Deficiencies (last 9 years)
Deficiencies (over 9 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
67% worse than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
98% occupied
Based on a November 2018 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Capacity: 40
Deficiencies: 0
Date: Feb 8, 2023
Visit Reason
The document is a Nursing Home Licensure Renewal Application and related licensing and occupancy permit documents for Fairview Manor, indicating the facility's license renewal process.
Findings
The documents certify that Fairview Manor meets statutory requirements for licensure renewal and includes an occupancy permit confirming a maximum capacity of 40 beds.
Report Facts
Total licensed beds: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tamara Scheil | Administrator | Named on the Nursing Home Licensure Renewal Application |
| Jan O'Brien | Director of Nursing | Named on the Nursing Home Licensure Renewal Application |
| Donald Moses | Authorized Representative | Signed the Nursing Home Licensure Renewal Application on 2023-02-08 |
Inspection Report
Annual Inspection
Census: 39
Capacity: 40
Deficiencies: 8
Date: Nov 6, 2018
Visit Reason
Annual inspection of Fairview Manor to assess compliance with regulatory requirements including civil rights compliance, life safety code, fire safety, electrical systems, medication storage, respiratory care, and privacy/confidentiality of records.
Findings
The facility was found to have multiple deficiencies including failure to secure electronic medical records on medication carts, incomplete fire safety procedures such as missing fire drills on some shifts, inadequate inspection and documentation of fire-extinguishing systems, failure to notify all required parties during sprinkler system impairment, improper electrical equipment use, lack of policy for oxygen therapy administration, and unsecured medication storage room. Corrective actions and plans of correction were provided for each deficiency.
Deficiencies (8)
Residents' electronic medical records were accessible on unlocked computers on medication carts, risking confidentiality breaches.
Failed to conduct monthly visual inspections of the kitchen range hood fire-extinguishing system, risking fire safety.
Failed to specify all required parties to be contacted during sprinkler system impairment, risking inadequate notification.
Failed to conduct fire drills quarterly for 2 of 3 shifts, risking inadequate staff preparedness.
Failed to inspect and exercise emergency generator circuit breakers annually, risking failure of emergency power supply.
Used electrical wiring and equipment improperly, including use of extension cords and missing outlet covers, risking fire hazard.
Failed to ensure policy and procedure for administration and care of physician ordered oxygen therapy, risking improper respiratory care.
Medication storage room door was unlocked and medication cart inside was unsecured, risking unauthorized access to medications.
Report Facts
Facility census: 39
Licensed capacity: 40
Missing fire drills: 2
Residents affected by oxygen therapy deficiency: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tamara Scheil | Administrator | Named in civil rights compliance form and interview regarding medication cart computer security |
| Maintenance A | Confirmed missing documentation of fire-extinguishing system inspections, missing fire drills, and electrical deficiencies | |
| LPN A | Licensed Practical Nurse | Interviewed regarding medication cart computer security |
| LPN B | Licensed Practical Nurse | Interviewed regarding medication cart computer security |
| RN C | Registered Nurse | Interviewed regarding lack of oxygen therapy policy |
| Director of Nursing | Interviewed regarding medication cart computer security and responsible for monitoring medication cart locking |
Inspection Report
Renewal
Capacity: 40
Deficiencies: 0
Date: Feb 28, 2018
Visit Reason
The document is a Nursing Home Licensure Renewal Application and related certification verifying that Fairview Manor is licensed through the indicated renewal date.
Findings
The documents confirm that Fairview Manor meets statutory requirements for Skilled Nursing Facility/Nursing Facility dual certification and is licensed for 40 beds. The renewal application includes facility and ownership information, accreditation status, and services provided.
