Inspection Reports for Emerald Nursing & Rehab Brookside LLC
4735 South 54th Street, NE, 68516
Back to Facility ProfileDeficiencies (last 12 years)
Deficiencies (over 12 years)
8.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
107% worse than Nebraska average
Nebraska average: 4.2 deficiencies/year
Deficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
131 residents
Based on a June 2018 inspection.
Census over time
Notice
Capacity: 173
Deficiencies: 0
Jun 16, 2025
Visit Reason
Issuance of a new Skilled Nursing Facility license due to a change of ownership for Emerald Nursing & Rehab Brookside.
Findings
The document confirms the issuance of license #NH0088 to Emerald Nursing & Rehab Brookside with an effective date of June 16, 2025, and includes a license renewal card expiring on March 31, 2026.
Report Facts
Licensed Capacity: 173
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paige Pearson | Administrator | Named as facility administrator in the license issuance letter and nursing home licensure application. |
| Timothy Tesmer | Chief Medical Officer | Signed the license issuance letter from the Department of Health and Human Services. |
| Lisa Osborne | Administrator, Health Facilities Licensure Unit | Signed the license issuance letter from the Department of Health and Human Services. |
| Yisroel Chafetz | Managing member of sole member | Authorized representative signing the nursing home licensure application and owner representative in ownership confirmation letter. |
| Inssyah Khair | Director of Nursing | Named in the nursing home licensure application. |
Notice
Deficiencies: 0
Oct 21, 2024
Visit Reason
This Notice of Disciplinary Action was issued due to violations related to failure to implement interventions to prevent hot liquid burns and failure to evaluate a resident for potential injuries from a fall prior to moving the resident, as documented in the CMS-2567 Report dated October 21, 2024.
Findings
The facility was found to have violated licensure regulations by not adequately preventing resident injuries and failing to evaluate a resident after a fall. The Department imposed probation and required submission of a Plan of Correction and ongoing reports during the probation period.
Report Facts
Probation period length: 180
Report due date: 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Timothy Tesmer | Chief Medical Officer | Signed the Notice of Disciplinary Action. |
| Dan Taylor | Administrator | Named in relation to the Notice and Correction of Disciplinary Action. |
| Kolby Venger | Administrative Specialist | Certified service of the Notice of Disciplinary Action. |
Inspection Report
Renewal
Capacity: 173
Deficiencies: 0
Jan 19, 2023
Visit Reason
The document is a Nursing Home Licensure Renewal Application and related renewal certification for Emerald Nursing & Rehab Brookside, verifying licensure and renewal of the facility's certification.
Findings
The documents confirm that Emerald Nursing & Rehab Brookside meets statutory requirements for licensure renewal as a skilled nursing facility with special care and treatment for Alzheimer's and other therapy services. No deficiencies or inspection findings are reported.
Report Facts
Total licensed beds: 173
Renewal application date: Jan 19, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Clara Owolabi | Administrator | Named as administrator on renewal application and Alzheimer's unit disclosure |
| Jenny Hoyt | Director of Nursing | Named as Director of Nursing on renewal application |
| Jacob I Walden | Authorized Representative | Signed renewal application and Alzheimer's unit disclosure |
| Yisroel I Chafetz | Authorized Representative | Signed renewal application |
Inspection Report
Renewal
Capacity: 173
Deficiencies: 0
Oct 5, 2021
Visit Reason
The document is related to the renewal of the nursing home license for Brookside Rehabilitation Center, including certification and licensure renewal applications and occupancy permit.
Findings
The documents certify that Brookside Rehabilitation Center meets statutory requirements for licensure renewal as a Skilled Nursing Facility with specialized care units. The Nebraska State Fire Marshal approved the occupancy permit for 173 beds.
Report Facts
Total licensed beds: 173
Occupancy permit date: Oct 5, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Madelyne Dunn | Administrator | Named as administrator on renewal application and Alzheimer's Special Care Unit Disclosure |
| Kierstin Irving | Director of Nursing | Named as Director of Nursing on renewal application |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 16, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint survey at Homestead Nursing & Rehabilitation Center from July 16, 2019 to July 18, 2019, based on allegations regarding hydration/nutrition, dignity and respect, and fall prevention.
Findings
The facility was found to be in compliance with relevant regulations for all allegations: adequate hydration and nutrition were provided, residents were treated with dignity and respect, and appropriate interventions to prevent falls with injuries were implemented.
Complaint Details
The complaint investigation addressed three allegations: failure to provide adequate hydration and/or nutrition, failure to ensure residents are treated with dignity and respect, and failure to use appropriate interventions to prevent falls with injuries. All allegations were found to be unsubstantiated as the facility was in compliance.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager | Signed the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jul 2, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint at Homestead Nursing & Rehabilitation Center regarding diet provision, food temperature, misappropriation of residents' property, and housekeeping.
Findings
The facility was found to be in compliance with relevant regulatory requirements for diet provision, food temperature, misappropriation prevention, and housekeeping. However, the facility identified an issue with timely return of residents' laundry and was working to correct it.
Complaint Details
The complaint included allegations that the facility failed to provide diets as ordered, failed to serve food at appropriate temperatures, failed to ensure residents were free from misappropriation, and failed to maintain an effective housekeeping program. All allegations were found to be without violation except for a delay in returning residents' laundry, which the facility was addressing.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager | Signed the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 5, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding insufficient supervision to prevent elopement at Homestead Nursing & Rehabilitation Center.
Findings
The investigation found that the facility provided sufficient supervision to prevent elopement, with staff knowledgeable about elopement assessment and prevention. The facility was in compliance with relevant regulations.
