Deficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Inspection Report
Renewal
Capacity: 90
Deficiencies: 0
Apr 30, 2025
Visit Reason
The document is a renewal application and certification for the assisted-living facility Esprit of Whispering Ridge Omaha, verifying licensure through the renewal date and requesting renewal of the facility license.
Findings
The document confirms that Esprit of Whispering Ridge Omaha meets statutory requirements as an assisted-living facility with Alzheimer's and memory care endorsement. It includes licensing renewal information, facility capacity, ownership details, and staffing patterns related to dementia care.
Report Facts
Total licensed beds: 90
Maximum capacity for Alzheimer's beds: 18
Maximum occupancy: 130
Renewal date: Apr 30, 2026
Staffing pattern: 2
Staffing pattern: 1
Cost/Fees of care: 6895
Cost/Fees of care: 8311
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Swanda | Administrator | Named as administrator on renewal application and Alzheimer's disclosure (pages 2 and 10). |
| Steve Westra | Contact name | Named as contact for legal owning entity Esprit of Whispering Ridge LLC on renewal application and Alzheimer's disclosure (pages 2 and 10). |
| Donald Davis | Inspector | Named as inspector on Nebraska State Fire Marshal Certificate of Occupancy (page 4). |
Inspection Report
Renewal
Capacity: 130
Deficiencies: 0
Apr 4, 2023
Visit Reason
The document is a renewal licensure application and certification for the assisted-living facility Esprit of Whispering Ridge Omaha, verifying that the facility is licensed through the renewal date indicated.
Findings
The document certifies that Esprit of Whispering Ridge Omaha meets statutory requirements as an assisted-living facility with Alzheimer's and memory care endorsement. It includes facility capacity, ownership, and service details but does not report any deficiencies or inspection findings.
Report Facts
Total licensed capacity: 130
Maximum capacity for Alzheimer's beds: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mallory Hoskinson | Administrator | Named as facility administrator on renewal application (page 2 and 7) |
| Paul Hegg | Authorized Representative | Signed renewal application and Alzheimer's endorsement application (pages 2 and 10) |
| Steve Westra | Contact name for legal owning entity Esprit Memory Care of Nebraska, LLC (page 7) |
Inspection Report
Complaint Investigation
Census: 85
Deficiencies: 10
Oct 31, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Esprit Of Whispering Ridge Omaha from October 31, 2018 to November 5, 2018 by the Department of Health and Human Services Division of Public Health.
Findings
The facility was found compliant with care and services per resident service agreements, staffing sufficiency, narcotic medication security, emergency care, and protection from residents with adverse behaviors. However, deficiencies were found in medication administration errors, incomplete registry checks and orientation for direct care staff, lack of activities for memory care residents, expired medications, improper handwashing and gloving techniques, unsecured chemicals, non-functional egress doors, and missing recipient safety agreements.
Complaint Details
The complaint investigation included allegations of failure to provide care per resident service agreements, medication errors, insufficient staffing, narcotic medication security, prompt emergency care, and protection from residents with adverse behaviors. The facility was found non-compliant only in medication administration errors.
Deficiencies (10)
| Description |
|---|
| Failed to provide medications according to the five rights, resulting in a medication error rate of 7.14%. |
| Failed to ensure APS/CPS registry checks were completed for 2 direct care staff members. |
| Failed to ensure orientation was completed within two weeks for 2 direct care staff members. |
| Failed to provide activities to 3 residents in the Memory Care Units. |
| Failed to evaluate ability to self-administer medications for 1 resident self-administering medications. |
| Failed to complete recipient safety agreements for 8 residents receiving medication administration by facility aides. |
| Failed to ensure outdated medications were not available for use, including 19 vials of expired flu vaccine and other expired medications in refrigerators. |
| Failed to ensure dishwashers in 3 memory care units were sanitizing dishes properly. |
| Failed to utilize proper handwashing and gloving techniques during personal care for 2 residents. |
| Failed to secure chemicals and ensure two 15 second egress doors were functional on one memory care unit. |
Report Facts
Medication error rate: 7.14
Number of residents: 85
Expired flu vaccine vials: 19
Number of residents without recipient safety agreements: 8
Number of residents without activities: 3
Number of direct care staff without registry checks: 2
Number of direct care staff without orientation: 2
Number of residents with improper handwashing/gloving care: 2
Number of memory care units with dishwasher issues: 3
Number of memory care units with unsecured chemicals and door issues: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mallory Hoskinson | Administrator | Interviewed and confirmed registry check and orientation deficiencies. |
| Connie Vogt | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the inspection report letter. |
| CMA A | Certified Medication Assistant | Observed administering medication incorrectly to Resident 13. |
| CMA B | Certified Medication Assistant | Observed administering insulin incorrectly to Resident 1. |
| CP E | Care Partner | Interviewed and confirmed lack of activities for residents and improper glove use. |
| CP C | Care Partner | Observed and interviewed regarding improper glove use during personal care. |
| Dietary Department Director | Dietary Director | Confirmed dishwasher temperature monitoring deficiencies and corrective actions. |
| Housekeeping Director | Housekeeping Director | Responsible for chemical security and door locking procedures. |
| Memory Care Coordinator | Memory Care Coordinator | Reported on door functionality and chemical security. |
Inspection Report
Complaint Investigation
Census: 89
Deficiencies: 2
Mar 15, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Esprit Of Whispering Ridge Omaha on March 15, 2018, regarding allegations of insufficient staffing, failure to provide care per resident service agreements, staff credentialing issues, resident misappropriation, and unsafe environment.