Report Facts
Total licensed beds: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tamara Scheil | Administrator | Named in the Nursing Home Licensure Renewal Application. |
| Joan Riel | Director of Nursing | Named in the Nursing Home Licensure Renewal Application. |
| Susen Lindner | Deputy State Fire Marshal | Named as inspector on the Nebraska State Fire Marshal Occupancy Permit. |
Inspection Report
Complaint Investigation
Census: 37
Capacity: 40
Deficiencies: 7
Date: Nov 7, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Fairview Manor from November 7, 2017 to November 13, 2017 by representatives of the Department of Health and Human Services Division of Public Health.
Complaint Details
The complaint allegations included failure to use fall interventions to prevent injuries, failure to change fall interventions after residents were identified at risk, failure to ensure staff training to meet resident needs, and failure to have an ongoing activity program. The investigation found no violations related to these allegations.
Findings
The complaint investigation found no violations related to fall interventions, staff training, or activity programs. However, the facility was found not in compliance with Life Safety Code requirements, including issues with exit discharge signage and codes, emergency lighting testing, fire alarm system circuit breaker identification and lockout, corridor separation, corridor door hardware, suspended unit heaters placement, and fire drill timing and conditions.
Deficiencies (7)
Failed to provide signage describing operation of delayed egress doors and failed to post correct code to unlock magnetically locked doors in 3 smoke compartments.
Failed to conduct annual testing of emergency lighting units.
Fire alarm system circuit breaker not identified with red mark and lacked lock out device.
Failed to separate Restorative Therapy treatment area from exit corridor allowing smoke to spread.
Use of unapproved devices to hold open corridor doors and corridor doors did not positively latch.
Suspended heating units installed low enough to be touched by occupants and lacked safety shut down feature.
Failed to hold fire drills under varied conditions during 1st, 2nd, and 3rd shifts.
Report Facts
Facility census: 37
Total licensed capacity: 40
Number of smoke compartments with door signage/code issues: 3
Number of Bath Houses with suspended heaters improperly installed: 2
Number of fire drills conducted per shift: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator, Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed complaint investigation letter |
| Tamara Scheil | Administrator | Facility administrator named in complaint investigation |
| Maintenance Staff A | Confirmed deficiencies related to door signage, fire alarm breaker, emergency lighting, door hardware, suspended heaters, and fire drills | |
| Administrative Staff A | Confirmed corridor and door deficiencies |
Inspection Report
Complaint Investigation
Census: 35
Deficiencies: 1
Date: Sep 22, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint that the facility fails to change fall interventions after residents have been identified at risk for falls.
Complaint Details
The complaint alleged the facility failed to change fall interventions after residents were identified at risk for falls. The investigation substantiated this allegation with findings of noncompliance related to fall interventions for Resident 213.
Findings
The facility failed to implement new fall interventions for a resident (Resident 213) after a fall resulting in a fractured hip. Observations, record reviews, and interviews revealed no new interventions were initiated or consistently applied, such as safety mats or fall alarms, until the surveyor's visit when mats were placed after being found missing.
Deficiencies (1)
Facility failed to implement a fall intervention after a resident had a fall resulting in a fractured hip.
Report Facts
Facility census: 35
Residents sampled: 3
Fall incident date: Jul 26, 2016
Resident 213 admission date: Mar 4, 2015
Plan of correction completion date: Nov 6, 2016
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | RNC, Program Manager | Signed the complaint investigation letter |
| Medication Aide (MA-B) | Interviewed regarding fall interventions for Resident 213 | |
| Licensed Practical Nurse (LPN-A) | Interviewed and observed fall interventions for Resident 213 | |
| Tamara Scheil | Administrator | Facility administrator addressed in the letter |
Inspection Report
Annual Inspection
Census: 34
Deficiencies: 10
Date: Aug 23, 2016
Visit Reason
Annual inspection of Fairview Manor to assess compliance with state and federal regulations including care planning, accident hazards, nutrition status, medication administration, and life safety code requirements.
