Inspection Reports for Elk Ridge Village

NE, 68022

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Deficiencies per Year

4 3 2 1 0
2011
2014
2016
2017
2018
2019
2020
Severe High Moderate Low Unclassified

Census Over Time

63 66 69 72 75 Jul '11 Nov '14
Inspection Report Complaint Investigation Deficiencies: 0 Mar 2, 2020
Visit Reason
An unannounced visit was conducted to investigate a complaint at Elk Ridge Village on March 2-3, 2020, regarding allegations that the facility failed to provide care and services to promote physical well-being, failed to protect residents from injury, and failed to investigate injuries of unknown origin.
Findings
The facility was found to be in compliance with related regulatory requirements for all allegations. Residents reported satisfaction with care and services, staff were knowledgeable about medication and fall prevention, and injuries of unknown origin were investigated with education provided to staff.
Complaint Details
The complaint allegations included failure to provide care and services to promote physical well-being, failure to protect residents from injury, and failure to investigate injuries of unknown origin. The facility was found compliant in all areas investigated.
Employees Mentioned
NameTitleContext
Connie VogtProgram ManagerSigned as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health
Inspection Report Renewal Capacity: 92 Deficiencies: 0 Apr 11, 2019
Visit Reason
This document is a licensure renewal application and related certification for Elk Ridge Village Assisted Living Facility, verifying the facility's compliance and license renewal status.
Findings
The facility is licensed as an assisted living facility with a maximum capacity of 92 beds. It includes an Alzheimer's Special Care Unit with 16 beds. The renewal application certifies compliance with state regulations and outlines the facility's philosophy, care criteria, staffing, training, physical environment, family support, and fee structure.
Report Facts
Total licensed capacity: 92 Alzheimer's Special Care Unit beds: 16 Monthly base rent: 5940 Staff to resident ratio day/evening: 1:6-8 Staff to resident ratio overnight: 1:16-18
Employees Mentioned
NameTitleContext
Galen MoesAdministratorNamed as facility administrator and contact on renewal application
Pat DayListed as a partner owning 20.0838% of Dial Realty Investment Properties II, LLC, part owner of the facility
Don DayListed as a partner owning 13.2224% of Dial Realty Investment Properties II, LLC, part owner of the facility
Inspection Report Renewal Capacity: 92 Deficiencies: 0 Mar 22, 2018
Visit Reason
This document is a licensure renewal application and related certification for Elk Ridge Village Assisted Living Facility, verifying the facility's compliance with statutory requirements and renewal of its license.
Findings
The facility is licensed as an Assisted Living Facility with a special endorsement for Alzheimer's Memory Care. The renewal application confirms the facility meets statutory requirements, has a maximum capacity of 92 beds, and provides detailed information about ownership, services, and memory care programming.
Report Facts
Total licensed capacity: 92 Base monthly rent: 5315 Renewal fee: 1950
Employees Mentioned
NameTitleContext
Galen MoesAdministratorNamed as facility administrator and contact on renewal application and Alzheimer's Memory Care endorsement application
Robert J FurleyManager/MemberNamed as manager/member of Elk Ridge Holding, LLC, part owner of the facility
Jeannine DeVetterManager/MemberNamed as manager/member of Elk Ridge Holding, LLC, part owner of the facility
Inspection Report Complaint Investigation Deficiencies: 0 Jul 25, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint at Elk Ridge Village on July 25-26, 2017, focusing on allegations related to notification of change of condition, resident retention criteria, protection from neglect, and medication administration.
Findings
The facility was found to be in compliance with regulatory requirements for all allegations investigated, including notification of changes in condition, ensuring residents meet retention criteria, protection from neglect, and medication administration with an error rate below 5%.
Complaint Details
The complaint included four allegations: failure to notify responsible parties of change of condition, failure to ensure residents meet retention criteria, failure to protect residents from neglect, and failure to administer medications as ordered. The investigation found the facility compliant in all areas.
Report Facts
Medications observed during pass: 31
Employees Mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS
Galen MoesAdministratorFacility Administrator named in the report
Director of NursingInterviewed regarding resident retention criteria and hospitalization
Inspection Report Renewal Capacity: 92 Deficiencies: 0 Mar 30, 2017
Visit Reason
This document is a renewal application and endorsement for the Assisted Living Facility license of Elk Ridge Village, including a Memory Care Endorsement.
Findings
The facility is licensed as an Assisted Living Facility with a Memory Care Endorsement. The application includes detailed information on ownership, facility capacity, memory care program philosophy, staffing, training, physical environment, resident activities, family support, and fee structure. No deficiencies or enforcement actions are noted.
Report Facts
Total licensed capacity: 92 Memory Care Endorsement capacity: 16 Base monthly rent: 5140 Staff to resident ratio day/evening: 6 Staff to resident ratio overnight: 16
Employees Mentioned
NameTitleContext
Galen MoesAdministratorNamed as facility administrator and contact for ownership and Memory Care Endorsement application
Robert J. FurleyAuthorized RepresentativeSigned the Memory Care Endorsement application
