Inspection Reports for Beaver City Manor

This document is a Nursing Home Licensure Renewal Application and related certification verifying that Beaver City Manor is licensed through the renewal date indicated.

The document confirms the facility meets statutory requirements for licensure renewal as a Skilled Nursing Facility with specified services including occupational, physical, and speech therapy.

This document serves as a licensure renewal application for Beaver City Manor nursing home and includes verification of licensure, renewal fees, and occupancy permit information.

The documents confirm that Beaver City Manor is licensed as a Skilled Nursing Facility with a total licensed capacity of 30 beds, and includes a temporary occupancy permit valid through 12/31/2022. No inspection findings or deficiencies are reported.

An unannounced visit was conducted to investigate a complaint and annual survey at Beaver City Manor on May 15-20, 2019.

The facility was found to be in compliance with some regulatory requirements but had multiple deficiencies including failure to issue bed hold notices timely, incomplete care plan updates, lack of restorative care plans, medication labeling discrepancies, incomplete documentation of nutritional supplements, infection control lapses, immunization documentation issues, incomplete criminal background checks for dietary staff, emergency power system deficiencies, missing range hood suppression system nozzle seals, inadequate fire drill scheduling, and incomplete electrical system testing.

The visit was complaint-related with allegations that the facility failed to put interventions in place to prevent injuries and narcotic diversion. The facility was found in compliance with these allegations.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to change interventions after residents were identified at risk for falls.

The facility was found to have changed interventions appropriately after residents were identified at risk for falls. Observations, interviews, and record reviews revealed no concerns related to falls and confirmed compliance with regulatory requirements.

The complaint alleged that the facility failed to change interventions after residents were identified at risk for falls. The allegation was not substantiated as the facility was found compliant.

The document is a Nursing Home Licensure Renewal Application and related certification materials for Beaver City Manor, indicating the facility's license renewal and compliance with statutory requirements.

The materials confirm that Beaver City Manor meets statutory requirements for Skilled Nursing Facility/Nursing Facility dual certification and is licensed for 28 beds. The renewal application includes ownership and accreditation information, and a fire marshal occupancy permit certifies the maximum occupancy as 28 beds.

Annual survey inspection of Beaver City Manor nursing facility to assess compliance with federal and state regulations including emergency preparedness, staff training, environment safety, care planning, discharge planning, food safety, facility assessment, quality assurance, and life safety code.

The facility was found deficient in multiple areas including incomplete emergency preparedness program, lack of initial orientation training documentation for new employees, unsafe environmental conditions such as broken towel rack and unclean ice machine, failure to complete significant change assessments and care plan revisions for hospice residents, inadequate discharge planning, ineffective quality assurance program, unsafe lighting fixtures in food storage areas, fire safety code violations including improper hazardous area enclosure, incomplete cooking facility inspections, inadequate fire drill procedures, and incomplete emergency generator maintenance and testing.

An unannounced visit was conducted to investigate a Complaint Survey at Beaver City Manor on July 10, 2017, triggered by allegations that the facility fails to protect residents from abuse.

The investigation found no evidence of abuse from interviews and observations; however, the facility failed to complete APS/CPS registry checks for one nurse aide and allowed one LPN to work without a valid Nebraska license. The facility also failed to ensure licensed nursing staff were on each tour of duty, resulting in violations of state licensure and federal regulations.

The complaint alleged the facility fails to protect residents from abuse. The investigation found no evidence of abuse but identified regulatory violations related to staff screening and licensure.

The document is a Nursing Home Licensure Renewal Application and related certification and occupancy permit documents for Beaver City Manor, indicating the renewal of the facility's SNF/NF dual certification license.

The documents confirm that Beaver City Manor meets statutory requirements for licensure renewal as a Skilled Nursing Facility with a licensed capacity of 28 beds. The Nebraska State Fire Marshal approved the occupancy permit with a maximum occupancy of 28 beds as of 2016-02-08.

The document serves as a Notice of Disciplinary Action placing Beaver City Manor on probation for 90 days starting March 10, 2017, due to violations related to unplanned weight loss and other regulatory infractions.