Findings
The facility was found deficient in developing comprehensive care plans addressing nutritional and skin integrity needs for residents, maintaining accident-free environment with defective whirlpool chair belts, ensuring nutritional status and therapeutic diets, and maintaining medication error rates below 5%. Life safety deficiencies included incomplete fire alarm system testing documentation, non-flame resistant curtains, lack of remote manual stop switch for emergency generator, missing GFCI outlets in resident rooms, and incomplete fire watch policies for sprinkler and fire alarm system outages.
Deficiencies (10)
Failed to develop comprehensive care plans addressing nutritional needs and skin integrity for residents 3 and 56.
Failed to ensure whirlpool chair belts were free of frayed, cracked, and missing areas, posing accident hazards.
Failed to maintain nutritional status and provide therapeutic diets for resident 49.
Failed to maintain medication error rates below 5%, with a 19.23% error rate observed affecting four residents.
Failed to provide complete documentation of annual fire alarm system testing.
Failed to verify that curtains in Physical Therapy were flame resistant.
Failed to provide a remote manual stop switch for the Level 2 emergency generator outside the generator area.
Failed to install Ground Fault Circuit Interrupter (GFCI) protected outlets in multiple resident rooms and employee lounge restroom.
Failed to have a complete policy for sprinkler system out of service more than 4 hours, lacking required notifications and fire watch procedures.
Failed to have a complete policy for fire alarm system out of service more than 4 hours, lacking required notifications and fire watch procedures.
Report Facts
Facility census: 34
Medication error rate: 19.23
Medication opportunities observed: 26
Medication errors observed: 5
Residents affected by medication errors: 4
Facility census: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrative Staff A | Confirmed lack of documentation and policy deficiencies during life safety inspection | |
| Director of Nursing | Director of Nursing | Interviewed regarding resident care plans and medication administration |
| LPN A | Licensed Practical Nurse | Observed administering medications with errors |
| Maintenance Director | Interviewed regarding whirlpool chair belt inspections |
Inspection Report
Renewal
Capacity: 40
Deficiencies: 0
Date: Mar 31, 2016
Visit Reason
This document serves as a renewal application and certification for the Skilled Nursing Facility license of Fairview Manor, verifying licensure through the indicated renewal date.
Findings
The document confirms that Fairview Manor meets statutory requirements for licensure renewal as a Skilled Nursing Facility with a licensed capacity of 40 beds. No deficiencies or inspection findings are reported.
Report Facts
Licensed beds: 40
Renewal expiration date: Mar 31, 2017
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tamara Scheil | Administrator | Named in the Nursing Home Licensure Renewal Application |
| Joan Riel | Director of Nursing | Named in the Nursing Home Licensure Renewal Application |
Inspection Report
Life Safety
Census: 39
Deficiencies: 10
Date: Aug 25, 2015
Visit Reason
The inspection was conducted to assess compliance with the Life Safety Code and related fire safety regulations at Fairview Manor.
Findings
The facility was found to have multiple deficiencies related to fire safety, including doors failing to latch properly, gaps in smoke barriers, blocked or inoperable delayed egress doors, lack of smoke detectors in certain areas, missing sprinkler escutcheon plates, absence of ashtrays in smoking areas, lack of oxygen shut-off policy, missing oxygen signage, unsecured generator gas valve, and improper use of extension cords and uncovered electrical junction boxes.
Deficiencies (10)
Doors to corridors failed to resist passage of smoke due to improper latching hardware and door adjustments.
Gaps greater than 1/8 inch in housekeeping storage doors and use of kick down on kitchen door allowing smoke migration.
Delayed egress signage blocked and delayed egress door inoperable.
Lack of smoke detector in work room with photo copier open to corridor.
Sprinkler head missing escutcheon plate in restroom of resident room 111.
No ashtrays provided at designated outdoor smoking areas.
No written policy for turning off oxygen in emergencies or when not in use.
Oxygen in use signage missing on resident room doors where oxygen is used.
Generator gas supply valve not secured to prevent inadvertent or intentional shutoff.
Use of extension cords and power strips as permanent wiring and uncovered electrical junction box.
