Inspection Reports for Emerald Nursing & Rehab Lakeview

The document is a license issuance letter for Emerald Nursing & Rehab Lakeview due to a change of ownership, with an effective license date of June 16, 2025.

The letter confirms the issuance of a Skilled Nursing Facility license based on a request for a new license due to ownership change. It includes license details, expiration date, and instructions for display and renewal.

This document is related to the issuance of a new Skilled Nursing Facility license to Emerald Nursing & Rehab Lakeview due to a change of ownership, effective November 1, 2023.

The Department of Health and Human Services has issued a new license to Emerald Nursing & Rehab Lakeview, confirming the facility meets statutory requirements for operation as a Skilled Nursing Facility.

An offsite investigation was conducted to investigate a complaint at Emerald Nursing & Rehab Lakeview from April 2, 2020 to April 15, 2020 by representatives of the Department of Health and Human Services Division of Public Health. The investigation included review of resident and facility records, training records, policies and procedures, and interviews with staff.

The facility was found to be in compliance with relevant regulatory requirements regarding infection control guidelines, appropriate notice of involuntary discharge, implementation of CMS directives related to COVID-19, and infection control policies and procedures.

The complaint alleged failure to follow infection control guidelines for illnesses, failure to give appropriate notice of involuntary discharge, failure to implement CMS directives related to COVID-19, and failure to follow infection control policies and procedures. The investigation found the facility compliant in all these areas.

This document is a nursing home licensure renewal application and certification for Emerald Nursing & Rehab Lakeview, verifying the facility's license renewal and compliance with statutory requirements.

The document certifies that Emerald Nursing & Rehab Lakeview meets statutory requirements for licensure renewal as a Skilled Nursing Facility with specialized services including physical therapy, occupational therapy, speech therapy, and Alzheimer's/special care unit. The facility has a licensed capacity of 95 beds.

An unannounced visit was conducted to investigate a complaint that the facility fails to protect residents from injury.

The facility protected the residents from injury. Observations, interviews, and record reviews showed compliance with regulatory requirements.

The allegation was that the facility fails to protect residents from injury. The investigation found the facility in compliance with regulatory requirements.

The document is a licensure renewal and change of ownership notification for Emerald Nursing & Rehab Lakeview, verifying the facility's Skilled Nursing Facility license and related regulatory compliance.

The document confirms the issuance of a new license due to a change of ownership and DBA name change, with no deficiencies or inspection findings reported.

An unannounced visit was conducted to investigate a complaint and annual survey at Grand Island Lakeview Care And Rehabilitation Center from May 1, 2018 to May 7, 2018.

The facility was found to have multiple deficiencies including failure to submit investigations timely, failure to develop adequate care plans, failure to provide appropriate notice of discharge, failure to maintain resident dignity and privacy, failure to ensure accurate assessments and care plan revisions, failure to maintain a safe environment, and multiple life safety code violations.

An unannounced visit was conducted to investigate a complaint at Grand Island Lakeview Care And Rehabilitation Center regarding allegations of failure to provide care and services related to pressure sores, repositioning, change in condition identification, bathing, call response, and meal assistance.

The investigation found the facility in compliance with all regulatory requirements related to the allegations. No violations were cited in any of the areas investigated, including prevention of pressure sores, repositioning, change in condition identification, bathing, call light response, and assistance with meal consumption.

The complaint included six allegations: failure to prevent pressure sores, failure to provide repositioning care, failure to identify change in condition, failure to provide adequate bathing, failure to respond promptly to calls for assistance, and failure to provide adequate assistance with meal consumption. The facility was found to be in compliance with all these allegations and no violations were substantiated.

An unannounced visit was conducted to investigate a complaint and annual survey at Grand Island Park Place Care And Rehabilitation Center from November 15, 2017 to November 21, 2017.

The facility was found to be in compliance with many allegations including staff credentials, room temperatures, pest control, supplies, snacks, supervision, resident correspondence, and misappropriation. However, deficiencies were found in housekeeping and maintenance services, assessment accuracy, comprehensive care plans, resident participation in care planning, food safety, drug regimen review, safe environment, quality assurance committee functioning, emergency lighting, hazardous area enclosure, cooking facilities, fire extinguisher inspections, corridor door latching, fire drills, electrical equipment safety, and oxygen cylinder storage.

The visit was complaint-related and included investigation of multiple allegations such as staff credentials, room temperatures, pest control, supplies, snacks, supervision, housekeeping, resident correspondence, and misappropriation. Most allegations were found to be in compliance except for housekeeping and maintenance.

An unannounced visit was conducted to investigate a complaint at Grand Island Lakeview Care And Rehabilitation Center on November 2, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found the facility in compliance with regulatory requirements regarding fall interventions and timely submission of investigations. Observations, record reviews, and interviews confirmed interventions were in place to prevent falls and investigations were submitted within the required timeframe.