The facility failed to identify causal factors and implement interventions to prevent unplanned weight loss among residents, violating multiple licensure regulations. The notice outlines probation conditions including submission of plans of correction, reports, and employment of an outside consultant.

An unannounced visit was conducted to investigate a complaint and annual survey at Beaver City Manor from February 1, 2017 to February 8, 2017 by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with many regulatory requirements but had deficiencies including environmental maintenance issues, failure to provide consistent bathing assistance, failure to prevent weight loss, inadequate hand hygiene in dietary services, expired medical supplies, failure to act on pharmacist recommendations, fire safety code violations including means of egress, fire alarm system, sprinkler system maintenance, and electrical safety.

The complaint investigation included allegations regarding meal times, respect and dignity, meal palatability, call light reach, medication administration, care of drainage devices, food form, and misappropriation. The facility was found in compliance with most allegations except for failure to implement measures to prevent weight loss.

The notice was issued to inform Beaver City Manor of disciplinary action placing their Skilled Nursing Facility license on probation for 90 days beginning August 26, 2016, due to violations related to failure to prevent pressure sores and dehydration.

The facility was found to have violated regulations regarding prevention of pressure sores and hydration, resulting in probation and requirements to submit plans of correction and weekly reports on residents at risk during the probation period.

An unannounced visit was conducted to investigate a complaint regarding failure to identify and notify changes in condition, failure to provide sufficient fluids, and failure to prevent pressure sores at Beaver City Manor.

The facility was found to have multiple deficiencies including failure to identify and notify changes in condition for Resident 1 and an injury to Resident 4, failure to provide sufficient fluids leading to dehydration for Resident 1, and failure to implement measures to prevent pressure sores for Resident 1. Documentation and notification failures were noted, and the facility lacked formal procedures for monitoring skin breakdown and hydration.

The complaint investigation was triggered by allegations that the facility failed to identify and notify changes in condition, failed to provide sufficient fluids, and failed to prevent pressure sores. The investigation included interviews, record reviews, and observations confirming these deficiencies.

The document is a Nursing Home Licensure Renewal Application and related certification and occupancy permit documents for Beaver City Manor, indicating the renewal of the facility's license and certification.

The documents confirm that Beaver City Manor meets statutory requirements for licensure renewal as a Skilled Nursing Facility with 28 beds. The occupancy permit confirms the maximum occupancy and compliance with fire marshal codes.

This Notice of Disciplinary Action was issued due to the facility's failure to implement interventions to prevent significant weight loss, resulting in probation for 90 days starting March 10, 2016.

The facility was found in violation of licensure regulations related to unplanned weight loss and other care standards, requiring submission of a Plan of Correction and ongoing reports during the probation period.

An unannounced visit was conducted to investigate a complaint and annual survey at Beaver City Manor on February 9-11, 2016, 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 interviews with residents, family members, and staff.

The facility was found in violation for failing to complete timely criminal background checks for staff, failing to employ a qualified Food Service Director, failing to protect residents from abuse, failing to implement or follow care plans, failing to maintain resident dignity and respect, failing to provide individualized activities, failing to maintain sanitary conditions, failing to complete comprehensive assessments after significant change, failing to revise care plans, failing to provide services by qualified persons, failing to maintain nutrition status, failing to document immunizations properly, failing to perform proper hand hygiene in food preparation and medication administration, malfunctioning call light system, and deficiencies in quality assurance processes. Life safety code violations were also noted including improper corridor doors, missing exit signs, snow obstructing exits, non-illuminated exit signs, inadequate fire drills, unmonitored fire alarm system, missing sprinkler coverage, corroded sprinkler heads, obstructed sprinkler heads, exposed electrical wiring, missing fire watch policies, and others.

The complaint investigation included allegations that the facility failed to protect residents from abuse and failed to implement or follow the plan of care. The investigation found substantiated violations including failure to complete background checks, failure to maintain personnel files, failure to protect residents from abuse, and failure to implement care plans.

Annual inspection survey of Beaver City Manor to assess compliance with state and federal regulations including resident care, safety, and facility conditions.

