Inspection Reports for Chrisoma West

NE, 68949

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Deficiencies (last 6 years)

Deficiencies (over 6 years) 0.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

95% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2011
2016
2018
2019
2020
2025
Notice Deficiencies: 0 Jul 21, 2025
Visit Reason
The notice was issued to inform the facility of disciplinary action due to violations related to failure to implement interventions to protect residents from elopement, as evidenced by a survey conducted on July 21, 2025.
Findings
The facility was found to have violated regulations by failing to implement necessary interventions to protect residents from elopement, resulting in a prohibition on admitting new residents until compliance is demonstrated and a fine of $1,000 per violation.
Report Facts
Fine amount: 1000 Notice finalization date: Aug 15, 2025
Employees Mentioned
NameTitleContext
Timothy TesmerChief Medical OfficerSigned the Notice of Disciplinary Action
Dan TaylorAdministratorNamed in the notice as Health Facilities Licensure Unit Administrator
Inspection Report Renewal Capacity: 30 Deficiencies: 0 Apr 17, 2020
Visit Reason
The document is related to the renewal of the assisted-living facility license for Chrisoma West Assisted Living.
Findings
The facility meets statutory requirements as an assisted-living facility, and the renewal application was completed and signed. An occupancy permit was issued confirming a maximum occupancy of 30 beds.
Report Facts
Total licensed beds: 30 Maximum occupancy: 30
Notice Capacity: 30 Deficiencies: 0 Apr 30, 2019
Visit Reason
This document serves as a licensure renewal application and verification for Chrisoma West Assisted Living, confirming the facility's license renewal through April 30, 2020, and includes an occupancy permit issued by the Nebraska State Fire Marshal.
Findings
The documents confirm that Chrisoma West Assisted Living meets statutory requirements for licensure renewal as an assisted-living facility with a total licensed capacity of 30 beds. The occupancy permit issued on 2018-05-10 authorizes a maximum occupancy of 30 beds.
Report Facts
Total licensed beds: 30 Occupancy permit beds: 30
Employees Mentioned
NameTitleContext
Kendra NortonAdministratorNamed as facility administrator in the licensure renewal application
Charles ReeserBoard MemberNamed in the Board of Directors list
Marlys AndersonBoard MemberNamed in the Board of Directors list
Ron HaflichBoard MemberNamed in the Board of Directors list
Doug GustafsonBoard MemberNamed in the Board of Directors list
Craig HadleyBoard MemberNamed in the Board of Directors list
Erika HuntBoard MemberNamed in the Board of Directors list
Jeff MoonBoard MemberNamed in the Board of Directors list
Matt SamuelsonBoard MemberNamed in the Board of Directors list
Louis StrydomBoard MemberNamed in the Board of Directors list
Troy UrbomBoard MemberNamed in the Board of Directors list
Tom ThompsonBoard MemberNamed in the Board of Directors list
Cherlyn HuntBoard MemberNamed in the Board of Directors list
Noah PalmerBoard MemberNamed in the Board of Directors list
Russ GaarBoard MemberNamed in the Board of Directors list
Inspection Report Complaint Investigation Deficiencies: 0 Mar 19, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint at Chrisoma West Assisted Living on March 19, 2019, by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The investigation found the facility was in compliance with regulatory requirements regarding protection from misappropriation, retention criteria for residents, and sufficiency of staff to meet residents' needs.
Complaint Details
The complaint alleged the facility failed to protect residents from misappropriation, failed to ensure residents met retention criteria, and failed to have sufficient staff to meet residents' needs. All allegations were found to be unsubstantiated with the facility in compliance.
Employees Mentioned
NameTitleContext
Connie VogtProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public HealthSigned the report and identified as Program Manager
Notice Capacity: 30 Deficiencies: 0 Mar 28, 2018
Visit Reason
This document serves as a licensure renewal verification for Chrisoma West Assisted Living and includes the occupancy permit issued by the Nebraska State Fire Marshal.
Findings
The facility is licensed as an assisted-living facility with a total licensed capacity of 30 beds. The occupancy permit was issued on 2017-04-26 by the Deputy State Fire Marshal.
Report Facts
Total licensed beds: 30 Renewal expiration date: Apr 30, 2019
Inspection Report Complaint Investigation Deficiencies: 0 May 18, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint at Chrisoma West Assisted Living regarding failure to protect residents from residents with adverse behaviors and failure to complete written investigations within five working days.
Findings
The investigation found no evidence of resident-to-resident adverse behaviors and confirmed the facility had measures in place to protect residents. The facility was also found to be in compliance with requirements for timely completion of written investigations.
Complaint Details
The complaint alleged failure to protect residents from residents with adverse behaviors and failure to complete written investigations within five working days. Both allegations were investigated and found to be unsubstantiated with the facility in compliance.
Employees Mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS
Inspection Report Routine Census: 21 Deficiencies: 1 Nov 16, 2011
Visit Reason