Findings
The facility failed to ensure sufficient staffing, resulting in delayed medication administration and call light responses for some residents. The facility was found compliant with care provision per service agreements, staff credentialing, resident protection from misappropriation, and maintaining a safe environment.
Complaint Details
The complaint investigation substantiated insufficient staffing issues, including inability to contact staff via intercom and phone, medication aides not carrying facility phones, and delayed responses to resident call lights and medication requests. Competency documentation was missing for four medication aides.
Deficiencies (2)
| Description |
|---|
| Failure to ensure sufficient staffing, including delayed medication administration and call light response times. |
| Failure to ensure competency determinations were completed for 4 of 17 medication aides. |
Report Facts
Census: 89
Medication aides without competency documentation: 4
Call light response times: 10
Call light durations: 41
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed letter from Office of LTC Facilities - Licensure Unit |
| Yasmine Kaiser | Administrator | Facility Administrator named in report and statement of compliance |
| Medication Aide E | Named in staffing and communication deficiencies regarding phone availability | |
| Assisted Living Coordinator | Interviewed regarding medication aide phone use and competency documentation |
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 7
May 3, 2017
Visit Reason
An unannounced visit was conducted to investigate multiple complaints at Esprit Of Whispering Ridge Omaha from May 3 to May 4, 2017, including medication storage, infection control, staffing sufficiency, resident abuse protection, meal quality, complaint resolution, staff training, service provision, and resident retention criteria.
Findings
The investigation found several violations including failure to ensure hand washing to prevent cross contamination, insufficient staffing especially during night shifts in memory care units, failure to ensure staff orientation and training, failure to provide timely personal care and toileting assistance, and failure to maintain food temperatures according to Nebraska Food Code. Some allegations such as medication storage, abuse protection, meal palatability, complaint follow-up, and resident retention criteria were found to be in compliance.
Complaint Details
The complaint investigation was triggered by multiple allegations including improper medication storage, infection control breaches, insufficient staffing, failure to protect residents from abuse, poor meal quality, unresolved complaints, inadequate staff training, failure to provide agreed services, and improper retention of residents not meeting criteria. Some allegations were substantiated with violations found, while others were determined to be in compliance.
Deficiencies (7)
| Description |
|---|
| Failure to ensure hand washing to protect against potential cross contamination. |
| Failure to ensure sufficient staffing to care for residents, especially on night shifts in memory care units. |
| Failure to ensure staff orientation was completed within two weeks of hire for some direct care staff members. |
| Failure to provide training for temporary staff members prior to working. |
| Failure to maintain food temperatures in accordance with Nebraska Food Code. |
| Failure to provide timely assistance with toileting, personal care, and baths for one sampled resident. |
| Failure to provide services as agreed upon in the resident service agreement. |
Report Facts
Total residents: 58
Number of employees in nursing department: 39
Residents requiring 2 person assist: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yasmine Kaiser | Administrator | Interviewed regarding medication storage, abuse investigations, staffing, and care issues. |
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the complaint investigation report and correspondence. |
| Kay Reeves | Nutrition/dietitian Surveyor | Conducted the complaint investigation. |
| Direct Care Staff Member F | Direct Care Staff | Found to have no documentation of orientation within two weeks of hire. |
| Direct Care Staff Member G | Direct Care Staff | Found to have no documentation of orientation within two weeks of hire. |
| Temporary Direct Care Staff Member H | Temporary Direct Care Staff | Reported no training on emergency procedures and no key fob to leave unit. |
| Temporary Direct Care Staff Member I | Temporary Direct Care Staff | Reported no training on emergency procedures. |
| Medication Aide J | Medication Aide | Confirmed working on memory care units and medication administration. |
Inspection Report
Complaint Investigation
Census: 63
Deficiencies: 1
Dec 27, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging failure to provide care per the service agreement and failure to protect residents from abuse at Esprit Of Whispering Ridge Omaha.
