Inspection Reports for Brookestone View

The document serves as a renewal application for the nursing home license of Brookestone View, including verification of licensure and occupancy permit details.

The documents confirm the facility's licensure renewal status, ownership information, and occupancy permit with a maximum capacity of 60 beds. No inspection findings or deficiencies are reported.

The document is a Nursing Home Licensure Renewal Application and renewal certification for Brookestone View, verifying the facility's license renewal and compliance with statutory requirements.

The documents confirm that Brookestone View meets statutory requirements for licensure renewal as a Skilled Nursing Facility with Medicare and Medicaid certification. The occupancy permit issued by the Nebraska State Fire Marshal confirms a maximum capacity of 60 beds.

An unannounced visit was conducted to investigate a complaint at Brookestone View on February 25, 2019, regarding failure to notify care providers of change in condition and failure to provide required monitoring and/or assessment.

The facility failed to notify the primary physician of residents' change in condition and medications being held for 2 out of 3 sampled residents. The facility also failed to provide consistent monitoring and assessments for residents' individualized needs, particularly for hypotension and change of condition, resulting in serious adverse outcomes.

The complaint investigation was triggered by allegations that the facility failed to notify care providers of changes in residents' conditions and failed to provide required monitoring and assessments. The investigation confirmed these allegations for two residents, including failure to notify physicians about low blood pressures and held medications, and inadequate follow-up assessments, resulting in one resident's death.

The inspection was an annual survey to assess compliance with federal and state regulations governing skilled nursing facilities, including resident rights, care planning, quality of care, staffing, and safety.

The facility was found deficient in several areas including failure to consistently knock and request permission before entering resident rooms, incomplete baseline and comprehensive care plans for residents, inadequate monitoring and care for residents with respiratory compromise and skin tears, insufficient nursing staff at times, improper food storage temperatures, and lack of routine maintenance and assessment of beds and bedrails for entrapment risks.

An unannounced visit was conducted to investigate a complaint and annual survey at Brookestone View from November 7, 2017 to November 13, 2017 by the Department of Health and Human Services Division of Public Health.

The complaint allegations regarding medication administration and overmedication were investigated and the facility was found to be in compliance. However, deficiencies were found related to food storage temperatures, expired medications and lab vials, and life safety code violations including fire door gaps and corridor door latching issues.

The complaint alleged the facility failed to provide medications as ordered and failed to ensure residents were not overmedicated. Both allegations were investigated and found to be in compliance.

The document package relates to the renewal and change of ownership of the Skilled Nursing Facility license for Brookestone View, effective July 1, 2017.

The documents confirm the issuance and renewal of the Skilled Nursing Facility license for Brookestone View, including the change of ownership to VSL Broken Bow, LLC. The facility meets statutory requirements and holds a valid occupancy permit for 60 beds.

Notification of Medicare participation acceptance effective January 1, 2017, and acknowledgment of an increase in licensed beds from 50 to 60 effective November 1, 2016.

The facility has been approved for Medicare participation contingent on Civil Rights compliance and will be subject to ongoing unannounced surveys. The licensed bed capacity has increased by 10 beds, with 60 Medicare certified beds now authorized.

The inspection was conducted to assess compliance with Title 175 of the Nebraska Administrative Code, Chapter 12 - Regulations Governing Licensure of Skilled Nursing Facilities, Nursing Facilities and Intermediate Care Facilities.

Brookstone View was found to be in compliance with the applicable Nebraska Administrative Code regulations during this inspection.

The inspection was conducted as an annual survey of Jennie M Melham Medical Center to assess compliance with regulatory requirements for skilled nursing facilities.

The facility was found deficient in several areas including failure to complete required registry checks for staff, improper management of resident personal funds, failure to act on pharmacist recommendations, infection control lapses including improper catheter bag storage, cracked wheelchair arms, and inadequate hand hygiene during medication administration, and failure to provide automatic ignition on kitchen gas range burners.

The inspection was conducted as an annual survey to assess compliance with federal and state regulations governing skilled nursing facilities, including life safety code compliance.

The facility was found to have multiple deficiencies including failure to post survey results accessibly, failure to honor resident preferences for bathing and activities, non-functioning bathroom ventilation fans, inaccurate resident assessments, lack of care planning for bruises and skin tears, medication errors including improper labeling and administration, food service sanitation issues including improper portion sizes and hand hygiene, expired medications and supplies, unsecured medication carts, pest control issues in the kitchen, and fire safety deficiencies including doors not latching and incomplete fire drill documentation.

The inspection was conducted as a routine survey to assess compliance with regulatory requirements including medication administration, infection control, and life safety code standards.

The facility was found deficient in ensuring insulin was administered according to manufacturer's directions for one resident, disinfecting glucometers properly between resident use, and maintaining corridor doors to resist smoke passage as required by life safety codes.

