Inspection Reports for Falls City Nursing and Rehabilitation Center
1720 Burton Drive, FALLS CITY, NE, 68355
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
8.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
107% worse than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
40% occupied
Based on a March 2018 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Routine
Census: 26
Capacity: 65
Deficiencies: 7
Date: Mar 20, 2018
Visit Reason
Routine state survey of Falls City Nursing and Rehabilitation Center to assess compliance with federal Medicare and Medicaid regulations, including infection control, life safety, and emergency preparedness.
Findings
The facility was found in compliance with emergency preparedness regulations but had deficiencies in infection prevention and control, life safety code compliance, fire safety systems, fire drills, and emergency power system maintenance.
Deficiencies (7)
Failure to ensure staff washed hands according to facility policy to prevent cross contamination affecting 7 residents.
Sidewalk egress path had an abrupt one-inch change in elevation, creating a trip hazard affecting 7 residents.
Shelf on stove obstructed fire extinguishing equipment nozzles in kitchen affecting all residents.
Incomplete fire alarm system out of service policy lacking required details.
Incomplete sprinkler system out of service policy lacking required details.
Fire drills not held under varied conditions on all shifts quarterly as required.
Emergency generator testing not conducted monthly at 30% load and no documentation of uninterrupted natural gas supply.
Report Facts
Facility census: 26
Total licensed capacity: 65
Number of residents affected by handwashing deficiency: 7
Number of residents affected by sidewalk egress hazard: 7
Facility census: 26
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lesa Duryea | Executive Director | Signed initial comments and plan of correction |
| Maintenance A | Acknowledged fire safety and generator testing deficiencies | |
| NA A | Nurse Aide | Observed failing to wash hands properly during resident care |
| NA B | Nurse Aide | Observed failing to wash hands properly during resident care |
| Director of Nursing | DON | Confirmed handwashing expectations |
Inspection Report
Renewal
Capacity: 65
Deficiencies: 0
Date: Mar 3, 2017
Visit Reason
This document is related to the renewal of the nursing home license for Falls City Nursing and Rehabilitation Center, verifying that the facility is licensed through the indicated renewal date.
Findings
The document confirms that Falls City Nursing and Rehabilitation Center meets statutory requirements for SNF/NF dual certification and is licensed through the renewal date. It includes ownership information, bed certifications, and occupancy permit details.
Report Facts
Number of beds to be relicensed: 65
Maximum Occupancy: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Smith | Administrator | Named on Nursing Home Licensure Renewal Application |
| Michele Frederick | Director of Nursing | Named on Nursing Home Licensure Renewal Application |
| John Albrechtsen | President | Officer of Stanton Lake Healthcare, Inc. and Gateway Healthcare, Inc. |
| Beverly Wittekind | Secretary | Officer of Stanton Lake Healthcare, Inc. and Gateway Healthcare, Inc. |
| Soon Burnam | Treasurer | Officer of Stanton Lake Healthcare, Inc. and Gateway Healthcare, Inc. |
| Christopher Christensen | Director; President and CEO | Officer of Stanton Lake Healthcare, Inc., Gateway Healthcare, Inc., and The Ensign Group, Inc. |
Inspection Report
Life Safety
Census: 26
Capacity: 65
Deficiencies: 5
Date: Jan 11, 2017
Visit Reason
The inspection was conducted to assess compliance with the 2012 Edition of the Life Safety Code of the National Fire Protection Association and related fire safety regulations.
Findings
The facility was found deficient in several life safety areas including obstructed and non-functional exit doors, failure to conduct required emergency lighting tests, improper exit signage directing occupants through hazardous areas, lack of self-closing devices on hazardous area doors, and inadequate maintenance and testing of the sprinkler system including storage too close to sprinkler heads.
Deficiencies (5)
Exit doors in the North and South Hall were obstructed with STOP signs and tape, preventing ready use in an emergency.
Facility failed to conduct the required annual 1 1/2 hour test of battery backup emergency lights.
Exit sign directed occupants through the laundry room, a hazardous area.
Hazardous area doors lacked self-closing devices and did not latch properly, allowing potential smoke and fire migration.
Fire sprinkler system lacked required 5-year calibration test and internal pipe examination; storage was within 18 inches of sprinkler heads.