Inspection Report Complaint Investigation Deficiencies: 0 Mar 20, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint at Elk Ridge Village on March 20, 2017, regarding allegations of medication errors and failure to provide care per the resident service agreement.
Findings
The investigation found that the facility provided medications in accordance with the Five Rights and services as agreed upon in the resident service agreement. The allegations were determined to be unfounded and the facility was in compliance with regulatory requirements.
Complaint Details
The complaint involved two allegations: failure to provide medications in accordance with the Five Rights, and failure to provide care and services per the resident service agreement. Both allegations were found to be unsubstantiated.
Employees Mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS
Inspection Report Complaint Investigation Deficiencies: 0 Nov 21, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint at Elk Ridge Village regarding allegations of failure to serve foods in accordance with the food code, maintain essential equipment, protect residents from abuse, and ensure residents meet retention criteria.
Findings
The facility was found to be in compliance with all allegations investigated, including food service, equipment maintenance, resident protection from abuse, and retention criteria. Observations, record reviews, and interviews supported these findings.
Complaint Details
The investigation was complaint-driven and included allegations about food service, equipment maintenance, resident abuse protection, and retention criteria. All allegations were determined to be unsubstantiated with the facility found 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 Complaint Investigation Census: 70 Deficiencies: 1 Nov 4, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint at Elk Ridge Village on November 4, 2014, regarding failure to provide services as agreed upon in the service agreement and ensuring residents are free from abuse.
Findings
The facility failed to evaluate residents' needs and develop appropriate service plans related to pressure ulcer development and healing for two residents, violating state regulation 175 NAC 4-006.06. The facility was found to be in compliance with ensuring residents are free from abuse.
Complaint Details
The complaint alleged the facility failed to provide services as agreed upon and failed to ensure residents are free from abuse. The failure to provide services was substantiated; the facility was compliant regarding abuse.
Deficiencies (1)
Description
Failure to evaluate residents' needs and develop a service plan related to pressure ulcer development and healing for two residents.
Report Facts
Resident census: 70 Residents affected: 2
Employees Mentioned
NameTitleContext
Galen MoesExecutive DirectorNamed in statement of compliance and signatures
Stacey KingDirector of NursingNamed in statement of compliance and signatures
Amanda MasekDirector of HealthCare DeliveryNamed in statement of compliance and signatures
Khristy LongRegistered NurseSurveyor conducting complaint investigation
Kay ReevesNutrition/dietitianSurveyor conducting complaint investigation
Inspection Report Complaint Investigation Census: 68 Deficiencies: 1 Jul 20, 2011
Visit Reason
The inspection and complaint investigation were conducted following allegations that the facility failed to protect residents from misappropriation, failed to notify responsible parties when residents had a change of condition, failed to ensure medications were secured, and failed to provide services as agreed upon in the written contract.
Findings
The investigation found the facility was in compliance with most allegations except for failing to ensure medications were secured. The facility census was 68 during the inspection. A violation related to medication security was cited at 175 NAC 4-006.09E.
Complaint Details
The complaint involved multiple allegations including failure to protect residents from misappropriation, failure to notify responsible parties of changes in condition, failure to ensure medications were secured, and failure to provide agreed services. The only substantiated allegation was failure to ensure medications were secured.
Deficiencies (1)
Description
The facility fails to ensure medications are secured.
Report Facts
Facility census: 68 Inspection dates: July 18, 2011 to July 20, 2011 Sample size for medication storage observation: 7
Employees Mentioned
NameTitleContext
Anna HarrisonRegistered NurseSurveyor conducting the inspection and complaint investigation
Galen MoesAdministrator / Executive DirectorNamed in correspondence and plan of correction
Alicia RigasDirector of NursingInvolved in medication storage findings and staff education
Vicky EatonLPNCompleted random checks on self-medicating residents
Stacy NeuhausActivity DirectorCompleted random checks on self-medicating residents
Document Capacity: 92 Deficiencies: 0 APP2024
Visit Reason
The document is a renewal application and certification for the assisted-living facility Elk Ridge Village, verifying licensure and providing facility and ownership information.
Findings
The documents confirm that Elk Ridge Village meets statutory requirements for licensure as an assisted-living facility, including Alzheimer's special care and memory care endorsement. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 92 Alzheimer's special care beds: 16 Monthly base rent fee: 7150
Employees Mentioned
NameTitleContext
Tony DamewoodAdministratorNamed as administrator and authorized representative on renewal application and Alzheimer's endorsement application (pages 2, 11, 17).
Robert FurleyAuthorized RepresentativeSigned renewal application as authorized representative (page 2).