Findings
The facility was found to provide care as per the service agreement with no violation on that issue. However, the facility failed to protect residents from abuse by not suspending a direct care staff member during an abuse investigation as required by policy.
Complaint Details
The complaint investigation revealed that a resident reported being roughly handled and pushed down. The facility initially suspended one staff member but failed to suspend the newly named alleged perpetrator pending investigation, contrary to facility policy.
Deficiencies (1)
| Description |
|---|
| Failure to suspend a direct care staff member during an investigation of an abuse allegation. |
Report Facts
Census: 63
Survey Date: Dec 27, 2016
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jean Hartnett | Administrator | Facility administrator interviewed regarding abuse investigation and suspension procedures |
| Gena Vang | Registered Nurse | Surveyor conducting the complaint investigation |
| Ron Chase | Registered Nurse | Surveyor conducting the complaint investigation |
| Eve Lewis | Program Manager | Author of the complaint investigation report |
Inspection Report
Complaint Investigation
Census: 63
Deficiencies: 5
Dec 19, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint at Esprit Of Whispering Ridge Omaha from December 19, 2016 to December 21, 2016 by the Department of Health and Human Services Division of Public Health.
Findings
The facility failed to provide medications as ordered by the physician, failed to provide prompt emergency care to address an illness, failed to ensure residents were free from abuse due to incomplete background checks, and failed to educate staff on bed bug prevention. Other allegations such as grooming, treatments, staffing, and food handling were found to be in compliance.
Complaint Details
The complaint investigation was triggered by allegations including failure to provide medications as ordered, failure to complete treatments, failure to provide grooming and bathing, failure to provide prompt emergency care, failure to ensure residents are free from abuse, failure to meet retention criteria, failure to provide services as agreed, insufficient staffing, failure to follow resident service agreements, failure to maintain privacy, failure to provide staff with essential supplies, and failure to ensure food handling practices prevent food borne illness. Some allegations were substantiated, including medication errors, delayed emergency care, abuse prevention failures, and bed bug prevention failures.
Deficiencies (5)
| Description |
|---|
| Facility failed to provide medications as ordered by the physician, including medication errors during administration and failure to restart a medication as ordered. |
| Facility failed to provide prompt emergency care to address an illness, delaying treatment for Resident 14 due to failure to follow practitioner's orders. |
| Facility failed to ensure residents are free from abuse due to lack of background checks for one direct care staff employee. |
| Facility failed to educate staff on prevention of the spread of bed bugs in the facility. |
| Facility failed to ensure follow-up and treatment for pressure ulcers for Resident 9. |
Report Facts
Medication errors: 4
Residents sampled: 3
Direct care staff records reviewed: 6
Facility census: 63
Medication administration errors: 3
Medication not given duration: 21
Pressure ulcer size: 0.3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jean Hartnett | Administrator | Named as facility administrator receiving the report. |
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the complaint investigation report. |
| Gerald Nevins | Registered Nurse | Surveyor conducting the investigation. |
| Ron Chase | Registered Nurse | Surveyor conducting the investigation. |
| CMA A | Certified Medication Assistant | Administered medications incorrectly to Resident 10. |
| CMA B | Certified Medication Assistant | Administered medications incorrectly to Resident 16 and was unaware of bed bug education. |
| LPN C | Licensed Practical Nurse | Reported medication Xarelto should have been restarted for Resident 7. |
| RN D | Registered Nurse | Aware of delayed stool sample collection and pressure ulcer on Resident 9. |
| NA E | Nursing Assistant | Observed pressure ulcer on Resident 9. |
| Business/Human Resources Manager | Confirmed lack of background checks for one employee. | |
| Director of Nursing | DON | Reported expectation for medication administration compliance. |
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 4
Jan 22, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint survey at Esprit Of Whispering Ridge Omaha from January 22, 2015 to January 26, 2015, focusing on allegations of abuse, respect and dignity, and injury prevention.