The inspection was conducted to assess compliance with regulations governing licensure of skilled nursing facilities and life safety code standards.

The facility failed to identify and document bruising on Resident 30's left hand, indicating deficient care and monitoring. Additionally, the facility failed to provide self-closing devices on doors to hazardous areas, compromising fire safety.

This document serves as a Notice of Disciplinary Action against Jennie M Melham Medical Center for violations related to resident supervision and safety, resulting in probation and restrictions on admitting new residents.

The facility was found to have failed to provide adequate supervision to prevent a resident from exiting the facility unsupervised through a secured door, posing a risk to resident safety. The Department imposed probation and required a plan of correction focused on preventing elopement and ensuring resident safety.

The inspection was conducted due to a complaint investigation regarding the facility's failure to provide adequate supervision to prevent a resident from exiting the facility through a secured door late at night, and concerns about nurse aide training and orientation compliance.

The facility failed to provide adequate supervision to prevent Resident 37 from leaving the secured door at night, resulting in the resident being found outside in cold weather and requiring emergency care. Additionally, the facility failed to ensure nurse aides received required annual in-service training and initial orientation within two weeks of hire for some employees.

The complaint investigation was substantiated based on evidence that Resident 37 left the facility unsecured door at night, was found outside in cold weather, and required emergency room care. The facility failed to provide adequate supervision and safety measures to prevent this incident.

The inspection was the annual survey of Jennie M Melham Medical Center to assess compliance with federal and state regulations including resident care, medication administration, infection control, and life safety code.

The facility was found deficient in multiple areas including failure to protect a resident from alleged physical abuse, failure to investigate and report abuse allegations timely, failure to maintain residents' dignity and privacy, failure to update care plans timely, failure to answer call lights timely, medication administration errors including duplicate and unnecessary medications, failure to perform proper hand hygiene, and life safety code violations including obstructed emergency exits and improperly maintained fire doors and fire alarm system.

The visit included a complaint investigation triggered by an allegation of physical abuse of Resident 10 by an aide. The allegation was substantiated but the facility failed to investigate and report the abuse timely and failed to suspend or reassign the aide pending investigation.

The inspection was conducted to identify deficiencies related to housekeeping, maintenance services, and medication disposal at Jennie M Melham Medical Center, as part of regulatory compliance with Nebraska Administrative Code Title 175.

The facility failed to maintain a clean, safe, and comfortable environment, including marred walls and doors, cracked and frayed bath chair straps, and debris on a fan. Additionally, the facility did not properly account for the disposition of medications after a resident expired.

The documents pertain to the initial licensing and licensure issuance of Brookestone View as a skilled nursing facility with 60 beds, including application forms, license certificate, and related correspondence.

The facility met the requirements for a Nebraska skilled nursing facility license effective November 1, 2016, with approval for occupancy and compliance with fire safety systems.

The document set pertains to the renewal of the nursing home license for Brookestone View, including submission of renewal application and verification of licensure status.

No inspection findings or deficiencies are reported. The documents confirm licensure renewal, occupancy permit issuance, and corporate governance information.

This document serves to verify that the SNF/NF dual certification for Brookestone View is licensed through the indicated renewal date and includes ownership and facility information for licensing purposes.

The document confirms the facility's licensure status, ownership details, and certification for Medicare and Medicaid. It also includes a fire marshal occupancy permit and a floor plan of the facility.

This document serves to verify the renewal of the SNF/NF dual certification license for Brookestone View and includes the occupancy permit issued by the Nebraska State Fire Marshal.

The documents confirm that Brookestone View meets statutory requirements for licensure as a skilled nursing facility/nursing facility and has an approved occupancy permit for 60 beds.

The documents pertain to the renewal of the nursing home license for Brookestone View, including verification of licensure, renewal application, and occupancy permit.

No inspection findings or deficiencies are reported in these documents. They primarily serve to verify licensure status, renewal application details, ownership information, and facility capacity.

This document serves as a licensure renewal application and verification of licensure for the Brookestone View nursing home facility, including occupancy permit and ownership information.

The documents confirm the facility's licensure status, renewal fees, ownership details, and fire marshal occupancy permit with a maximum capacity of 60 beds. No inspection findings or deficiencies are reported.

The document serves as a renewal application for the nursing home license of Brookestone View and includes related licensing and occupancy permit information.

The documents certify that Brookestone View meets statutory requirements for SNF/NF dual certification and provide details on facility capacity, ownership, and services offered. No inspection findings or deficiencies are reported.

The document serves to verify the renewal of the SNF/NF dual certification license for Brookestone View and includes a renewal application and occupancy permit.

No inspection findings or deficiencies are reported; the documents confirm licensure renewal, ownership information, and occupancy permit details.