observable by staff.
Electrical wiring and equipment not in accordance with NFPA 70, including uncovered outlet and improper power strips.
Report Facts
Facility capacity: 87 Current census: 66 Resident sample size: 32 Dates of medication administration: 8

Inspection Report

Annual Inspection
Census: 71 Capacity: 87 Deficiencies: 6 Date: Feb 16, 2011

Visit Reason
The inspection was conducted as an annual survey to assess compliance with federal and state regulations governing skilled nursing facilities, including review of resident care plans, medication administration, infection control, and life safety code standards.

Findings
The facility was found deficient in several areas including failure to ensure resident choice in daily activities, incomplete development of comprehensive care plans for dental and psychoactive medication needs, failure to monitor medication effectiveness, lapses in infection control practices, and multiple life safety code violations related to door latching, automatic door closers, lighting, sprinkler system maintenance, and oxygen use signage.

Deficiencies (6)
Resident choice to get out of bed by 7:15-7:30 AM was not followed for Resident 21.
Failure to develop comprehensive care plans addressing dental issues for Residents 95 and 45.
Failure to develop care plan with measurable goals for Resident 72 addressing target behaviors related to psychoactive medication use.
Drug regimen not free from unnecessary drugs; failure to monitor medication effectiveness for Residents 72 and 104.
Infection control deficiencies including failure to disinfect hair picks and combs, and failure to wear gloves during medication administration.
Life safety code violations including doors failing to latch positively, lack of automatic door closers, inadequate exit lighting, sprinkler system maintenance issues, and missing oxygen use signage.
Report Facts
Facility census: 71 Facility capacity: 87 Resident sample size: 32 Deficiencies cited: 5

Employees mentioned
NameTitleContext
Lisa SandAdministratorNamed in Plan of Correction submission and signature
RN MRegistered NurseAcknowledged issues with medication monitoring and care plan deficiencies
ACT KActivity StaffObserved using hair pick without disinfecting and interviewed regarding resident behavior
LPN BLicensed Practical NurseObserved medication administration and hand hygiene lapses
Maintenance AInterviewed regarding life safety code deficiencies and door observations

Notice

Capacity: 87 Deficiencies: 0 Date: APP2016

Visit Reason
The document serves as a licensure renewal application for Beatrice Health and Rehabilitation, verifying the facility's license status and renewal through the date indicated on the renewal card.

Findings
The documents confirm the facility meets statutory requirements for licensure renewal as a Skilled Nursing Facility with specified services and includes an occupancy permit indicating a maximum occupancy of 87 beds.

Report Facts
Total licensed beds: 87 Renewal expiration date: 2017 Renewal application date: 2016 Occupancy permit issue date: 2015

Employees mentioned
NameTitleContext
Spencer MorrisAdministratorNamed as Administrator on the Nursing Home Licensure Renewal Application.
Lori PorterDirector of NursingNamed as Director of Nursing on the Nursing Home Licensure Renewal Application.
Beverly WittekindSecretaryListed as Secretary in the Corporate Organization Chart and signed as authorized representative on the renewal application.
Michael CleggPresidentListed as President in the Corporate Organization Chart.
Soon BurnamTreasurerListed as Treasurer in the Corporate Organization Chart.
Christopher ChristensenDirector and President and CEOListed as Director in the Corporate Organization Chart and President and CEO of The Ensign Group, Inc.

Inspection Report

Renewal
Deficiencies: 0 Date: APP2017

Visit Reason
This document serves to verify that the facility's SNF/NF dual certification license is renewed and valid through the date indicated on the renewal card.

Findings
The facility, Beatrice Health and Rehabilitation, meets statutory requirements for SNF/NF dual certification as evidenced by the renewal of its license through 03/31/2018.

Report Facts
License expiration date: Mar 31, 2018

Notice

Capacity: 87 Deficiencies: 0 Date: APP2018

Visit Reason
This document serves as a renewal application and verification of licensure for Beatrice Health and Rehabilitation's skilled nursing facility distinct part, including occupancy permit information.

Findings
The documents confirm that Beatrice Health and Rehabilitation meets statutory requirements for licensure renewal as a skilled nursing facility with a licensed capacity of 87 beds. The Nebraska State Fire Marshal occupancy permit also approves a maximum occupancy of 87 beds.

Report Facts
Licensed capacity: 87 Renewal expiration date: Mar 31, 2019

Employees mentioned
NameTitleContext
Derek BunkerSecretaryListed as an officer of Monroe Healthcare, Inc. and signer on renewal application.
Soon BurnamTreasurerListed as an officer of Monroe Healthcare, Inc. and signer on renewal application.
Amy KnowlesDirector of NursingNamed as Director of Nursing on renewal application.
Jim GuschlPresident and DirectorListed as President and Director of Monroe Healthcare, Inc.
Christopher ChristensenPresident and CEOPresident and CEO of The Ensign Group, Inc., 100% shareholder of Gateway Healthcare, Inc.
Alan VioxDeputy State Fire MarshalInspected facility for occupancy permit.