Complaint Details
The complaint alleged that the facility failed to provide sufficient supervision to prevent elopement. The investigation revealed compliance with regulations and no substantiated deficiencies.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the report and represents the investigating authority |
Inspection Report
Complaint Investigation
Deficiencies: 2
Dec 11, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Homestead Nursing & Rehabilitation Center regarding multiple allegations including failure to provide essential dining equipment, maintain sufficient staffing, ensure proper food form and temperature, maintain infrastructure, prevent misappropriation, and timely return of resident laundry.
Findings
The facility was found to be in compliance with regulatory requirements for most allegations including dining equipment, staffing, food form, meal timing, food temperature, resident misappropriation, and clothing care. The facility failed to maintain building infrastructure and timely return resident laundry but had identified and was addressing these issues with documented repair and improvement plans.
Complaint Details
The investigation was complaint-driven with multiple allegations related to dining equipment, staffing, food service, building maintenance, resident property protection, and laundry services. The facility was found compliant on most issues except infrastructure maintenance and laundry return delays, which were being actively addressed.
Deficiencies (2)
| Description |
|---|
| Failure to maintain infrastructure of the building |
| Failure to ensure resident's laundry is returned in a reasonable timeframe |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the report and contact person for questions |
| Matt Romshek | Administrator | Facility administrator addressed in the report |
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 26, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging the facility failed to protect residents from injury and failed to ensure residents had adequate supervision according to their plan of care.
Findings
The investigation found that the facility did protect residents from injury and ensured adequate supervision according to residents' plans of care. Observations, interviews, and record reviews confirmed fall interventions and supervision were in place and followed, resulting in compliance with relevant regulatory requirements.
Complaint Details
The complaint alleged failure to protect residents from injury and failure to ensure adequate supervision. The investigation determined the facility was in compliance with these allegations.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the report and contact person for questions |
Inspection Report
Complaint Investigation
Census: 131
Deficiencies: 1
Jun 12, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Homestead Nursing & Rehabilitation Center regarding failure to follow the plan of care, enteral feeding care, prompt response to calls, ensuring residents are free from abuse, and reporting allegations of abuse.
Findings
The investigation found the facility in compliance with regulations for all allegations except for failure to report allegations of abuse. The facility failed to report a non-consensual sexual incident between two residents to the state authority as required by policy.
Complaint Details
The complaint investigation included allegations that the facility failed to follow the plan of care, ensure appropriate enteral feeding care, respond promptly to calls, ensure residents are free from abuse, and report allegations of abuse. The facility was found compliant on all except the failure to report abuse allegation, which was substantiated.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to ensure staff followed policy regarding reporting allegations of abuse to the state authority, affecting one resident. | SS=D |
Report Facts
Facility census: 131
Sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed the letter and is the contact for the Department of Health and Human Services Division of Public Health |
| Matt Romshek | Administrator | Facility administrator involved in the investigation and communication |
Inspection Report
Annual Inspection
Census: 131
Capacity: 173
Deficiencies: 20
May 21, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Homestead Nursing & Rehabilitation Center from May 15, 2018 to May 22, 2018 by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The facility was found to be in compliance with most allegations including restraint use, dignity and respect, peri-care, infection control, seclusion, care according to practitioner's orders, pest control, and reporting. Deficiencies were found related to discharge planning, advanced directives implementation, clean environment, and accounting for residents' property. Multiple deficiencies were cited in the statement of deficiencies including advanced directives, Medicaid/Medicare coverage notices, clean environment issues, comprehensive care plans, discharge planning, ADL care, pharmacy services, dental services, quality assurance, ventilation, fire safety, sprinkler system maintenance, corridor doors, smoke barriers, fire drills, electrical equipment, and power strip safety.
Complaint Details
The visit was complaint-related and included investigation of multiple allegations such as restraint use, dignity and respect, peri-care, infection control, discharge planning, and others. The complaint investigation found some deficiencies related to discharge planning and advanced directives.
Severity Breakdown
SS=F: 9
SS=E: 5
SS=D: 5
Deficiencies (20)
| Description | Severity |
|---|---|
| Failed to implement advanced directives for 1 of 2 residents sampled. | SS=D |
| Failed to provide required Medicaid/Medicare coverage and liability notices for 3 of 4 residents sampled. | SS=D |
| Failed to maintain a safe, clean, comfortable, and homelike environment; specifically jagged shower wall edges and black substance in shower floor and wall. | SS=E |
| Failed to develop and implement comprehensive care plans addressing activities and oral intake for sampled residents. | SS=E |
| Failed to develop and implement effective discharge planning process consistent with resident wishes for 2 residents. | SS=D |
| Failed to ensure dependent resident's soiled clothing was changed and dirty glasses cleaned. | SS=D |
| Failed to administer medications through an enteral tube per facility policy for one resident. | SS=E |
| Failed to ensure physician orders for PRN psychotropic medications were written for no more than 14 days for 2 residents. | SS=D |
| Failed to assist resident with making dental appointments for 1 resident. | SS=D |
| Failed to develop and implement a plan to correct and maintain compliance regarding repeat federal and state deficiencies related to housekeeping and maintenance. | SS=E |
| Failed to ensure vent fans were working in bathrooms for rooms 402, 405, and 410. | SS=F |
| Doors to hazardous areas in the basement were blocked open or obstructed, preventing positive latching. | SS=F |
| Shelf on kitchen stove obstructed fire extinguishing equipment coverage. | SS=F |
| Non-fire sprinkler components attached to sprinkler piping and deficiencies on sprinkler system inspection reports were not corrected. | SS=F |
| Corridor doors obstructed by resident bed preventing proper closing and latching. | SS=E |
| Cross-corridor doors in smoke barriers failed to resist passage of smoke due to failure to close and latch properly. | SS=E |
| Fire drills were not conducted at random times, failed to assure alarm activation during second shift drills, and lacked staff signatures. | SS=F |
| Failed to document annual inspection of all fire rated doors throughout the facility. | SS=F |
| Electrical cords were run through door openings, increasing fire hazard risk. | SS=F |
| Failed to assess integrity, resistance, leakage current, and UL listing of power strips used throughout the facility. | SS=F |
Report Facts
Facility census: 131
Total licensed capacity: 173
Resident sample size: 31
Deficiency counts: 19
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed complaint investigation letter |
| Matt Romshek | Administrator | Facility administrator named in report |
| Staff D | Interviewed regarding Resident #330 medication and care | |
| Staff E | Interviewed regarding Resident #330 discharge planning and Resident #42 discharge planning | |
| RN J | Registered Nurse | Interviewed regarding care plan interventions for Resident #73 |
| Nurse Consultant A | Interviewed regarding care plans and dental services | |
| RN-G | Registered Nurse | Observed administering medications through enteral tube |
| Maintenance Staff A | Interviewed regarding fire safety and maintenance deficiencies | |
| Administration Staff A | Interviewed regarding fire safety and electrical cord issues |
Inspection Report
Renewal
Capacity: 173
Deficiencies: 0
Mar 11, 2018
Visit Reason
The document is a Nursing Home Licensure Renewal Application and related certification materials for Homestead Nursing & Rehabilitation Center, indicating the facility is applying for renewal of its Skilled Nursing Facility license.
