Inspection Reports for Carter Place Senior Living

1028 Joann Dr, Blair, NE 68008, United States, NE, 68008

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 0.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

81% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2016
2020
2024
2025
Inspection Report Renewal Capacity: 36 Deficiencies: 0 Apr 2, 2025
Visit Reason
The document is related to the renewal of the assisted-living facility license for Carter Place, including submission of a renewal application and related correspondence.
Findings
The documents confirm that Carter Place meets statutory requirements as an assisted-living facility and is licensed for 36 beds. The renewal application was signed by the appointed receiver due to a receivership ruling, and the facility is under court-appointed management to ensure compliance and proper operation.
Report Facts
Total licensed beds: 36 Renewal application date: Apr 2, 2025 License expiration date: Apr 30, 2026
Employees Mentioned
NameTitleContext
Janice FitchhornExecutive Director/AdministratorNamed as Executive Director/Administrator in renewal application and supporting letter.
Matthew D MasonAgent of ReceiverSigned renewal application as authorized representative and appointed receiver by court order.
Cinda StygarLicensing Project CoordinatorSigned letter providing explanation for renewal application.
Inspection Report Renewal Capacity: 36 Deficiencies: 0 Mar 25, 2024
Visit Reason
The document is related to the renewal of the assisted-living facility license for Carter Place, including submission of renewal application and related correspondence.
Findings
The documents confirm that Carter Place meets statutory requirements as an assisted-living facility and is licensed for 36 beds. There is no indication of deficiencies or inspection findings; rather, the documents focus on licensing renewal and court-appointed receivership management.
Report Facts
Total licensed beds: 36 Renewal application date: Mar 25, 2024 Occupancy permit date: Oct 9, 2023
Employees Mentioned
NameTitleContext
Janice FitchhornExecutive Director/AdministratorNamed in letter explaining renewal application and licensing-related matters (page 3).
Inspection Report Complaint Investigation Deficiencies: 0 Mar 30, 2020
Visit Reason
A focused infection control survey was conducted to investigate a complaint alleging that the facility failed to protect residents from infection.
Findings
The facility was found to have protected residents from infection by implementing recommended interventions and providing staff education regarding COVID-19, and was determined to be in compliance with related regulatory requirements.
Complaint Details
The complaint alleged failure to protect residents from infection. The investigation found the allegation unsubstantiated as the facility complied with infection control regulations.
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 Census: 30 Deficiencies: 3 Feb 1, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint and perform the annual survey at Carter Place on February 1, 2016.
Findings
The facility was found compliant in protecting resident property, ensuring appropriate assisted living placement, providing a comfortable environment, staff training on dementia/Alzheimer's care, interventions for resident behaviors, and service agreement adherence. However, the facility failed to protect residents from abuse in one closed record and failed to ensure medication aides were trained to administer insulin and to properly store catheter bags to prevent contamination.
Complaint Details
The complaint investigation included allegations of failure to protect resident property, failure to protect residents from abuse, failure to ensure appropriate assisted living placement, failure to provide a comfortable home-like environment, failure to train staff for dementia/Alzheimer's care, failure to implement interventions for resident behaviors, and failure to provide services as agreed. The abuse allegation was substantiated based on a closed record review showing one resident was abused by a staff member, who was subsequently removed. Other allegations were found unsubstantiated.
Deficiencies (3)
Description
Facility failed to protect residents from abuse as one resident was abused by a staff member.
Medication Aide (MA-B) administered insulin without documented training or competency evaluation.
Catheter bags were stored uncovered with tubing tip open to air, risking cross contamination.
Report Facts
Facility census: 30 Inspection date: Feb 1, 2016
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned report letter
Brenda HarbisonRegistered NurseSurveyor
Kelly DarlingRegistered NurseSurveyor
Lori FrodshamRegistered NurseSurveyor
Carol NenemanSocial WorkerSurveyor
Wellness DirectorInterviewed regarding medication aide training and catheter bag storage
RCP AResident Care PartnerInterviewed regarding catheter bag storage
Notice Capacity: 36 Deficiencies: 0 APP2023
Visit Reason
This document serves as a renewal application and verification of licensure for the assisted-living facility Carter Place.
Findings
The document confirms that Carter Place meets statutory requirements as an assisted-living facility and includes ownership details, licensing information, and occupancy permit data.
Report Facts
Total licensed beds: 36 Occupancy permit maximum occupancy: 36
Employees Mentioned
NameTitleContext
Janice FlitchhornAdministratorNamed as administrator of Carter Place in the renewal application (page 2).