Notice

Capacity: 87 Deficiencies: 0 Date: APP2019

Visit Reason
This document serves as a licensure renewal application and verification that Beatrice Health and Rehabilitation meets statutory requirements as a skilled nursing facility. It includes ownership information, facility capacity, and certification details.

Findings
The documents confirm the facility's licensure status, renewal application details, ownership structure, and occupancy permit with a maximum capacity of 87 beds. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 87 Renewal fees: 1550 Renewal fees: 1750 Renewal fees: 1950

Employees mentioned
NameTitleContext
Spencer MorrisAdministratorNamed on the Nursing Home Licensure Renewal Application.
Amy KnowlesDirector of NursingNamed on the Nursing Home Licensure Renewal Application.
Derek BunkerAuthorized Representative and SecretarySigned the renewal application and listed as Secretary of Monroe Healthcare, Inc.
Soon BurnamAuthorized Representative and TreasurerSigned the renewal application and listed as Treasurer of Monroe Healthcare, Inc.
Spencer BartlettPresidentOfficer of Monroe Healthcare, Inc.
Jim GuschlDirector and PresidentDirector of Monroe Healthcare, Inc. and President of Gateway Healthcare, Inc.
Barry PortDirectorOfficer of Gateway Healthcare, Inc.
Christopher ChristensenPresident and CEOOfficer of The Ensign Group, Inc.

Notice

Capacity: 87 Deficiencies: 0 Date: APP2020

Visit Reason
This document serves as verification of the license renewal for Beatrice Health and Rehabilitation skilled nursing facility and includes the occupancy permit issued by the Nebraska State Fire Marshal.

Findings
The facility is licensed as a skilled nursing facility with a maximum occupancy of 87 beds. The occupancy permit was issued on 2019-10-17 by the Nebraska State Fire Marshal.

Report Facts
Maximum Occupancy: 87 Number of Beds to be Relicensed: 87

Employees mentioned
NameTitleContext
Spencer MorrisAdministratorNamed on the Nursing Home Licensure Renewal Application.
Kimberly MeersDirector of NursingNamed on the Nursing Home Licensure Renewal Application.
Soon BurnamAuthorized RepresentativeSigned the Nursing Home Licensure Renewal Application.
Craig FitchAuthorized RepresentativeSigned the Nursing Home Licensure Renewal Application.
Susen LindnerDeputy State Fire MarshalInspected the facility for the occupancy permit.

Notice

Capacity: 87 Deficiencies: 0 Date: APP2022

Visit Reason
This document serves as a renewal application for the nursing home license of Beatrice Health and Rehabilitation, verifying that the facility is licensed through the indicated expiration date and requesting renewal of the license.

Findings
The documents confirm that Beatrice Health and Rehabilitation meets statutory requirements for skilled nursing services and holds an occupancy permit for 87 beds. The renewal application includes facility and ownership information but does not report inspection findings or deficiencies.

Report Facts
Total licensed beds: 87

Employees mentioned
NameTitleContext
Spencer MorrisAdministratorNamed in the renewal application as facility administrator.
Kathleen BoroffDirector of NursingNamed in the renewal application as director of nursing.

Notice

Capacity: 87 Deficiencies: 0 Date: APP2023

Visit Reason
The document serves as a renewal application for the nursing home license of Beatrice Health and Rehabilitation, a skilled nursing facility, and includes related licensing and occupancy permits.

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

Report Facts
Total licensed beds: 87

Notice

Capacity: 87 Deficiencies: 0 Date: APP2025

Visit Reason
This document serves as a renewal application for the nursing home license of Beatrice Health and Rehabilitation, including verification of licensure and occupancy permit details.

Findings
The documents confirm that Beatrice Health and Rehabilitation meets statutory requirements for licensure renewal and holds an occupancy permit for 87 beds, with no inspection findings or deficiencies reported.

Report Facts
Number of beds to be relicensed: 87 Renewal Licensure Fees: 1550 Renewal Licensure Fees: 1750 Renewal Licensure Fees: 1950 Expiration Date: License expiration date is 3/31/2025 Occupancy Maximum: 87

Employees mentioned
NameTitleContext
Kristie KallemeynAdministratorNamed on Nursing Home Licensure Renewal Application
Kimberly MeersDirector of NursingNamed on Nursing Home Licensure Renewal Application
Soon BurnamAuthorized RepresentativeSigned Nursing Home Licensure Renewal Application and listed as Secretary in Corporate Organization Chart
Ami SatoAuthorized RepresentativeSigned Nursing Home Licensure Renewal Application and listed as Treasurer in Corporate Organization Chart
Tara HelenthalPresidentListed as Officer in Corporate Organization Chart
Dave JorgensenDirectorListed as Officer in Corporate Organization Chart
Barry PortManager and CEOListed as Officer in Corporate Organization Chart for Gateway Healthcare LLC and The Ensign Group, Inc.
Spencer BurtonPresidentListed as Officer in Corporate Organization Chart for The Ensign Group, Inc.

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