Findings
The facility was found to protect residents from abuse and ensure residents were treated with respect and dignity. However, deficiencies were cited related to failure to complete criminal background checks and registry checks for certain direct care staff members, and failure to complete monthly documentation for sampled residents.
Complaint Details
The complaint investigation was triggered by allegations that the facility failed to ensure residents were free from abuse, treated with respect and dignity, and failed to put interventions in place to prevent injuries. The facility was found compliant with abuse prevention, respect, dignity, and injury prevention but had regulatory deficiencies related to staff background checks and resident documentation.
Deficiencies (4)
| Description |
|---|
| Failure to complete a criminal background check for one direct care staff member. |
| Failure to document decision to hire for two direct care staff members with findings on the criminal background check. |
| Failure to complete Adult Protective Central Service Registry, the Central Register of Child Protection Cases and the Nebraska State Patrol Sex Offender Registry for two direct care staff members. |
| Failure to ensure monthly documentation was completed for nine sampled residents. |
Report Facts
Census: 58
Direct care staff members: 38
Number of residents with missing monthly documentation: 9
Number of direct care staff members with incomplete registry checks: 2
Number of direct care staff members with incomplete criminal background checks: 1
Number of direct care staff members with undocumented hiring decisions related to criminal background findings: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kay Reeves | Nutrition/dietitian | Surveyor conducting the complaint investigation. |
| Eve Lewis | RNC, Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Author of the report and correspondence. |
| Lavonne Reed | Administrator | Facility administrator addressed in the report. |
| Business Office Manager | Interviewed regarding incomplete background checks and registry checks for direct care staff members. | |
| Registered Nurse Care Manager | Interviewed regarding missing monthly documentation for residents. |
Notice
Capacity: 130
Deficiencies: 0
APP2016
Visit Reason
This document serves to verify that the assisted-living facility Esprit of Whispering Ridge Omaha is licensed through the date indicated on the renewal card and includes the renewal application and related facility information.
Findings
The document confirms the facility's licensure status and provides details about the facility's ownership, special populations served, and capacity. It includes no inspection findings or deficiencies.
Report Facts
Total licensed beds: 130
Special Care Unit beds: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jean Hartnett | Administrator | Named in the renewal application as the facility administrator. |
Notice
Capacity: 130
Deficiencies: 0
APP2017
Visit Reason
This document serves as a licensure renewal application and certification for the assisted living facility Esprit Of Whispering Ridge Omaha, including Alzheimer's Memory Care endorsement and memory care program details.
Findings
The documents confirm the facility's licensure renewal status, maximum licensed capacity of 130 beds, and provide detailed information on the memory care program including admission criteria, staffing, training, physical environment, resident activities, family support, and fees.
Report Facts
Total licensed capacity: 130
Monthly fee: 5550
Staffing numbers: 24
Memory Care Manager hours: 40
RN Consultant hours: 12
RN hours: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yasmine Kaiser | Administrator, RN | Named as facility administrator in licensure renewal application. |
| Steve Westra | Authorized Representative | Named as contact and authorized representative for the legal owning entity Esprit Memory Care of Nebraska, LLC. |
| Paul Hegg | Ownership Group Representative | Listed as part of ownership group in the renewal application. |
| Holly Brunick | Ownership Group Representative | Listed as part of ownership group in the renewal application. |
| Lee Cory | Paradigm Senior Living Representative | Listed as part of management group in the renewal application. |
| Carla Martin | Paradigm Senior Living Representative | Listed as part of management group in the renewal application. |
Notice
Capacity: 130
Deficiencies: 0
APP2018
Visit Reason
The document serves as a licensure renewal application and verification for the assisted-living facility Esprit of Whispering Ridge Omaha, confirming the facility's license renewal and compliance with statutory requirements.
Findings
The documents confirm the facility's licensure renewal, certification of occupancy, and compliance with licensing requirements. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 130
Special care unit beds: 48
Monthly fee: 5550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yasmine Kaiser | RN Administrator | Named as the facility administrator in the renewal application and related documents. |
| Steve Westra | CEO | Named as contact and part of ownership group in the renewal application. |
| Holly Brunick | CFO | Named as part of ownership group. |
Notice
Capacity: 130
Deficiencies: 0
APP2019
Visit Reason
This document serves as a licensure renewal application and verification for the assisted-living facility Esprit of Whispering Ridge Omaha, including renewal of license ALF345 and Alzheimer's Memory Care Endorsement.