Report Facts
Facility census: 26
Total licensed beds: 65
Deficiency count: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Smith | Administrator | Named in relation to facility compliance and signature on civil rights compliance form and staffing documents |
| Maintenance A | Interviewed and verified observations related to exit doors, emergency lighting, exit signage, hazardous area doors, and sprinkler system deficiencies |
Inspection Report
Renewal
Census: 30
Capacity: 65
Deficiencies: 0
Date: Mar 9, 2016
Visit Reason
The document is a Nursing Home Licensure Renewal Application and related materials for Falls City Nursing and Rehabilitation Center, verifying the facility's license renewal and compliance with state regulations.
Findings
The documents confirm the facility's licensure renewal with a licensed capacity of 65 beds and current census of 30 residents. The facility is certified for Medicare and Medicaid and provides physical, occupational, and speech therapy services.
Report Facts
Licensed beds: 65
Occupied beds: 30
License expiration date: Mar 31, 2017
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Spencer Morris | Administrator | Named as the facility administrator on the Nursing Home Licensure Renewal Application. |
| Michelle Frederick | Director of Nursing | Named as the Director of Nursing on the Nursing Home Licensure Renewal Application. |
Inspection Report
Complaint Investigation
Census: 31
Deficiencies: 7
Date: Nov 5, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Falls City Nursing And Rehabilitation Center on November 2, 2015-November 5, 2015, by representatives of the Department of Health and Human Services Division of Public Health. The complaint investigation focused on allegations that the facility failed to submit written investigations within five working days and failed to protect residents from abuse.
Complaint Details
The complaint investigation was triggered by allegations that the facility failed to submit written investigations within five working days and failed to protect residents from abuse. The facility did fail to submit investigations within five working days but ensured residents were protected from abuse.
Findings
The facility failed to submit an investigation to the required State Agency within 5 working days for one resident (Resident 46). The facility ensured residents were protected from abuse. Additional deficiencies were found related to dental assessments, comprehensive care plans, nutritional supplement administration, dental services, expired medications and supplies, and life safety code violations.
Deficiencies (7)
Facility failed to submit an investigation to the required State Agency within 5 working days for one resident (Resident 46).
Facility failed to correctly identify dental condition for 2 residents (Resident 14 and 25).
Facility failed to develop a Comprehensive Care Plan for 1 resident (Resident 45).
Facility failed to supply the ordered amount of nutritional supplements for one resident (Resident 14).
Facility failed to provide dental services for one resident (Resident 14).
Facility failed to ensure expired medication and sterile water for oxygen use were not available for use by residents.
Facility failed to meet NFPA 101 Life Safety Code Standard by not separating hazardous areas from other use areas, allowing smoke migration in corridors.
Report Facts
Facility census: 31
Deficiencies cited: 7
Resident 46 BIMS score: 2
Resident 14 BIMS score: 11
Resident 25 BIMS score: 4
Med Pass supplement ordered: 6
Expired Epinephrine lot number: G140701X
Expired Lidocaine: 5/11/2015
Expired sterile water: 2014-04
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Young | Administrator | Named in complaint investigation letter |
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed complaint investigation letter |
| LPN A | Licensed Practical Nurse | Conducted elopement incident report and confirmed expired medications |
| MDS Coordinator | Confirmed dental status coding errors and care plan omissions | |
| DA C | Dietary Aide | Observed serving incorrect amount of nutritional supplement |
| SSD | Social Services Director | Interviewed regarding resident dental care needs |
| Maintenance Supervisor | Responsible for fire safety corrections and maintenance monitoring |
Inspection Report
Complaint Investigation
Census: 28
Deficiencies: 13
Date: Jan 15, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Falls City Nursing And Rehabilitation Center on January 12-15, 2015, triggered by allegations of failure to put safety measures in place to prevent accidents and failure to report incidents of abuse.
Complaint Details
The complaint alleged failure to put safety measures in place to prevent accidents and failure to report incidents of abuse. The investigation found the facility in compliance with accident prevention and abuse reporting requirements, except for one isolated incident of resident-to-resident aggression that was not reported but was investigated and addressed.
Findings
The facility was found to be in compliance with regulations regarding prevention of accidents and reporting of abuse. Three resident reviews and random observations showed safety measures were in place and incidents of abuse were reported and investigated according to requirements. One isolated incident of resident-to-resident aggression was not reported but was investigated and interventions implemented.
Deficiencies (13)
Facility failed to maintain sinks hot water handle function in Room 203, repair cracks in walls in rooms 205 and 209, repair holes in bathroom of room 209, and repair wall damage in rooms 104, 203, and 209.
Facility failed to provide a one-hour rated ceiling in the Boiler Room, allowing fire to spread affecting all residents in one smoke compartment.
Facility failed to reevaluate and implement interventions to manage pain for Resident 30, resulting in unmanaged pain complaints during transfers and activities.