Findings
The documents certify that Homestead Nursing & Rehabilitation Center meets statutory requirements for licensure renewal as a Skilled Nursing Facility with a maximum capacity of 173 beds. The application includes detailed information about ownership, services provided, and specialized care units such as Alzheimer's/Special Care Unit.
Report Facts
Total licensed beds: 173
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Romshek | Administrator | Named as facility administrator on renewal application and Alzheimer's Special Care Unit application |
| Kristina Watson | Director of Nursing | Named as Director of Nursing on renewal application |
| William Rothner | Authorized representative signing renewal application and ownership member | |
| Steven Miretzky | Authorized representative signing renewal application and ownership member |
Inspection Report
Complaint Investigation
Deficiencies: 2
Nov 14, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint at Homestead Nursing & Rehabilitation Center regarding multiple allegations including failure to protect residents from abuse, failure to prevent weight loss, failure to provide bladder care, failure to notify responsible parties of changes in condition, failure to ensure meal quality, failure to account for residents' property, failure to treat residents with respect and dignity, and failure to notify the department of adverse events.
Findings
The facility was found compliant with most allegations including abuse prevention, weight loss care, bladder care, meal quality, property accounting, and respectful treatment of residents. However, the facility failed to notify the responsible party of a change in condition for one resident and failed to report one adverse event to state authorities. No patterns of these failures were established and no violations or citations were issued.
Complaint Details
The investigation was complaint-driven, addressing eight specific allegations. The facility was substantiated to have failed notification of responsible party and adverse event reporting for isolated incidents, but no patterns or violations were established.
Deficiencies (2)
| Description |
|---|
| Failure to notify the responsible party of changes in condition for one resident |
| Failure to report one adverse event to state authorities |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed the report as Training Coordinator, Office of LTC Facilities - Licensure Unit |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 9, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding fall interventions, prompt medical response to injuries, and adherence to the Five Rights for medication administration at Homestead Nursing & Rehabilitation Center.
Findings
The investigation found the facility to be in compliance with regulatory requirements for fall interventions, prompt medical response to injuries, and medication administration, with no violations identified.
Complaint Details
The complaint alleged failure to use fall interventions to prevent injuries, failure to provide prompt medical response to injuries, and failure to follow the Five Rights for medication administration. The investigation determined the facility was in compliance with all allegations.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the report and identified as the program manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 131
Capacity: 173
Deficiencies: 18
May 17, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Homestead Nursing & Rehabilitation Center from May 17, 2017 to May 25, 2017.
Findings
The facility was found deficient in multiple areas including housekeeping and maintenance, hand hygiene, peri care, noise control, medication administration, assistance with glasses, toileting programs, infection control, fire safety, and medication regimen review. Several deficiencies were cited related to sanitation, staff practices, equipment maintenance, and safety.
Complaint Details
The visit was complaint-related with multiple allegations including failure to maintain housekeeping, respect residents, hand hygiene, fall interventions, peri care, odors, call light accessibility, staffing sufficiency, plan of care adherence, water sufficiency, privacy, noise control, and maintenance.