The facility had multiple deficiencies including failure to maintain criminal background check policies, unresolved resident grievances, inadequate bathing per resident preference, poor housekeeping and ventilation, incomplete resident assessments, incomplete care plans, unsecured chemicals, incomplete medication orders, outdated medications, unsecured wandering resident protections, lack of current emergency water contract, inadequate QA committee function, fire safety code violations, incomplete fire drills, and incomplete generator maintenance documentation.

An unannounced visit was conducted to investigate a complaint alleging the facility failed to protect residents from abuse and failed to treat residents with dignity and respect.

The investigation found that a resident was not abused but was not assessed for causal factors of behaviors. The resident was moved backwards in a wheelchair without respect for dignity. The facility was found in violation of Federal tags F309 and F241 and corresponding state licensure tags.

The complaint alleged the facility failed to protect residents from abuse and failed to treat residents with dignity and respect. The investigation determined the resident was not abused but was not assessed for causal factors of behaviors. The resident was removed from the activity room without consideration of dignity and respect.

An unannounced visit was conducted to investigate a complaint and annual survey at Beaver City Manor on January 29, 2014-February 4, 2014, by representatives of the Department of Health and Human Services Division of Public Health.

The complaint investigation found the facility failed to ensure residents were offered choices for the number of baths per week, failed to maintain a clean and comfortable environment in resident rooms, failed to comprehensively assess and monitor bruises for some residents, failed to develop comprehensive care plans with detailed interventions for residents with behaviors and psychoactive medication use, and failed to revise care plans after falls. The facility also failed to maintain fire safety code standards including broken fire door latches, incomplete fire drill procedures, delayed fire alarm inspections, and sprinkler head obstructions.

The complaint included allegations that the facility failed to provide medications in accordance with the five rights, failed to ensure residents were free from abuse, and failed to report incidents of potential abuse/neglect to the state agency. The investigation found the facility was in compliance with medication administration, abuse prevention, and reporting requirements.

Annual standard survey to assess compliance with federal regulations including resident rights, care planning, medication management, nutrition, safety, and life safety code.

The facility was found deficient in multiple areas including failure to notify residents of roommate changes, incomplete comprehensive assessments, inadequate care planning, failure to prevent falls, failure to follow menus and prepare palatable pureed foods, failure to post nurse staffing data properly, unsanitary conditions in the kitchen, incomplete pharmacy reviews, and life safety code violations such as damaged walls and malfunctioning fire doors.

Annual inspection to assess compliance with regulatory requirements including resident rights, food service, pharmaceutical services, and life safety code standards.

The facility was found deficient in informing residents of Medicare non-coverage rights, maintaining proper food temperatures, ensuring accurate medication administration timing, and maintaining fire safety code standards related to interior finish and ceiling holes.

This document serves as a renewal application for the nursing home license of Beaver City Manor and includes related licensing and occupancy permits.

The documents confirm that Beaver City Manor meets statutory requirements for licensure renewal and occupancy with a licensed capacity of 30 beds.

This document serves as a licensure renewal application and verification that Beaver City Manor meets statutory requirements for SNF/NF dual certification, including renewal of the facility license and occupancy permit.

The documents confirm that Beaver City Manor is licensed as a Skilled Nursing Facility with a maximum capacity of 28 beds, and the renewal application was signed and submitted. The occupancy permit was issued on 2018-01-30 by the State Fire Marshal.

This document serves to verify the renewal of the Skilled Nursing Facility/Nursing Facility dual certification license for Beaver City Manor and includes the occupancy permit issued by the Nebraska State Fire Marshal.

The facility is licensed for 28 beds as per the renewal application, and the occupancy permit issued on 2020-02-06 authorizes a maximum occupancy of 10 beds. No inspection findings or deficiencies are reported in this document.

The documents serve to verify the renewal of the Skilled Nursing Facility license for Beaver City Manor and provide occupancy permit information.

The facility is licensed as a Skilled Nursing Facility with a total capacity of 30 beds. The renewal application was completed and signed on 2021-03-23. The occupancy permit was issued on 2020-09-22.

The documents pertain to the renewal of the nursing home license for Beaver City Manor and include related administrative and facility information.

No inspection findings or deficiencies are reported. The documents verify licensure renewal, facility capacity, and ownership details.