The complaint alleged the facility failed to use fall interventions to prevent injuries and failed to submit investigations within 5 working days. Both allegations were investigated and found to be unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to ensure residents are free from residents with adverse behaviors.

The facility protected residents from adverse behaviors and no violations were found. Records, interviews, and observations confirmed that individualized interventions were in place and implemented accordingly, with no concerns identified for sampled residents.

The complaint alleged the facility failed to ensure residents are free from residents with adverse behaviors. The complaint was not substantiated as no violations were found.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to ensure residents are free from residents with adverse behaviors.

The facility did protect residents from residents with adverse behaviors, with no violations identified. Records, interviews, and observations showed individualized interventions were in place and implemented accordingly.

The complaint investigation was triggered by an allegation that the facility failed to ensure residents are free from residents with adverse behaviors.

This document is a nursing home licensure renewal application and related certification for Grand Island Lakeview Care and Rehabilitation Center, LLC, including Alzheimer's/Special Care Unit endorsement.

The document certifies that the facility meets statutory requirements for licensure renewal and Alzheimer's/Special Care Unit endorsement. It includes organizational, ownership, and management information, facility capacity, and detailed descriptions of the Alzheimer's Care Unit philosophy, criteria for placement, discharge, care planning, staffing, environment, activities, family support, and fees.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to evaluate causal factors for falls, submit investigations within 5 working days, and ensure residents are appropriately educated to prevent falls.

The investigation found that the facility was in compliance with regulatory requirements for all allegations: fall interventions were consistently initiated, investigations were submitted within 5 working days, and residents and staff were appropriately educated about fall prevention.

The complaint alleged the facility failed to evaluate causal factors for falls, failed to submit investigations within 5 working days, and failed to ensure residents were appropriately educated to prevent falls. All allegations were found to be unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to change fall interventions after residents were identified at risk for falls.

The investigation found that new fall interventions were not consistently initiated for all residents identified at risk for falls, resulting in a violation of Federal tag F323 and State Licensure Number 175 NAC 12-006.09D7. Additionally, the cognitive pattern section of the MDS was incomplete for one resident, and the facility failed to ensure adequate supervision and fall prevention interventions for a resident with multiple falls.

The complaint alleged the facility failed to change fall interventions after residents were identified at risk for falls. The complaint investigation substantiated this allegation with findings of inconsistent initiation of new fall interventions and inadequate supervision for a resident with multiple falls.

Issuance of a Skilled Nursing Facility license due to change of ownership and facility name change, along with renewal verification of the SNF/NF dual certification license.

The document confirms the facility's licensure status, ownership, and certification details, including the Alzheimer's Care Unit program and occupancy permit. It includes organizational ownership information and care philosophy for the Alzheimer's unit.

An unannounced visit was conducted to investigate a complaint regarding staffing sufficiency, personal hygiene care, and prevention of skin breakdown at Golden Livingcenter - Grand Island Lakeview.

The facility was found to be in compliance with regulatory requirements for sufficient staffing, personal hygiene care, and prevention of skin breakdown based on nursing schedule reviews, resident interviews, observations, and care plan assessments.

The complaint alleged insufficient staffing, failure to ensure clean and groomed hair, skin, teeth and/or nails, and failure to provide care and treatment to prevent skin breakdown. All allegations were found to be unsubstantiated.

An unannounced visit was conducted to investigate a complaint that the facility fails to protect residents from residents with adverse behaviors.

The investigation found that the facility failed to ensure staff were fully educated on preventative measures for resident-to-resident altercations and that interventions were not consistently followed. Additionally, pre-employment criminal background and registry checks were not completed for sampled staff. The facility also failed to ensure care plan interventions were followed to protect one resident from another with potential adverse behaviors.

The complaint alleged the facility failed to protect residents from residents with adverse behaviors. The investigation substantiated this finding based on observations, record reviews, and interviews.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to resolve grievances/complaints and failure to provide care and treatment to promote healing of skin breakdown.

The facility was found to have addressed complaints but did not thoroughly resolve the grievance regarding a temporary wheelchair for Resident 401, resulting in a violation. The facility was in compliance with care and treatment to promote healing of skin breakdown with no violation found.

The complaint investigation found the facility failed to resolve grievances/complaints adequately and failed to provide appropriate wheelchair accommodations for Resident 401. The facility was cited for violation of Federal tag F 246 and State Licensure Number 175 NAC 12-006.18B1.