Severity Breakdown
SS=E: 8
SS=D: 6
SS=F: 3
Deficiencies (18)
| Description | Severity |
|---|---|
| Failed to provide appropriate housekeeping and maintenance; reusable equipment not sanitized and general maintenance needed. | SS=E |
| Failed to ensure staff washed hands per standards of practice. | SS=E |
| Failed to provide appropriate peri care to prevent urinary tract infections. | SS=D |
| Failed to ensure adequate noise control due to loud bathroom ventilation motors. | SS=E |
| Failed to ensure medication was observed until administration to the resident. | SS=D |
| Failed to assist resident with wearing eyeglasses as needed. | SS=D |
| Failed to identify need for individualized toileting program and failed to provide proper pericare preventing cross contamination. | SS=D |
| Failed to ensure sufficient supervision and safe storage of chemicals in memory unit. | SS=E |
| Failed to ensure pureed food was prepared to maintain nutritional value. | SS=D |
| Failed to identify potential medication irregularities related to psychotropic medications and failed to perform AIMS testing. | SS=D |
| Failed to ensure infection control practices including sanitizing glucometers, hand hygiene, glove changes, and cleaning mechanical lifts between resident use. | SS=D |
| Failed to secure helium tank in activity room increasing risk of tank falling and becoming a missile. | SS=F |
| Failed to implement testing and inspection program for fire rated doors to ensure proper operation and latching. | SS=F |
| Failed to maintain hazardous area doors with self-closing devices to latch and provide smoke resistant partitions. | SS=E |
| Failed to separate physical therapy treatment area from exit corridor allowing smoke to spread. | SS=E |
| Failed to prevent use of corridors as return air plenum for heating system, risking smoke and fire spread. | SS=F |
| Failed to provide approved covers for electrical junction boxes increasing risk of electrical fire or electrocution. | SS=D |
| Failed to take precautions to prevent oxygen-enriched atmosphere by leaving oxygen concentrator running unattended. | SS=E |
Report Facts
Deficiencies cited: 14
Facility census: 131
Total licensed capacity: 173
Medication dosage: 75
Medication dosage: 40
Medication dosage: 400
Medication dosage: 25
Medication dosage: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Romshek | Administrator | Named in letter and waiver request. |
| Eve Lewis | RNC, Program Manager - Office of LTC Facilities - Licensure Unit | Signed inspection report letter. |
| Pharmacist D | Named in medication irregularity and psychotropic medication review findings. | |
| LPN V | Licensed Practical Nurse | Named in infection control findings related to glucometer sanitization. |
| NA S | Nursing Assistant | Named in pericare and glove use deficiency. |
| NA I | Nursing Assistant | Named in pericare and glove use deficiency. |
| NA H | Nursing Assistant | Named in mechanical lift sanitation deficiency. |
| NA O | Nursing Assistant | Named in mechanical lift sanitation deficiency. |
| Maintenance Staff A | Named in fire safety and helium tank security findings. | |
| Administrative Staff A | Named in fire safety and helium tank security findings. |
Inspection Report
Complaint Investigation
Census: 138
Deficiencies: 2
May 4, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint survey at Homestead Nursing & Rehabilitation Center from April 26, 2017 to May 4, 2017, triggered by multiple allegations including failure to act on resident complaints, staff credential issues, call light response, grievance resolution, resident positioning/transfers, and abuse reporting.
Findings
The investigation found the facility in violation of federal and state regulations related to failure to resolve grievances for one resident and failure to provide adequate assistance during showering, leaving a dependent resident unattended for nearly 3 hours without a reachable call light. Other allegations such as staff credentials, call light response, and abuse reporting were found to be in compliance.
Complaint Details
The complaint investigation was triggered by multiple allegations including failure to act on resident complaints, staff credential issues, staff under influence of illicit drugs, call light response, grievance resolution, appropriate positioning/transfers, residents left alone in shower/bathing area, residents left in soiled clothing, and failure to report abuse/neglect. The investigation substantiated violations related to grievance resolution and resident care during showering for Resident 603.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to resolve grievance/complaints for one resident, including delayed medication and inadequate response to incontinence and transfer concerns. | SS=D |
| Failure to provide assistance with showering, leaving a dependent resident unattended for 2 hours and 45 minutes without a reachable call light. | SS=D |
Report Facts
Facility census: 138
Grievance resolution timeframe: 10
Time resident left unattended in shower: 2.75
BIMS score: 15
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 9, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint at Homestead Nursing & Rehabilitation Center regarding allegations of failure to investigate causative factors for injury, provide wound care and treatment to promote healing, provide care and treatment for bowel elimination, and ensure residents receive services to maintain range of motion.
Findings
The facility was found to investigate causative factors for injury, provide wound care and treatment to promote healing, provide care and treatment for bowel elimination, and ensure residents receive services to maintain range of motion at the highest level. No violations were found related to bowel elimination or range of motion care.
Complaint Details
The complaint investigation addressed allegations that the facility failed to investigate causative factors for injury, failed to provide wound care and treatment to promote healing, failed to provide care and treatment for bowel elimination, and failed to ensure residents receive services to maintain range of motion. The investigation found the facility met requirements in all these areas.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the report and identified as contact person for questions |
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 19, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to protect residents from residents with behaviors, failure to submit investigations within 5 working days, and failure to protect residents from abuse.
Findings
The facility was found to be in compliance with all allegations. It protected residents from residents with behaviors, submitted investigations within 5 working days, and protected residents from abuse. No violations were identified during the investigation.
Complaint Details
The complaint alleged failure to protect residents from residents with behaviors, failure to submit investigations within 5 working days, and failure to protect residents from abuse. All allegations were found to be unsubstantiated.
Report Facts
Investigation submission timeframe: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager | Signed the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jun 7, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging the facility failed to maintain a mold free environment.
Findings
The facility was found to maintain a mold free environment with no violations related to the allegation. Observations and staff interviews revealed no concerns regarding mold presence.
Complaint Details
The complaint alleged the facility failed to maintain a mold free environment. The allegation was not substantiated as no mold was found during the investigation.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager | Signed the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS |
Inspection Report
Annual Inspection
Census: 137
Capacity: 132
Deficiencies: 17
Mar 21, 2016
Visit Reason
An unannounced visit was conducted to investigate an annual survey at Homestead Nursing & Rehabilitation Center from March 3, 2016 to March 21, 2016, by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The facility was found to be generally compliant with no violations related to abuse investigations, resident protections, medication administration, hydration, verbal abuse, housekeeping, and maintenance. However, several deficiencies were cited related to resident rights, accident hazards, food sanitation, infection control, life safety code violations including door latching, smoke barriers, hazardous area doors, corridor obstructions, emergency lighting, fire drills, HVAC system, generator maintenance, and electrical panel safety.