Jeannine DeVelterAuthorized RepresentativeSigned renewal application as authorized representative (page 2).
Notice Capacity: 92 Deficiencies: 0 APP2025
Visit Reason
The document serves to verify the assisted-living facility license renewal and includes the renewal application, ownership information, and certification of occupancy.
Findings
The documents confirm that Elk Ridge Village meets statutory requirements as an assisted-living facility with a licensed capacity of 92 beds and includes certification of occupancy and renewal application details.
Report Facts
Total licensed beds: 92 Maximum occupancy: 92 Alzheimer's special care beds: 16
Employees Mentioned
NameTitleContext
Tony DamewoodAdministratorNamed as administrator and contact on the renewal application and Alzheimer's special care unit disclosure (pages 2 and 11).
Donald DavisInspector who approved the Certificate of Occupancy on page 4.
Inspection Report Renewal Capacity: 92 Deficiencies: 0 APP2016
Visit Reason
The document is a renewal licensing packet and endorsement application for Elk Ridge Village Assisted Living Facility, including approval for the Memory Care Endorsement.
Findings
The documents confirm that Elk Ridge Village meets statutory requirements as an assisted living facility with a Memory Care Endorsement. The facility provides detailed policies, procedures, and service plans related to memory care, resident rights, staff qualifications, and care delivery.
Report Facts
Total licensed capacity: 92 Monthly base rent: 4950 Memory Care Capacity: 16
Employees Mentioned
NameTitleContext
Galen MoesAdministratorNamed as facility administrator and contact on application forms
Eve LewisProgram ManagerSigned letter approving Memory Care Endorsement
Notice Capacity: 92 Deficiencies: 0 APP2020
Visit Reason
This document serves to verify that Elk Ridge Village Assisted-Living Facility is licensed through the date indicated on the renewal card, confirming compliance with statutory requirements.
Findings
The document confirms that Elk Ridge Village meets statutory requirements as an assisted-living facility with Alzheimer's Memory Care Endorsement and provides details about ownership, capacity, and licensing status.
Report Facts
Total licensed beds: 92 Alzheimer's unit beds: 16
Employees Mentioned
NameTitleContext
Tony DamewoodAdministratorNamed as facility administrator on licensing and renewal documents
Robert J FurleyManager/MemberNamed as manager/member of Elk Ridge Holding, LLC, part owner of the facility
Jeannine DeVetterManager/MemberNamed as manager/member of Elk Ridge Holding, LLC, part owner of the facility
Notice Capacity: 92 Deficiencies: 0 APP2021
Visit Reason
This document serves as a renewal application and verification of licensure for the assisted-living facility Elk Ridge Village, confirming compliance with statutory requirements and renewal of the facility license.
Findings
The documents confirm that Elk Ridge Village meets statutory requirements as an assisted-living facility with Alzheimer's and memory care endorsements. The renewal application includes facility information, ownership details, and certification of compliance with licensing regulations.
Report Facts
Total licensed beds: 92 Alzheimer's unit beds: 16 Monthly base rent: 6150 Staffing numbers: 8 Staff on day and evening shifts: 7 Staff on night shift: 3
Employees Mentioned
NameTitleContext
Tony DamewoodAdministratorNamed as facility administrator in the renewal application and Alzheimer's Special Care Unit Disclosure (pages 2 and 9).
Robert J FurleyNamed as manager/member of Elk Ridge Holding, LLC in ownership information (page 3).
Jeannine DeVetterNamed as manager/member of Elk Ridge Holding, LLC in ownership information (page 3).
Gary J. Anthone, MDChief Medical Officer, Director, Division of Public HealthNamed on the licensure certificate as certifying official (page 1).
Inspection Report Renewal Capacity: 92 Deficiencies: 0 APP2022
Visit Reason
This document is related to the renewal of the assisted-living facility license for Elk Ridge Village, verifying that the facility is licensed through the date indicated on the renewal card.
Findings
The document certifies that Elk Ridge Village meets statutory requirements as an assisted-living facility and includes renewal application details, ownership information, and licensing fees. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 92 Alzheimer's special care beds: 16 Renewal license fees: 1650 Monthly base rent: 6150
Employees Mentioned
NameTitleContext
Tony DamewoodAdministratorNamed as administrator and contact person in the renewal application and Alzheimer's endorsement application.
Robert J FurleyManager/MemberNamed as manager/member of Elk Ridge Holding, LLC in ownership information on page 3.
Jeannine DeVetterManager/MemberNamed as manager/member of Elk Ridge Holding, LLC in ownership information on page 3.
Notice Capacity: 92 Deficiencies: 0 APP2023
Visit Reason
This document package serves as a renewal application and certification for the assisted-living facility Elk Ridge Village, verifying licensure and compliance with statutory requirements.
Findings
The documents confirm that Elk Ridge Village meets statutory requirements for licensure as an assisted-living facility, including Alzheimer's special care unit endorsement, with no deficiencies or inspection findings reported.
Report Facts
Total licensed beds: 92 Alzheimer's unit beds: 16 Monthly base rent: 6150
Employees Mentioned
NameTitleContext
Tony DamewoodAdministratorNamed as facility administrator on renewal application and Alzheimer's endorsement application (pages 2 and 9).
Jeannine DeVetterAuthorized RepresentativeSigned renewal application as authorized representative (page 2).
Robert FurleyAuthorized RepresentativeSigned renewal application as authorized representative (page 2).

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