Facility failed to prepare pureed food in a manner to conserve nutritional value for five residents, reducing protein content by using less casserole than recipe requires.
Facility failed to maintain attic access panel secured in Boiler Room.
Trash can stored in front of Resident Room 120 door preventing door from closing.
Smoke separation door next to Room 202 failed to close and latch, allowing smoke and gases to spread.
Emergency light at back door in Service Corridor failed to light during test.
Facility did not conduct fire drills at unexpected times during all shifts and failed to test fire alarm within 24 hours of silent drill.
Computer cart stored in corridor in front of nurses station obstructing means of egress.
Dried out evergreen wreath hanging on door of Resident Room 218, a highly flammable decoration.
Facility failed to have written policy to protect against oxygen enriched atmosphere and failed to assure unattended oxygen concentrator in Resident Room 111 was turned off.
Electrical cord for oxygen concentrator in Resident Room 111 ran through door opening, risking electrical fire.
Report Facts
Facility census: 28
Facility census: 29
Deficiency count: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Young | Administrator | Named in relation to facility administration and interview |
| Eve Lewis | RNC, Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed letter transmitting report |
| Gerald Nevins | Registered Nurse | Surveyor conducting complaint investigation |
| Khristy Long | Registered Nurse | Surveyor conducting complaint investigation |
| Kay Reeves | Nutrition/dietitian | Surveyor conducting complaint investigation |
| Don Fritz | Approved plan of correction |
Inspection Report
Annual Inspection
Census: 25
Deficiencies: 11
Date: Sep 26, 2013
Visit Reason
The inspection was conducted as an annual survey to assess compliance with federal and state regulations governing skilled nursing facilities, including care services, life safety, and facility operations.
Findings
The facility was found deficient in multiple areas including failure to accurately evaluate and manage pain for a cognitively impaired resident, inadequate assistance with activities of daily living for dependent residents, failure to maintain a safe environment to prevent accidents, and multiple life safety code violations such as improper door latching, smoke door gaps, inadequate exit lighting, fire drill scheduling, fire alarm system testing, generator maintenance, and unsecured gas shut-off valve.
Deficiencies (11)
Facility failed to accurately evaluate pain and follow family directives regarding pain control for one resident with severe cognitive impairment.
Facility failed to assist two residents with activities of daily living as needed, including toileting and oral care.
Facility failed to ensure interventions to prevent falls for one resident, including proper call light placement and supervision.
Nurses Storage and Office Storage Closet doors failed to latch properly, compromising smoke-tight integrity.
Three sets of smoke separation doors had gaps greater than 1/8 inch, allowing smoke to spread.
Exit discharge lighting on the west side of the building was inadequate, failing to provide continuous illumination along the egress path.
Fire drills were not conducted at random times but clustered at the end of the month.
Fire alarm system sensitivity testing was overdue, last documented in 2011.
Paper recycling barrel stored in Office storage closet exceeded allowed size and was not in a protected hazardous area with self-closing door.
Generator maintenance records lacked documentation of amperage readings and monthly load testing under operating conditions.
Gas shut-off valve for generator was unsecured, allowing potential accidental or intentional shut-off.
Report Facts
Facility census: 25
Residents affected by smoke door deficiency: 10
Residents affected by paper receptacle deficiency: 10
Residents affected by exit lighting deficiency: 18
Facility census: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance A | Confirmed door latch deficiencies, lighting issues, fire alarm testing overdue, generator maintenance issues, and unsecured gas valve | |
| LPN B | Licensed Practical Nurse | Observed resident coffee spill and medication administration |
| Director of Nursing Services | DON | Interviewed regarding pain assessment and medication administration |
| Administrator | Interviewed regarding pain assessment and medication administration | |
| Nursing Assistant A | NA | Interviewed regarding resident assistance and toileting |
| Nursing Assistant E | NA | Interviewed regarding call light placement and resident safety |
Inspection Report
Routine
Census: 36
Deficiencies: 12
Date: Aug 9, 2012
Visit Reason
Routine inspection of Careage Estates of Falls City to assess compliance with state and federal regulations including resident care, safety, and facility conditions.
Findings
The inspection identified multiple deficiencies including failure to update care plans for residents after changes in condition, inadequate personal hygiene care, improper peri-care increasing UTI risk, insufficient staffing to meet resident needs, unsafe equipment conditions, fire safety code violations including smoke door gaps, delayed egress door malfunctions, sprinkler head obstructions, use of flammable decorations, unsecured oxygen cylinders, and wheelchair armrest damage.