Severity Breakdown
SS=D: 2
SS=E: 9
SS=F: 5
Deficiencies (17)
| Description | Severity |
|---|---|
| Failed to offer choices for bathing preferences for Resident 5 and Resident 134 and failed to honor dining room seating preferences for Resident 88. | SS=D |
| Failed to assess a mobility bar for safety for Resident 18. | SS=D |
| Failed to cover food items on room trays being delivered to 7 residents. | SS=E |
| Failed to disinfect 2 glucometers to prevent potential cross contamination affecting 10 residents. | SS=E |
| Double doors to Station 1 Clean Linen were not smoke tight, allowing smoke, fire, and gases to migrate into the exit corridor. | SS=E |
| Failed to provide smoke separations extended from outside wall to outside wall at three areas in the building. | SS=F |
| Failed to maintain the door to a hazardous area so it would latch within the door frame. | SS=E |
| Failed to provide clear and unobstructed corridor with projections limited to 3 ½ inches on each side in Station 4 and failed to provide delayed egress signage on doors in Station 4. | SS=E |
| Failed to test emergency lights throughout the facility on a yearly basis. | SS=F |
| Failed to hold fire drills at random times under varied conditions on each shift. | SS=F |
| Failed to provide protected egress corridors by using corridors as a return air plenum for the heating system. | SS=F |
| Exit corridor in the lower level was obstructed by storage of cardboard boxes and buckets of flooring product. | SS=E |
| Failed to have an emergency generator shut down switch outside the area of 3 of 3 generators. | SS=F |
| Failed to run 2 of 3 generators monthly under a 30 percent load for 30 minutes. | SS=F |
| Failed to provide a cover for an open breaker in an electrical panel. | SS=E |
| Failed to provide minimum corridor width of at least eight feet and required head room at the front porch of the newly certified 600 Hall. | SS=E |
| Failed to follow plan of correction to assure double doors to Station 1 Clean Linen were smoke tight. | SS=E |
Report Facts
Facility census: 137
Facility total capacity: 132
Deficiency count: 16
Residents affected: 28
Residents affected: 90
Residents affected: 25
Residents affected: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Romshek | Administrator | Named in introductory letter and waiver requests |
| Eve Lewis | RNC, Program Manager - Office of LTC Facilities - Licensure Unit | Signed introductory letter |
| Don Fritz | Assistant State Fire Marshal | Approved waiver requests and correspondence |
Inspection Report
Complaint Investigation
Census: 142
Deficiencies: 1
Sep 17, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint at Homestead Nursing & Rehabilitation Center regarding multiple allegations including call notification response, care promoting independence, investigation submission timeliness, misappropriation, staffing sufficiency, hygiene, respect and dignity, staff credentials, hot water adequacy, grievance resolution, abuse prevention, fall intervention changes, and protection from residents with adverse behaviors.
Findings
The facility was found to be in compliance with most allegations, including prompt call notification response, promotion of independence, protection from misappropriation and abuse, sufficient staffing, hygiene, respect and dignity, staff credentials, grievance resolution, fall intervention changes, and protection from adverse behaviors. However, the facility failed to submit investigation reports within 5 working days for four incidents, which was a violation of federal and state regulations.
Complaint Details
The complaint investigation was substantiated for failure to submit timely investigation reports within 5 working days. The Director of Nursing acknowledged the failure to report written investigations to the state agency. Other allegations were found to have no violations.
Deficiencies (1)
| Description |
|---|
| Failure to submit investigation reports within 5 working days for 4 investigations of incidents reportable to the State Agency affecting Residents 1, 3, 4, and 8. |
Report Facts
Census: 142
Number of investigations not reported timely: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the report and correspondence |
| Matt Romshek | Administrator | Facility administrator named in the report |
| Lori Wehrs | Registered Nurse | Surveyor conducting the investigation |
| Victoria Smith | Registered Nurse | Surveyor conducting the investigation |
| Rebecca Young | Registered Nurse | Surveyor conducting the investigation |
Inspection Report
Complaint Investigation
Census: 142
Deficiencies: 13
Jan 26, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Homestead Nursing & Rehabilitation Center from January 26, 2015 to January 29, 2015.
Findings
The facility was found to have appropriate procedures to prevent misappropriation of resident property and knew the location of residents regularly. However, the facility failed to investigate an elopement for underlying causal factors and report it to the required state agency within five working days for Resident 224. Other findings included failure to maintain cleanliness in some bathrooms, failure to provide range of motion services for a resident with contractures, water temperatures in resident bathrooms exceeding safe levels, and multiple life safety code deficiencies including corridor widths, door obstructions, smoke door failures, exit signage, fire alarm obstructions, and oxygen signage.
Complaint Details
The complaint investigation included allegations regarding misappropriation of resident property, failure to know resident location, failure to provide a safe environment for residents at risk of elopement, failure to report injuries of unknown origin, failure to ensure hot water availability, and failure to protect residents from abuse. The facility was found not in violation for misappropriation, resident location, injury reporting, hot water availability, and abuse protection. The facility was found deficient for failure to investigate and report an elopement.