Findings
The documents confirm the facility's licensure renewal, maximum licensed capacity of 130 beds, and certification of occupancy. The Alzheimer's Memory Care Endorsement application details the facility's philosophy, admission criteria, staffing, training, physical environment, resident activities, family support, and cost of care.
Report Facts
Total licensed capacity: 130
Maximum Capacity for Alzheimer's Beds: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mallory Hoskinson | Administrator | Named as facility administrator in licensure renewal application and Alzheimer's Memory Care Endorsement. |
| Steve Westra | Contact name for legal owning entity Esprit Memory Care of Nebraska, LLC in Alzheimer's Memory Care Endorsement application. |
Notice
Capacity: 130
Deficiencies: 0
APP2020
Visit Reason
This document serves to verify that the assisted-living facility Esprit of Whispering Ridge Omaha is licensed through the date indicated on the renewal card and to confirm the renewal of the facility's license.
Findings
The document certifies that the facility meets statutory requirements as an assisted-living facility with a memory care endorsement and includes details about the facility's capacity, ownership, and administrator.
Report Facts
Total licensed beds: 130
Maximum capacity for Alzheimer's beds: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mallory Hoskinson | Administrator | Named as the facility administrator. |
| Steve Westra | Authorized Representative | Named as contact and authorized representative for ownership entity. |
| Paul Hegg | Authorized Representative | Named as authorized representative signing the certification. |
Notice
Capacity: 130
Deficiencies: 0
APP2021
Visit Reason
This document serves as a renewal application and license verification for the assisted-living facility Esprit of Whispering Ridge Omaha.
Findings
The documents confirm the facility's licensure status, renewal application details, and certification of occupancy with no inspection findings or deficiencies reported.
Report Facts
Total licensed beds: 130
Maximum capacity for Alzheimer's beds: 48
Renewal license expiration date: License expiration date is 2022-04-30 as shown on the license card (page 1).
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mallory Hoskinson | Administrator | Named as facility administrator on renewal application and Alzheimer's endorsement application (pages 2 and 7). |
| Steve Westra | Contact name and authorized representative signing renewal application and Alzheimer's endorsement application (pages 3, 7, and 10). | |
| Paul Hegg | Listed as part of Hegg Ownership Group (page 3). |
Notice
Capacity: 130
Deficiencies: 0
APP2022
Visit Reason
The document serves as a renewal licensure application and verification for the assisted-living facility Esprit of Whispering Ridge Omaha.
Findings
The documents confirm the facility meets statutory requirements for licensure as an assisted-living facility, including Alzheimer's memory care endorsement, and provide details on facility capacity, ownership, and services offered.
Report Facts
Total licensed beds: 130
Alzheimer's Memory Care beds: 48
Monthly cost: 6285
Monthly cost: 6730
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mallory Hoskinson | Administrator | Named as facility administrator on the Alzheimer's Memory Care Endorsement Application (page 7). |
| Steven Westra | Authorized Representative | Signed the renewal application and Alzheimer's Memory Care Endorsement Application as authorized representative (pages 2, 7, and 10). |
| Paul Hegg | Authorized Representative | Signed the renewal application as authorized representative (page 2). |
Notice
Capacity: 130
Deficiencies: 0
APP2024
Visit Reason
The document package serves to verify and renew the assisted-living facility license for Esprit of Whispering Ridge Omaha, including renewal of Alzheimer's Memory Care endorsement and confirmation of fire marshal occupancy certification.
Findings
The documents confirm that the facility meets statutory requirements for licensure renewal through April 30, 2025, with a total licensed bed capacity of 130 and 48 beds designated for Alzheimer's Memory Care. The fire marshal certificate confirms maximum occupancy of 130 persons as of October 23, 2023.
Report Facts
Total licensed beds: 130
Alzheimer's Memory Care beds: 48
Fire marshal maximum occupancy: 130
Staff training hours: 6
Monthly fees: 6895
Monthly fees: 8311
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Graper | Administrator | Named as facility administrator on renewal application and Alzheimer's Memory Care endorsement application (pages 2 and 8). |
| Lee E. Cory | Authorized Representative | Signed renewal application and Alzheimer's Memory Care endorsement application (pages 2 and 11). |
| Carla Martin | Authorized Representative | Signed renewal application (page 2). |
| Steve Westra | Contact Name | Listed as contact for Alzheimer's Memory Care endorsement application (page 8). |
| Donald Davis | Fire Marshal Inspector | Inspected facility for fire marshal certificate of occupancy (page 4). |
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