Deficiencies (12)
Failure to update care plans for residents after changes in condition including fall prevention and dental status.
Resident had food debris on face and clothing; inadequate hygiene care.
Improper peri-care technique increasing risk of urinary tract infections for multiple residents.
Insufficient nursing staff to meet resident needs for fall prevention and activities of daily living assistance.
Wheelchair arm rests cracked, peeling, and taped, posing safety and comfort issues.
Narcotic count discrepancy for a resident's medication; narcotic count policy not followed.
Smoke separation doors failed to fully close, allowing passage of smoke.
Delayed egress exit doors did not release within 15 seconds nor sound alarm as required.
Sprinkler heads obstructed by stored items within 18 inches in resident closets.
Decorations of highly flammable character present on resident room doors without flame retardant documentation.
Window coverings including mini-blinds and shades lacked flame retardant verification.
Oxygen cylinders in storage room were not adequately secured.
Report Facts
Facility census: 36
Sample size: 27
Fall risk score: 15
Fall counts: 20
Fall counts: 22
Fall counts: 23
Fall counts: 12
Narcotic count discrepancy: 10
Deficiency count: 3
Deficiency count: 3
Deficiency count: 2
Oxygen cylinders: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN L | Licensed Practical Nurse | Named in narcotic count discrepancy finding |
| RN A | Registered Nurse | Acknowledged improper peri-care and staffing issues |
| Maintenance A | Maintenance Director | Confirmed smoke door, sprinkler, exit door, and oxygen cylinder deficiencies |
| NA C | Nurse's Aide | Observed providing improper peri-care with contaminated gloves |
| NA D | Nurse's Aide | Observed assisting resident with food debris on face |
| DNS | Director of Nursing Services | Provided education on narcotic counts and peri-care |
Inspection Report
Routine
Census: 44
Deficiencies: 4
Date: Jul 19, 2011
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements for skilled nursing facilities, including safety, medication management, and resident care.
Findings
The facility was found deficient in several areas including failure to ensure resident environment free of accident hazards related to elopement risk management and supervision, failure to maintain a drug regimen free from unnecessary drugs for one resident, failure to maintain sprinkler system clearance in a resident closet, and failure to provide a remote annunciator for the emergency generator.
Deficiencies (4)
Failed to provide a system to ensure facility policy was followed regarding the use of resident tracking bracelets and failed to monitor resident rooms for sharp objects, contributing to elopement risk.
Failed to ensure that one resident did not receive unnecessary medication, including multiple overlapping orders for antipsychotic and anti-anxiety drugs.
Failed to maintain clearance from sprinkler head in a resident closet, with items stored within 18 inches of the sprinkler head.
Failed to provide a remote annunciator for the emergency generator at a work site readily observable by staff personnel at all times.
Report Facts
Facility census: 44
Residents wearing tracking bracelets: 3
Residents sample size: 29
Distance from sprinkler head: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Vice | Administrator | Interviewed regarding elopement incident and facility policies |
| Jim Heine | Assistant State Fire Marshal | Approved plan of correction for fire safety deficiencies |
Inspection Report
Plan of Correction
Census: 48
Deficiencies: 2
Date: Mar 7, 2011
Visit Reason
The document is a Plan of Correction submitted by Careage Estates in response to deficiencies cited during a survey completed on March 7, 2011. The deficiencies relate to failure to notify physicians of changes in residents' conditions and failure to prevent falls.
Findings
The facility failed to notify the physician of the need to alter treatment for Resident 4 after multiple falls and failed to follow the plan of care to prevent falls for Residents 1 and 2. Several falls were documented with some residents not having alarms activated or proper interventions in place.
Deficiencies (2)
Failure to notify physician of changes in resident condition for Resident 4 after multiple falls.
Failure to follow plan of care to prevent falls for Residents 1 and 2, including failure to ensure alarms were activated and proper interventions implemented.
Report Facts
Resident census: 48
Number of sampled residents: 5
Number of falls: 5
Number of falls: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charge Nurse G | Charge Nurse | Mentioned in relation to checking resident alarms and fall incidents |
| Director of Nursing | Director of Nursing | Interviewed regarding failure to send telephone order to physician and fall prevention procedures |
| Physical Therapy Assistant | Physical Therapy Assistant | Interviewed about therapy and fall prevention for Resident 4 |
| Medication Aide A | Medication Aide | Interviewed about alarms for Resident 1 |
| Nurse's Aide D | Nurse's Aide | Interviewed about wheelchair alarm for Resident 2 |
| Licensed Practical Nurse (LPN) | Licensed Practical Nurse | Mentioned in relation to Resident 2's wheelchair alarm |
Document
Capacity: 65
Deficiencies: 0
Date: APP2018
Visit Reason
The documents pertain to the renewal of the nursing home license for Falls City Nursing and Rehabilitation Center and include verification of licensure, bed certifications, and corporate ownership information.