Severity Breakdown
SS=D: 2
SS=E: 7
SS=F: 4
Deficiencies (13)
| Description | Severity |
|---|---|
| Failed to investigate an elopement for underlying causal factors and report it to the required state agency within five working days for Resident 224. | SS=D |
| Failed to maintain general repair, appearance and cleanliness in 6 out of 19 resident use bathrooms. | SS=E |
| Failed to provide a restorative exercise program to manage contractures for one sampled resident (Resident 7). | SS=D |
| Failed to ensure water temperatures were maintained to prevent potential burns at the faucets of resident use sinks in 6 rooms. | SS=E |
| Failed to provide minimum corridor width of at least eight feet and required head room at the front porch of the newly certified 600 Hall. | SS=E |
| Resident room door obstructed by bed preventing door from closing and latching. | SS=E |
| Smoke separation doors at 200 Hall next to Dining Room failed to close in order allowing smoke and gases to spread. | SS=F |
| Hazardous area doors (soiled linen closet, storage restroom, housekeeping closet) failed to close and latch properly. | SS=E |
| Corridor obstructions with air-conditioning units projecting more than allowed and missing delayed egress signage on multiple doors; staff lacked keys to locked dining room door. | SS=F |
| Failed to provide illumination of exit discharge so that failure of any single lighting fixture will not leave area in darkness. | SS=E |
| Audible visual fire alarm device in kitchen was obstructed. | SS=F |
| Corridors used as return air plenums for heating system, spreading smoke, fire and gases throughout exiting corridors. | SS=F |
| Failed to post 'oxygen in use' sign on Resident Room 511. | SS=E |
Report Facts
Facility census: 142
Facility census: 143
Resident count affected: 26
Resident count affected: 71
Resident count affected: 187
Resident count affected: 31
Resident count affected: 102
Resident count affected: 20
Water temperature: 133.5
Water temperature: 130.4
Number of bathrooms with water temps above 120F: 6
Number of bathrooms with water temps above 120F: 4
Number of bathrooms with water temps above 120F: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Romshek | Administrator | Named in complaint investigation letter and waiver requests |
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit | Signed complaint investigation letter |
| Don Fritz | Assistant State Fire Marshal | Approved waiver requests |
Inspection Report
Complaint Investigation
Census: 135
Deficiencies: 1
Jul 14, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding resident transfers and staff credentials at Homestead Nursing & Rehabilitation Center.
Findings
The facility ensured residents were transferred safely with no violations found. However, the facility failed to ensure all staff had appropriate credentials, resulting in termination of one uncredentialed staff member and implementation of monthly credential checks.
Complaint Details
The complaint alleged unsafe resident transfers and staff lacking appropriate credentials. The unsafe transfer allegation was not substantiated. The credential issue was substantiated with one staff member terminated.
Deficiencies (1)
| Description |
|---|
| Failure to ensure staff have appropriate credentials to meet resident needs. |
Report Facts
Census: 135
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen Philippi | Registered Nurse | Investigator conducting the complaint investigation |
| Victoria Smith | Registered Nurse | Investigator conducting the complaint investigation |
| Eve Lewis | Program Manager | Signed the report as Program Manager of the Office of Long Term Care Facilities |
Inspection Report
Complaint Investigation
Census: 155
Deficiencies: 0
Mar 27, 2014
Visit Reason
An unannounced visit was conducted to investigate multiple complaints at Homestead Nursing & Rehabilitation Center, including allegations of abuse, failure to submit investigations timely, restraint use, housekeeping, change in condition identification and notification, safe resident transfers, and timely assessments.
Findings
The facility was found to be in compliance with all allegations investigated. No violations were identified related to abuse, investigation timeliness, restraint use, housekeeping, change in condition identification and notification, safe transfers, or timely assessments. The facility maintained appropriate policies and staff demonstrated knowledge and adherence to required practices.
Complaint Details
The investigation was complaint-driven, addressing multiple allegations including abuse, failure to submit investigations within 5 working days, restraint use, housekeeping, change in condition identification and notification, safe resident transfers, and timely assessments. All allegations were found unsubstantiated with no violations.
Report Facts
Resident census: 155
Residents reviewed: 3
Investigations submitted timely: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amie Clausen | Nursing Home Administrator | Conducted the complaint investigation |
| Kathleen Philippi | Registered Nurse | Conducted the complaint investigation |
| Rebecca Young | Registered Nurse | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 144
Deficiencies: 0
Mar 5, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging neglect and staff incompetency at Homestead Nursing & Rehabilitation Center.
Findings
The facility was found to protect residents from neglect and ensure staff competency in providing care. No violations or concerns were identified during the investigation.
Complaint Details
The complaint alleged the facility failed to protect residents from neglect and failed to ensure staff competency. Both allegations were unsubstantiated based on the investigation findings.
Report Facts
Census: 144
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen Philippi | Registered Nurse | Investigator conducting the complaint investigation |
| Victoria Smith | Registered Nurse | Investigator conducting the complaint investigation |
| Rebecca Young | Registered Nurse | Investigator conducting the complaint investigation |
| Eve Lewis | Program Manager | Signed correspondence related to the investigation |
Inspection Report
Complaint Investigation
Census: 143
Deficiencies: 8
Jan 29, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Homestead Nursing & Rehabilitation Center on January 21-29, 2014.
Findings
The facility failed to maintain residents' dignity and privacy by posting private information in visible areas, failed to maintain a clean environment due to gouged walls and cracked furniture, failed to complete comprehensive dietary assessments for residents with wounds or terminal conditions, failed to develop or revise comprehensive care plans for some residents, failed to provide ordered treatments, failed to implement infection control procedures, and failed to ensure proper toileting plans for residents with incontinence. Additional deficiencies were noted in medication administration, housekeeping, and resident safety.
Complaint Details
The complaint investigation found the facility failed to assist residents in accordance with plan of care, failed to ensure infection control procedures were followed, and failed to protect residents' privacy. Other allegations such as medication administration, abuse protection, housekeeping, and notification of condition changes were not substantiated.
Severity Breakdown
SS=D: 3
SS=E: 5
Deficiencies (8)
| Description | Severity |
|---|---|
| Facility failed to maintain dignity and respect by posting private resident information in visible areas. | SS=D |
| Facility failed to maintain a clean, comfortable environment related to gouged drywall, holes in walls, cracked and peeling recliners, and general bathroom cleanliness. | SS=E |
| Facility failed to complete comprehensive dietary assessments for residents with wounds or terminal conditions. | SS=E |
| Facility failed to develop a comprehensive care plan for a resident with a pressure ulcer. | SS=E |
| Facility failed to revise care plan as needed for a resident with a splint wearing schedule. | SS=E |
| Facility failed to provide treatment as ordered for a resident's skin tear. | SS=D |
| Facility failed to have an individualized toileting plan for a resident with nocturnal bladder incontinence. | SS=E |
| Facility failed to ensure hand hygiene practices were followed during medication administration and dining service. | SS=D |
Report Facts
Facility census: 143
Residents observed for medication administration: 25
Error rate: 5
Weight measurements: 109
Weight measurements: 101
Weight measurements: 100
Weight measurements: 110
Pressure ulcer size: 0.7
Pressure ulcer size: 0.3
Pressure ulcer size: 0.5
Pressure ulcer size: 0.5
Incontinence episodes: 29
Incontinence episodes: 51
Inspection Report
Routine
Census: 140
Deficiencies: 10
Oct 22, 2012
Visit Reason
Routine inspection survey conducted to assess compliance with regulatory requirements including drug regimen, medication administration, and life safety code standards.