An onsite inspection was conducted to determine compliance with regulatory requirements for an assisted living facility.
Findings
The facility was found to have committed a violation related to food safety, specifically failure to ensure dietary staff washed hands when soiled, increasing risk of food contamination and potential foodborne illness.
Deficiencies (1)
Description
Failure to ensure dietary staff washed hands when soiled, increasing risk of food contamination and potential foodborne illness.
Report Facts
Facility census: 21 Survey sample size: 4 Correction period: 90 Compliance statement submission timeframe: 10
Employees Mentioned
NameTitleContext
Dixie JacksonSocial WorkerSurveyor who conducted the inspection
Linda AmstuzDirector of Resident ServicesReviewed surveyor's findings with dietary staff and signed plan of correction
Terra MeyerDietary ManagerResponsible for monitoring dietary staff for proper hand washing and food handling techniques
Kendra NortonDirector of Resident CareObserved dietary staff demonstrating proper hand washing techniques during re-education
Notice Capacity: 60 Deficiencies: 0 APP2025
Visit Reason
The document serves as a renewal application and licensing documentation for Chrisoma West Assisted Living, including bed capacity and special population endorsements.
Findings
The documents certify that Chrisoma West Assisted Living meets statutory requirements for licensing and includes information on bed capacity, ownership, facility features, and memory care endorsement.
Report Facts
Total licensed beds: 60 Maximum occupancy: 60 Alzheimer's beds capacity: 30
Employees Mentioned
NameTitleContext
Kendra NortonAdministratorNamed as facility administrator on renewal application and Alzheimer's endorsement application (pages 2 and 10).
Cherlyn HuntExecutive DirectorNamed as contact person and legal entity contact on Alzheimer's endorsement application (page 10).
Notice Capacity: 30 Deficiencies: 0 APP2016
Visit Reason
This document serves to verify that Chrisoma West Assisted Living is licensed through the date indicated on the renewal card and includes the assisted-living facility license renewal application and occupancy permit.
Findings
The documents confirm the facility's licensure renewal and occupancy permit with a maximum capacity of 30 beds. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 30 Renewal expiration date: License renewal expiration date is 04/30/2017 as shown on the renewal card
Inspection Report Renewal Capacity: 30 Deficiencies: 0 APP2017
Visit Reason
The document is a licensure renewal application and certification for Chrisoma West Assisted Living facility, verifying that the facility is licensed through the indicated renewal date.
Findings
The documents confirm that Chrisoma West Assisted Living meets statutory requirements for licensure renewal and includes an occupancy permit certifying a maximum occupancy of 30 beds.
Report Facts
Total licensed beds: 30
Employees Mentioned
NameTitleContext
Linda AmstuzAdministratorNamed as the administrator of Chrisoma West Assisted Living in the renewal application.
Notice Capacity: 30 Deficiencies: 0 APP2021
Visit Reason
This document serves as a renewal application and verification of licensure for Chrisoma West Assisted Living facility.
Findings
The document confirms that Chrisoma West Assisted Living meets statutory requirements for licensure and includes renewal application details, ownership information, and occupancy permit.
Report Facts
Total licensed beds: 30 Renewal license fees: 1950 Occupancy maximum: 30 Occupancy permit date issued: 2020
Notice Capacity: 30 Deficiencies: 0 APP2022
Visit Reason
This document serves to verify the assisted-living facility license renewal and includes the renewal application, occupancy permit, and related facility information.
Findings
No inspection findings or deficiencies are reported; the documents confirm licensing status and facility capacity.
Report Facts
Total licensed beds: 30
Notice Capacity: 30 Deficiencies: 0 APP2023
Visit Reason
This document serves to verify that Chrisoma West Assisted Living is licensed through the date indicated on the renewal card and includes the renewal application and occupancy permit.
Findings
The documents confirm the facility meets statutory requirements for licensure as an assisted-living facility, with no inspection findings or deficiencies noted.
Report Facts
Total licensed beds: 30
Employees Mentioned
NameTitleContext
Kendra NortonAdministratorListed as the facility administrator on the renewal application.
Tom ThompsonAuthorized RepresentativeSigned the renewal application on 2023-01-26.
Troy UrbomAuthorized RepresentativeSigned the renewal application on 2023-01-26.
Notice Capacity: 30 Deficiencies: 0 APP2024
Visit Reason
This document serves as a licensure renewal application and verification for Chrisoma West Assisted Living facility, confirming the facility's license status and capacity.
Findings
The documents include licensing renewal confirmation, facility capacity details, floor plans, Alzheimer's Memory Care endorsement application, and detailed facility policies and procedures related to assisted living and memory care services.
Report Facts
Total licensed capacity: 30 Renewal license fees: 1650 Date: Mar 1, 2024
Employees Mentioned
NameTitleContext
Kendra NortonAdministratorNamed as facility administrator on renewal application and Alzheimer's Memory Care endorsement application.
Cherlyn HuntExecutive DirectorNamed as contact person on Alzheimer's Memory Care endorsement application.

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