Report Facts
Facility census: 39
Residents affected by door latching deficiency: 64
Residents affected by sprinkler deficiency: 19
Residents affected by smoke detector deficiency: 8
Residents affected by electrical wiring deficiencies: 25
Inspection Report
Routine
Census: 38
Deficiencies: 7
Date: Aug 14, 2014
Visit Reason
Routine inspection conducted to assess compliance with licensure regulations and safety standards at Fairview Manor.
Findings
The facility was found deficient in ensuring safety restraint devices on the golf cart trolley during resident transport and in medication administration practices that risk contamination. Additional deficiencies were noted in infection control, life safety code compliance, and electrical safety.
Deficiencies (7)
Facility failed to ensure the golf cart trolley was equipped with safety restraint devices during resident transport.
Facility staff failed to ensure residents received medications in a method to prevent contamination, with medications being handled with bare hands.
Facility failed to separate a hazardous area from a use area in one smoke compartment, risking smoke and fire entering exit corridor.
Facility failed to provide means for magnetically locked doors to unlock with fire alarm activation, preventing ready exit.
Facility failed to provide documentation that window dressings in two smoke compartments were flame retardant.
Facility failed to eliminate possibility of creating an oxygen-enriched atmosphere due to unattended running oxygen concentrator.
Facility failed to use electrical wiring and equipment in accordance with National Electrical Code, including missing outlet cover and improper cord placement.
Report Facts
Facility census: 38
Residents riding golf cart trolley: 19
Facility census: 39
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance A | Confirmed findings related to fire safety and electrical issues | |
| LPN B | Licensed Practical Nurse | Interviewed regarding medication administration practices |
| Administrator | Interviewed regarding golf cart safety and resident transport | |
| Activity Staff Director A | Observed and interviewed regarding golf cart rides | |
| Director of Nursing | DON | Interviewed regarding medication administration policy |
Inspection Report
Annual Inspection
Census: 39
Deficiencies: 6
Date: Jul 1, 2013
Visit Reason
Annual inspection of Fairview Manor to assess compliance with health, safety, infection control, and life safety code regulations.
Findings
The facility was found deficient in infection control practices related to Foley catheter bag handling, pest control due to flies in resident areas, fire safety including smoke detector testing and sensitivity, flame resistance of draperies and decorations, emergency generator testing, and improper use of extension cords and power strips.
Deficiencies (6)
Failed to ensure Foley catheter drainage bag was off the floor and handled properly during resident transfers, risking cross-contamination.
Failed to maintain an effective pest control program; flies were observed in dining and resident areas.
Failed to maintain and test smoke detectors for sensitivity and function as required by NFPA standards.
Draperies, curtains, and decorations were not documented as flame resistant as required by NFPA standards.
Failed to maintain emergency generator testing at required load and document minimum exhaust temperature per manufacturer specifications.
Improper use of power strips and extension cords in storage room, violating electrical safety codes.
Report Facts
Facility census: 39
Resident sample size: 26
Number of flies observed: 3
Smoke detector sensitivity last tested: 2010
Facility census: 38
Inspection Report
Routine
Deficiencies: 1
Date: Nov 29, 2012
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements for skilled nursing facilities, including investigation of deficient practices identified during the visit.
Findings
The facility failed to properly investigate causal factors for an accident involving Resident 1, who sustained fractures in the lower left leg after a powerchair incident. The facility also failed to identify and document the change in condition caused by the fractures and did not follow facility guidance for incident documentation and follow-up assessments.
Deficiencies (1)
Failure to investigate causal factors for an accident with injury for Resident 1 and failure to identify a change in condition caused by fractures in the lower left leg during a powerchair incident.
Report Facts
Incident date: Nov 5, 2012
Physician visit date: Nov 8, 2012
Orthopedic surgeon visit date: Nov 15, 2012
Plan of correction completion date: Jan 15, 2013
Inspection Report
Annual Inspection
Census: 38
Capacity: 40
Deficiencies: 7
Date: May 29, 2012
Visit Reason
Annual inspection survey conducted to assess compliance with licensure regulations, life safety code, and facility maintenance standards.