Findings
The facility was found deficient in ensuring gradual dose reduction of psychoactive drugs for two residents, medication error rates exceeding 5%, life safety code violations including door hardware and fire safety issues, insufficient emergency lighting, incomplete fire drill documentation, inadequate smoke detector sensitivity testing, sprinkler system maintenance deficiencies, and use of prohibited portable space heaters.
Severity Breakdown
SS=D: 2
SS=E: 4
SS=F: 4
Deficiencies (10)
| Description | Severity |
|---|---|
| Failed to ensure gradual dose reduction was attempted for 2 residents on psychoactive medications. | SS=D |
| Medication error rate exceeded 5%, with 4 errors in 63 opportunities (6.34%). | SS=D |
| Doors protecting corridor openings failed to close and latch properly, violating life safety code. | SS=E |
| Failed to provide separation of hazardous areas from other compartments due to gaps and door latch failures. | SS=E |
| Delayed egress doors failed to release within required time and alarm properly. | SS=E |
| Insufficient emergency lighting in four of five dining and recreation areas to provide minimum illumination to exit ways. | SS=F |
| Failed to conduct fire drills at least quarterly on each shift, missing drills in second quarter of 2012. | SS=F |
| Failed to maintain complete documentation of smoke detector sensitivity testing every two years. | SS=F |
| Sprinkler system deficiencies including missing ceiling tiles and sprinkler escutcheons. | SS=F |
| Use of prohibited portable space heating devices with heating elements exceeding 212 degrees F. | SS=E |
Report Facts
Medication error rate: 6.34
Resident sample size: 47
Facility census: 140
Facility census: 139
Facility capacity: 169
Residents affected by life safety door issue: 48
Residents affected by emergency lighting deficiency: 97
Residents affected by delayed egress door issue: 34
Residents affected by portable heater issue: 24
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Staff A | Interviewed and verified multiple deficiencies including medication administration, door hardware, fire safety, lighting, fire drills, smoke detector testing, sprinkler system, and portable heater issues. | |
| Director of Nursing (DON) | Director of Nursing | Interviewed regarding medication regimen and medication administration deficiencies. |
| LPN A | Licensed Practical Nurse | Observed administering insulin and medication with noted errors. |
| RN B | Registered Nurse | Interviewed regarding medication administration timing issues. |
Inspection Report
Annual Inspection
Census: 131
Deficiencies: 9
Nov 21, 2011
Visit Reason
The inspection was conducted as an annual survey to assess compliance with state and federal regulations governing skilled nursing facilities, including resident rights, safety, medication administration, and infection control.
Findings
The facility was found deficient in multiple areas including failure to inform residents of their rights upon admission, failure to report employee misconduct timely, medication errors exceeding 5%, improper medication administration, failure to administer ordered medications, infection control lapses including improper linen handling, and life safety code violations related to door closures and fire safety equipment.
Severity Breakdown
SS=D: 3
SS=E: 5
SS=F: 1
Deficiencies (9)
| Description | Severity |
|---|---|
| Facility failed to inform 2 residents of their rights upon admission. | SS=D |
| Facility failed to report allegations of abuse/neglect/misappropriation within 24 hours and failed to file report of terminated employee suspected of misappropriation. | SS=E |
| Facility had medication error rate of 8.69%, exceeding the 5% threshold. | SS=E |
| Facility failed to administer ordered medication (Zestril 15 mg) to a resident. | SS=D |
| Facility failed to ensure soiled linens were not placed on the floor or carried uncontained in hallways. | SS=D |
| Facility failed to ensure doors to resident rooms and common areas were free of impediments and properly latched to prevent spread of fire and smoke. | SS=E |
| Facility failed to provide smoke separation doors that would prevent transmission of smoke between compartments. | SS=E |
| Facility failed to maintain sprinkler head in resident bathroom, delaying fire extinguishment. | SS=F |
| Facility failed to provide delayed egress device that releases within 15 seconds upon application of force. | SS=E |
Report Facts
Medication error rate: 8.69
Resident census: 131
Resident sample size: 47
Medication administration opportunities: 69
Medication errors: 6
Residents affected by medication errors: 4
Residents affected by door deficiencies: 52
Residents affected by sprinkler head deficiency: 26
Residents affected by delayed egress device deficiency: 34
Notice
Capacity: 173
Deficiencies: 0
APP2025
Visit Reason
This document set serves as a licensure renewal application and certification for Emerald Nursing & Rehab Brookside LLC, including renewal of the Skilled Nursing Facility license and occupancy permit.
Findings
The documents verify that the facility meets statutory requirements for licensure renewal, including certification for special care services such as Alzheimer's care, and confirm the maximum licensed bed capacity and occupancy permit.
Report Facts
Maximum licensed beds: 173
Renewal Licensure Fees: 1750
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paige Louise Pearson | Administrator | Named as facility administrator on renewal application and Alzheimer's endorsement application |
| Yisroel I Chafetz | Authorized Representative | Signed Alzheimer's Special Care Unit Disclosure and Memory Care Endorsement Application |
Document
Capacity: 173
Deficiencies: 0
APP2016
Visit Reason
The documents include licensure renewal application, occupancy permits, and bed count records for Homestead Nursing & Rehabilitation Center, along with employee education records and policies related to specialized care units.