An unannounced visit was conducted to investigate a complaint and annual survey at Golden Livingcenter - Grand Island Lakeview on February 17, 2016-February 25, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with most allegations including fall interventions, bowel and bladder care, resident rights, staffing, and nutrition. However, deficiencies were identified related to failure to deliver resident mail within 24 hours, failure to offer bathing preferences, failure to notify residents of room changes, failure to complete significant change MDS for hospice admission, failure to implement hospice care plan, failure to revise care plans timely, medication regimen issues including missing diagnoses and lab orders, pharmacy communication failures, insulin labeling and storage issues, and multiple life safety code violations including fire safety, fire drills, sprinkler system maintenance, oxygen storage, electrical safety, and exit accessibility.

The complaint investigation included allegations that the facility failed to change fall interventions after residents were identified at risk for falls, failed to provide care for bowel and bladder elimination, failed to allow residents to exercise their rights, failed to have sufficient staff, failed to allow resident participation in care planning, failed to ensure staff were not under the influence, failed to ensure staff had appropriate medication credentials, failed to ensure residents were free from skin breakdown, failed to provide incontinent care, failed to protect residents from elopement, failed to ensure meals were nutritious, failed to put fall interventions in place, failed to allow POA participation in care planning, failed to ensure residents had access to personal items and visitors, failed to ensure effective pest control, failed to put interventions in place to prevent injuries, and failed to submit investigations within 5 working days. The facility was found compliant with most but non-compliant with mail delivery timeliness and investigation submission timeliness.

An unannounced visit was conducted to investigate multiple complaints at Golden Livingcenter - Grand Island Lakeview on August 3, 2015.

The investigation found no violations related to grooming, plan of care implementation, medication administration, or staffing sufficiency. The facility was found to be in compliance with all allegations investigated.

The investigation addressed allegations that the facility failed to ensure clean and groomed hair, skin, teeth, and nails; failed to implement or follow the plan of care; failed to administer medications as ordered; and failed to ensure sufficient staff to provide resident care. All allegations were found to be unsubstantiated with no violations.

An unannounced visit was conducted to investigate a complaint that the facility failed to provide sufficient monitoring to ensure a safe environment.

The facility failed to provide adequate monitoring related to enforcement of the Smoking Policy for one resident, resulting in a fall from an electric wheelchair while smoking. The resident's smoking privileges were revoked due to poor safety awareness, and the facility's smoking policy was outdated and not fully enforced.

The complaint alleged the facility failed to provide sufficient monitoring to ensure a safe environment. The investigation included observations, resident record reviews, and interviews. It was substantiated that the facility did not enforce the smoking policy adequately, leading to a resident fall and injury.

An unannounced visit was conducted to investigate a complaint and annual survey at Golden Livingcenter - Grand Island Lakeview from January 21, 2015 to January 29, 2015. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility was found to be in compliance with many requirements including providing a safe environment for residents at risk for elopement, protecting residents from misappropriation, timely submission of investigations by current administration, staff credentials, implementation of care plans, identification of changes in condition, grooming, behavior management, pest control, and provision of supplies. However, a deficiency was cited related to insufficient staffing to meet resident needs during the annual survey.

The complaint alleged failure to provide a safe environment for residents at risk for elopement, failure to protect residents from misappropriation, failure to submit investigations timely, failure to ensure staff credentials, failure to implement or follow the plan of care, failure to identify changes in condition, failure to ensure grooming, failure to ensure residents are free from behaviors, failure to maintain pest control, failure to maintain sufficient staffing, failure to answer call notification systems promptly, failure to have enough supplies, and failure to resolve grievances. Most allegations were found to be in compliance or not substantiated except for staffing insufficiency.

An unannounced visit was conducted to investigate a complaint at Golden Livingcenter - Grand Island Lakeview on October 20, 2014.

The investigation included review of resident records, observations, and interviews. The facility was found to provide fall prevention education, promote independence, and implement care plans appropriately. Staff re-education was provided after a fall incident, and no violations were cited related to the allegations.

The investigation addressed allegations that the facility failed to provide fall prevention education, failed to promote independence, failed to implement or follow the plan of care, and failed to change fall interventions after residents were identified at risk for falls. No violations were cited.

An unannounced visit was conducted to investigate a complaint at Golden Livingcenter - Grand Island Lakeview on February 24, 2014.

The investigation included review of resident records, observations, and interviews. No violations were found related to the allegations concerning care plan implementation, adequate furnishings, protection from abuse, notification of healthcare practitioners, treatment completion, and pest control.

The complaint allegations included failure to implement or follow the plan of care, failure to ensure adequate furnishings, failure to protect residents from abuse, failure to notify healthcare practitioners of changes in condition, failure to complete treatments according to practitioners' orders, and failure to provide a pest-free environment. All allegations were found to have no violations.

The inspection was conducted as part of the annual survey to assess compliance with Nebraska Administrative Code and federal regulations governing skilled nursing facilities, including life safety code compliance.