Peter SmithAuthorized RepresentativeSigned the renewal application certification (page 2).
Dan GuillAuthorized RepresentativeSigned the renewal application certification (page 2).
Document Capacity: 36 Deficiencies: 0 APP2016
Visit Reason
The documents pertain to the renewal of the assisted-living facility license for Carter Place, including submission of renewal application, occupancy permit issuance, and ownership information updates.
Findings
No inspection findings or deficiencies are reported. The documents confirm licensure renewal, occupancy permit approval, and updated ownership and FEIN information.
Report Facts
Total licensed beds: 36 Date of occupancy permit inspection: Dec 7, 2015
Employees Mentioned
NameTitleContext
Akhil SharmaAuthorized OfficerListed as an authorized officer on ownership/control attachments.
Daniel Marshall GuillAuthorized OfficerListed as an authorized officer on ownership/control attachments.
Ronald CamiVice PresidentListed as an officer on ownership/control attachments.
Clive BodeTreasurerListed as an officer on ownership/control attachments.
John KreslCorporate CounselSigned letter explaining FEIN changes on ALF renewal applications.
Notice Capacity: 36 Deficiencies: 0 APP2017
Visit Reason
This document serves to verify that Carter Place Assisted-Living Facility is licensed through the indicated renewal date and includes the licensure renewal application and ownership/control attachments.
Findings
The document confirms the facility's licensure renewal status, provides ownership and management details, and includes the state fire marshal occupancy permit indicating a maximum capacity of 36 beds.
Report Facts
Total licensed beds: 36 Renewal expiration date: Apr 30, 2017 Fire marshal maximum occupancy: 36
Employees Mentioned
NameTitleContext
Lori DykeAdministratorNamed in the licensure renewal application
Akhil SharmaAuthorized OfficerListed as officer in ownership/control attachments
Daniel Marshall GuillAuthorized OfficerListed as officer in ownership/control attachments
Ronald CamiVice PresidentListed as officer in ownership/control attachments
Clive BodeTreasurerListed as officer in ownership/control attachments
Jack Richard Callison, Jr.Authorized OfficerListed as officer and manager in ownership/control attachments
Notice Capacity: 36 Deficiencies: 0 APP2018
Visit Reason
This document serves as a licensure renewal application and verification for the assisted-living facility Carter Place, including ownership/control information and occupancy permit details.
Findings
The documents confirm the facility's licensure renewal status, ownership structure, and maximum occupancy as 36 beds per the Nebraska State Fire Marshal occupancy permit.
Report Facts
Total licensed beds: 36
Notice Capacity: 36 Deficiencies: 0 APP2019
Visit Reason
This document serves as a licensure renewal application and verification for the assisted-living facility Carter Place, confirming the facility's licensed status and ownership information.
Findings
The documents confirm that Carter Place meets statutory requirements for licensure as an assisted-living facility with a maximum capacity of 36 beds. Ownership and control details are provided, along with a Nebraska State Fire Marshal occupancy permit.
Report Facts
Total licensed beds: 36 Renewal expiration date: Apr 30, 2020 Occupancy permit date issued: May 10, 2018
Employees Mentioned
NameTitleContext
Michelle SandbotheAdministratorNamed on the licensure renewal application.
Notice Capacity: 36 Deficiencies: 0 APP2020
Visit Reason
This document serves as verification that the assisted-living facility Carter Place is licensed through the indicated renewal date and includes the renewal application for licensure.
Findings
The document confirms that Carter Place meets statutory requirements as an assisted-living facility and provides details on ownership, licensing fees, and occupancy permit information.
Report Facts
Total licensed beds: 36 Renewal license expiration date: License expires on 2021-04-30 as per renewal card
Notice Capacity: 36 Deficiencies: 0 APP2021
Visit Reason
The document serves as a renewal application for the assisted-living facility license of Carter Place and includes ownership information and occupancy permit details.
Findings
The documents confirm that Carter Place meets statutory requirements as an assisted-living facility with a licensed capacity of 36 beds and holds a valid occupancy permit issued on 2020-10-20.
Report Facts
Total licensed beds: 36 Occupancy permit beds: 36 Occupancy permit issue date: Oct 20, 2020
Notice Capacity: 36 Deficiencies: 0 APP2022
Visit Reason
This document serves as a renewal notice and application for the assisted-living facility license for Carter Place.
Findings
The documents verify that Carter Place meets statutory requirements for licensure as an assisted-living facility and includes ownership and occupancy permit information.
Report Facts
Total licensed beds: 36
Employees Mentioned
NameTitleContext
Hayley AdamsAdministratorNamed as the facility administrator on the renewal application (page 2).
Peter SmithAuthorized OfficerSigned the renewal application as an authorized representative (page 2) and listed as an officer in ownership documents (page 3).
James KleifgesAuthorized OfficerSigned the renewal application as an authorized representative (page 2) and listed as an officer in ownership documents (page 3).
Daniel GuillAuthorized OfficerListed as an officer in ownership documents (page 3).

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