Findings
No inspection findings or deficiencies are reported. The documents primarily consist of administrative and licensing information, occupancy permits, bed counts, and policy descriptions for specialized care units.
Report Facts
Licensed Capacity: 173
Licensed Beds: 173
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Romshek | Administrator | Named as administrator on the Nursing Home Licensure Renewal Application and in email correspondence. |
| Deborah Johnson | Director of Nursing | Named as Director of Nursing on the Nursing Home Licensure Renewal Application. |
| William Rothner | Listed as 35% owner of Homestead Nursing & Rehabilitation, LLC. |
Inspection Report
Renewal
Capacity: 173
Deficiencies: 0
APP2017
Visit Reason
This document is related to the renewal of the facility license for Homestead Nursing & Rehabilitation Center, including certification and compliance with state regulations for specialized care units such as Alzheimer's/Special Care Unit.
Findings
The facility is licensed for 173 beds and provides specialized care programming for residents with Alzheimer's or related dementias. The report includes detailed descriptions of care philosophies, staffing patterns, training requirements, physical environment features, and family support programs. No deficiencies or enforcement actions are noted.
Report Facts
Licensed capacity: 173
Training hours: 12
Recreational programming hours: 56
Nursing hours per patient day: 2.8
Staffing numbers: 5
Staffing numbers: 2
Staffing numbers: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Romshek | Administrator | Named as facility administrator and contact for licensing and Alzheimer's unit |
| Kristina Watson | Director of Nursing | Named as Director of Nursing for the facility |
| William Rothner | Owner | Listed as 35% owner of the facility |
| Steven Miretzky | Member | Listed as member of ownership group Atied Associates, LLC |
| Susen Lindner | Deputy State Fire Marshal | Approved occupancy permit for the facility |
Document
Capacity: 173
Deficiencies: 0
APP2019
Visit Reason
The document serves as a renewal application for the nursing home license of Homestead Nursing & Rehabilitation Center, including certification of licensure, occupancy permit, and Alzheimer's Special Care Unit disclosure and endorsement.
Findings
The document confirms the facility meets statutory requirements for licensure renewal, has a maximum licensed capacity of 173 beds, and includes detailed policies and procedures for the Alzheimer's Special Care Unit, staff training, and resident care.
Report Facts
Total licensed beds: 173
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Courtney Zemunski | Administrator | Named as administrator on licensure renewal and Alzheimer's Special Care Unit disclosure |
| Kristina Watson | Director of Nursing | Named as Director of Nursing on licensure renewal application |
| William Rothner | Authorized Representative | Signed renewal application and Alzheimer's Special Care Unit disclosure |
| Steven Miretzky | Authorized Representative | Signed renewal application |
| Bo Botelho | Interim CEO, Interim Director of Public Health | Named on licensure certification |
Document
Capacity: 173
Deficiencies: 0
APP2020
Visit Reason
The documents serve to renew the nursing home license, verify occupancy permit, and provide disclosure and endorsement for the Alzheimer's Special Care Unit at Homestead Nursing & Rehabilitation Center.
Findings
The documents confirm licensure renewal, facility capacity, ownership information, and detailed policies and procedures for the Alzheimer's Special Care Unit including staffing, training, and care protocols.
Report Facts
Total licensed beds: 173
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Taylor Schommer | Administrator | Named as facility administrator and contact person in licensure renewal application and Alzheimer's Special Care Unit disclosure. |
| Ashley Nuss | Director of Nursing | Named as Director of Nursing in licensure renewal application. |
| William Rothner | Authorized representative signing licensure renewal application and Alzheimer's Special Care Unit disclosure; member of ownership. | |
| Steven Miretzky | Authorized representative signing licensure renewal application; member of ownership. | |
| Todd Wright | Deputy State Fire Marshal | Inspected and issued occupancy permit. |
Document
Capacity: 173
Deficiencies: 0
APP2021
Visit Reason
The document set serves to apply for renewal of the nursing home license and Alzheimer's special care unit endorsement for Brookside Rehabilitation Center, including ownership information and occupancy permit.
Findings
No inspection findings or deficiencies are reported; the documents are administrative and application forms related to licensure renewal and certification.
Report Facts
Total licensed beds: 173
Occupancy permit date: 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Taylor Schommer | Administrator | Named as administrator and contact on licensure renewal and Alzheimer's unit application |
| Ashley Nuss | Director of Nursing | Named as Director of Nursing on licensure renewal application |
| Steven Schwartz | CFO | Named as CFO in ownership information |
| Shimon Idels | COO | Named as COO in ownership information |
Notice
Capacity: 173
Deficiencies: 0
APP2024
Visit Reason
This document serves as a renewal application and certification for the Skilled Nursing Facility license of Emerald Nursing & Rehab Brookside LLC, verifying licensure through the indicated expiration date and providing related ownership and facility information.
Findings
The documents confirm the facility's licensure renewal status, ownership details, maximum licensed capacity of 173 beds, and certification for special care services including Alzheimer's/Special Care Unit. No inspection findings or deficiencies are reported.
Report Facts
Total licensed capacity: 173
Renewal expiration date: Mar 31, 2024
Occupancy permit date: Sep 25, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Clara Owolabi | Administrator | Named as facility administrator on renewal application and Alzheimer's endorsement application |
| Tori Allan | Director of Nursing | Named as Director of Nursing on renewal application |
| Jacob I Walden | Authorized Representative | Signed renewal application and Alzheimer's endorsement application |
| Yisroel I Chafetz | Authorized Representative | Signed renewal application |
| Susen Lindner | Deputy State Fire Marshal | Inspected and approved occupancy permit |
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