Findings
The facility was found deficient in housekeeping and maintenance services, care plan revisions following a resident fall, accident hazard prevention, life safety code compliance including fire door self-closures and latching, sprinkler system supervision, and kitchen stove maintenance.
Deficiencies (7)
Failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior, including peeling floor tiles and damaged doors/baseboards in resident rooms.
Failed to revise and update the care plan after a resident fall to reflect current needs and status.
Failed to ensure resident environment remains free of accident hazards and provide adequate supervision and assistance devices to prevent accidents.
Failed to provide self-closing devices on doors to hazardous areas affecting one smoke compartment and 19 residents.
Failed to provide a horizontal exit door with at least a 90 minute fire resistance rating with latching devices installed.
Failed to maintain sprinkler system valves supervised by fire alarm system; tamper switch on Post Indicator Valve failed to operate and sprinkler heads corroded.
Failed to maintain burners on main kitchen stove; two burners failed to light without manual lighter.
Report Facts
Residents affected: 19
Facility census: 38
Facility capacity: 40
Deficiency counts: 7
Inspection Report
Routine
Census: 39
Capacity: 40
Deficiencies: 6
Date: May 19, 2011
Visit Reason
Routine inspection of Fairview Manor to assess compliance with state and federal regulations including resident rights, care planning, and life safety code standards.
Findings
The facility was found deficient in providing ombudsman information to residents, revising care plans for dental care, maintaining corridor doors to resist smoke passage, maintaining hazardous area separations, conducting fire drills on all shifts, and maintaining consistent sprinkler heads in the same compartment.
Deficiencies (6)
Failed to inform or provide ombudsman information and grievance filing procedures to one resident.
Failed to review and revise care plans for two residents regarding dental care and pain management.
Doors protecting corridor openings failed to stay latched tightly, allowing passage of smoke.
Failed to maintain hazardous areas with proper separation from exit corridor; large storage room door did not close and latch; unsealed conduits in hot water heater ceiling.
Failed to conduct fire drills at least quarterly on each shift and throughout varied times.
Failed to maintain sprinkler system by having two different types of sprinkler heads in the same compartment.
Report Facts
Facility census: 39
Facility capacity: 40
Sample size: 14
Sample size: 13
Fire drills missing: 1
Fire drills conducted out of recommended times: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Service Director | Interviewed regarding ombudsman information and resident council | |
| Nurse K LPN | LPN | Interviewed regarding dental care policies and resident care |
| Administrator | Administrator | Interviewed regarding dental policy and facility operations |
| Maintenance A | Maintenance Staff | Interviewed and confirmed door and fire drill deficiencies |
| Administration A | Administrator | Interviewed and confirmed door and sprinkler deficiencies |
| Surveyor 30191 | Surveyor | Conducted inspection related to visitor access deficiency |
| Surveyor 29184 | Surveyor | Conducted inspection related to care plan deficiencies |
| Surveyor 04583 | Surveyor | Conducted inspection related to life safety code deficiencies |
Notice
Capacity: 40
Deficiencies: 0
Date: APP2020
Visit Reason
This document serves as a licensure renewal certification and application for Fairview Manor, verifying that the facility's SNF/NF dual certification is licensed through the indicated renewal date.
Findings
The document confirms that Fairview Manor meets statutory requirements for licensure renewal as a Skilled Nursing Facility/Nursing Facility dual certified entity, with no deficiencies or inspection findings reported.
Report Facts
Total licensed capacity: 40
Renewal license fees: 1550
Notice
Capacity: 40
Deficiencies: 0
Date: APP2021
Visit Reason
The document serves as a licensure renewal application and verification for Fairview Manor's Skilled Nursing Facility/Nursing Facility dual certification license.