The facility was found deficient in multiple areas including housekeeping and maintenance (uncleanable whirlpool chair), comprehensive resident assessments, care plan revisions for pain management, accident hazard prevention (wheelchair foot pedals missing), drug regimen issues (unnecessary drugs and duplicate therapy), medication storage (undated insulin vials), infection control (unclean ice chest), and life safety code violations (fire safety and electrical issues).

The inspection was conducted to assess compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities, focusing on housekeeping, maintenance, and life safety code standards.

The facility failed to provide adequate housekeeping and maintenance services in resident areas and rooms, with issues such as stains, odors, broken fixtures, and uncleanable surfaces. Life safety code violations included doors failing to latch properly, missing fire drills for all shifts, non-flame retardant window treatments, and improper use of electrical wiring and power strips.

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

The facility was found deficient in multiple areas including failure to update comprehensive care plans for certain residents, unsanitary conditions of an ice machine, inadequate ventilation in several bathrooms and medication storage, failure to provide smoke resisting doors in hazardous areas, incomplete fire drills, lack of fire alarm annunciation records, missing fire alarm system inspections, improperly installed fire extinguishers, overdue range hood suppression system inspection, and electrical wiring and equipment violations.

The inspection was conducted as a complaint investigation based on allegations of staff to resident coercion and physical abuse involving residents 100, 21, and 11.

The facility failed to protect residents from verbal, physical, and mental abuse, including staff coercion and physical abuse incidents involving multiple residents. The facility also failed to develop and implement adequate abuse/neglect policies and failed to assess impaired skin integrity for one resident.

The complaint investigation revealed that staff coerced and abused residents 21 and 11, including incidents of rough handling, slamming residents against walls and wheelchairs, and verbal abuse. Resident 100 had negative skin assessments and bruising documented. The facility census was 77 with a sample size of 4 residents reviewed.

This document serves to verify the renewal of the SNF/NF dual certification license for Golden LivingCenter - Grand Island Lakeview and provides related facility and ownership information.

The document confirms the facility's licensure renewal through 03/31/2016, provides ownership and organizational details, occupancy permit information, and outlines the Alzheimer's Care Unit philosophy, placement criteria, environment, activities, family involvement, cost of care, and staff education topics.

This document serves as a licensure renewal application and certification for the Golden LivingCenter - Grand Island Lakeview skilled nursing facility, verifying the facility's license status and renewal fees.

The document confirms the facility meets statutory requirements for licensure renewal as a skilled nursing facility with special care services including physical therapy, occupational therapy, speech therapy, and Alzheimer's care. It includes ownership information, facility capacity, and certification details.

This document serves as a licensure renewal application and verification for Grand Island Lakeview Care and Rehabilitation Center, LLC, including certification of statutory requirements, ownership information, and occupancy permit details.

The documents confirm the facility's licensure renewal status, ownership structure, maximum licensed capacity of 95 beds, and occupancy permit issued by the Nebraska State Fire Marshal. No inspection findings or deficiencies are reported.

The document serves as a renewal application for the nursing home license of Emerald Nursing & Rehab Lakeview, including certification of licensure, occupancy permit, and Alzheimer's special care unit endorsement application.

The documents confirm that Emerald Nursing & Rehab Lakeview meets statutory requirements for licensure renewal, has a maximum occupancy of 95 beds, and includes an Alzheimer's Special Care Unit with a capacity of 30 beds. The occupancy permit was issued on 10/2/2019.

The documents pertain to licensing renewal, certification, occupancy permits, and Alzheimer's special care unit disclosure for Emerald Nursing & Rehab Lakeview facility.

No inspection findings or deficiencies are reported. The documents verify licensure, renewal application, occupancy permits, and Alzheimer's care unit information.

The documents serve to verify and renew the licensure of Emerald Nursing & Rehab Lakeview, including renewal of the SNF/NF dual certification and Alzheimer's Special Care Unit endorsement.

The documents confirm that the facility meets statutory requirements for licensure renewal and certification, with no inspection findings or deficiencies reported.

The documents serve to verify and renew the SNF/NF dual certification license for Emerald Nursing & Rehab Lakeview, confirm occupancy permit details, and provide Alzheimer's special care unit disclosure and endorsement application.

No inspection findings or deficiencies are reported. The documents include license renewal confirmation, occupancy permit issuance, and Alzheimer's care unit application details.

The documents pertain to the renewal of the nursing home license for Emerald Nursing & Rehab Lakeview, including verification of licensure, renewal application, and occupancy permit.

The documents confirm that Emerald Nursing & Rehab Lakeview is licensed as a Skilled Nursing Facility with a total licensed capacity of 95 beds. The renewal application was completed and signed, and the occupancy permit was issued with no noted deficiencies or violations.