Findings
The documents confirm the facility meets statutory requirements for licensure renewal and include an occupancy permit certifying a maximum occupancy of 40 beds.
Report Facts
Total licensed capacity: 40
Notice
Capacity: 40
Deficiencies: 0
Date: APP2017
Visit Reason
This document serves to verify the renewal of the SNF/NF dual certification license for Fairview Manor and includes the occupancy permit issued by the Nebraska State Fire Marshal.
Findings
The facility is licensed through 03/31/2018 with a total licensed capacity of 40 beds. The occupancy permit was issued on 2016-08-18 by the Deputy State Fire Marshal, confirming compliance with fire safety codes.
Report Facts
Licensed capacity: 40
Renewal fee: 1550
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tamara Scheil | Administrator | Named in the nursing home licensure renewal application. |
| Joan Riel | Director of Nursing | Named in the nursing home licensure renewal application. |
| Susen Lindner | Deputy State Fire Marshal | Inspected and issued the occupancy permit. |
Notice
Capacity: 40
Deficiencies: 0
Date: APP2022
Visit Reason
The document serves to verify the license renewal status of Fairview Manor and includes a Nursing Home Licensure Renewal Application.
Findings
No inspection findings are reported; the documents confirm licensure renewal and provide administrative details about the facility.
Report Facts
Total licensed beds: 40
Notice
Capacity: 40
Deficiencies: 0
Date: APP2019
Visit Reason
This document serves to verify the renewal of the SNF/NF dual certification license for Fairview Manor and includes the occupancy permit issued by the Nebraska State Fire Marshal.
Findings
The facility is licensed for 40 beds with a renewal expiration date of 3/31/2020. The occupancy permit was issued on 11/16/2018 by the Deputy State Fire Marshal, confirming compliance with fire safety codes.
Report Facts
Licensed capacity: 40
License expiration date: Mar 31, 2020
Occupancy permit issue date: Nov 16, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tamara Scheil | Administrator | Named in facility licensure renewal application |
| Joan Riel | Director of Nursing | Named in facility licensure renewal application |
| Mark Manchester | Deputy State Fire Marshal | Inspected and issued occupancy permit |
Notice
Capacity: 40
Deficiencies: 0
Date: APP2024
Visit Reason
This document serves to verify the renewal of the SNF/NF dual certification license for Fairview Manor and includes the nursing home licensure renewal application and occupancy permit.
Findings
The documents confirm that Fairview Manor meets statutory requirements for licensure renewal and has a maximum occupancy of 40 beds as per the Nebraska State Fire Marshal occupancy permit.
Report Facts
Total licensed beds: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tamara Scheil | Administrator | Named on the Nursing Home Licensure Renewal Application. |
| Jan O'Brien | Director of Nursing | Named on the Nursing Home Licensure Renewal Application. |
| Donald Moses | Authorized representative who signed the renewal application. | |
| Mark Manchester | Deputy State Fire Marshal | Inspected the facility and approved the occupancy permit. |
Notice
Capacity: 40
Deficiencies: 0
Date: APP2025
Visit Reason
The document serves to verify the renewal of the SNF/NF dual certification license for Fairview Manor and includes the nursing home licensure renewal application.
Findings
The documents confirm that Fairview Manor is licensed through 3/31/2026 with a total capacity of 40 beds. An occupancy permit dated 10/1/2024 was issued with approval by the State Fire Marshal.
Report Facts
Total licensed capacity: 40
Renewal license expiration date: License expires 3/31/2026 as shown on renewal card.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tamara Schell | Administrator | Named on Nursing Home Licensure Renewal Application. |
| Jan O'Brien | Director of Nursing | Named on Nursing Home Licensure Renewal Application. |
| Rod Ehmen | Authorized Representative | Signed Nursing Home Licensure Renewal Application. |
| Mark Manchester | Deputy State Fire Marshal | Inspected and approved occupancy permit. |
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