Findings
No inspection findings or deficiencies are reported. The documents confirm the facility's licensure status, bed capacity, and corporate structure.
Report Facts
Total licensed beds: 65
Bed certifications: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lesa Duryea | Administrator | Named on the Nursing Home Licensure Renewal Application (page 2). |
| Michele Frederick | Director of Nursing | Named on the Nursing Home Licensure Renewal Application (page 2). |
| Jim Guschl | President and Director | Listed as an officer of Stanton Lake Healthcare, Inc. and Gateway Healthcare, Inc. (page 3). |
| Derek Bunker | Secretary | Listed as an officer of Stanton Lake Healthcare, Inc. and Gateway Healthcare, Inc. (page 3). |
| Soon Burnam | Treasurer | Listed as an officer of Stanton Lake Healthcare, Inc. and Gateway Healthcare, Inc. (page 3). |
| Christopher Christensen | President and CEO | Listed as an officer of The Ensign Group, Inc., 100% shareholder of Gateway Healthcare, Inc. (page 3). |
Notice
Capacity: 65
Deficiencies: 0
Date: APP2019
Visit Reason
This document serves as the licensure renewal application and certification for Falls City Nursing and Rehabilitation Center, verifying the facility's license renewal and occupancy permit status.
Findings
The documents confirm that the facility is licensed as a Skilled Nursing Facility with a total capacity of 65 beds, and includes corporate ownership information and a state fire marshal occupancy permit.
Report Facts
Number of beds to be relicensed: 65
Renewal expiration date: License expiration date is 3/31/2020 as shown on the renewal card.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michele Frederick | Director of Nursing | Named in the licensure renewal application. |
| Lesa Duryea | Administrator | Named in the licensure renewal application. |
| Derek Bunker | Authorized Representative and Secretary | Signed the renewal application and listed as corporate officer. |
| Soon Burnam | Authorized Representative and Treasurer | Signed the renewal application and listed as corporate officer. |
Notice
Capacity: 65
Deficiencies: 0
Date: APP2020
Visit Reason
This document serves as a license renewal certification and renewal application for Falls City Nursing and Rehabilitation Center, verifying licensure status and renewal fees. It also includes an occupancy permit issued by the Nebraska State Fire Marshal.
Findings
The documents confirm that Falls City Nursing and Rehabilitation Center is licensed as a Skilled Nursing Facility with a licensed capacity of 65 beds. The occupancy permit was issued on 2019-09-25, and the license renewal expiration date is 2020-03-31.
Report Facts
Licensed capacity: 65
Renewal license expiration date: Mar 31, 2020
Renewal license fees: 1550
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lesa Duryea | Administrator | Named in the Nursing Home Licensure Renewal Application. |
| Michelle Frederick | Director of Nursing | Named in the Nursing Home Licensure Renewal Application. |
| Soon Burnam | Authorized Representative | Signed the Nursing Home Licensure Renewal Application. |
| Craig Fitch | Authorized Representative | Signed the Nursing Home Licensure Renewal Application. |
| Susen Lindner | Deputy State Fire Marshal | Inspected the facility for the Nebraska State Fire Marshal Occupancy Permit. |
Document
Capacity: 65
Deficiencies: 0
Date: APP2021
Visit Reason
The documents serve to renew the nursing home license for Falls City Nursing and Rehabilitation Center and provide related administrative and occupancy information.
Findings
No inspection findings or deficiencies are reported; the documents focus on license renewal, facility ownership, and occupancy permit details.
Report Facts
Total licensed beds: 65
Renewal license expiration date: Expires 03/30/2021 as stated on renewal application
Occupancy permit issue date: Date issued 2/1/2021 on occupancy permit
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eric Martinez | Administrator | Named on nursing home licensure renewal application |
| Heavenlee Brown | Director of Nursing | Named on nursing home licensure renewal application |
| Soon Burnam | Authorized Representative | Signed nursing home licensure renewal application |
| Craig Fitch | Authorized Representative | Signed nursing home licensure renewal application and listed as Secretary on corporate chart |
| Tara Helenthal | President | Officer listed on corporate organization chart |
| Spencer Burton | Director and President | Officer listed on corporate organization chart |
| Barry Port | Director and CEO | Officer listed on corporate organization chart |
Notice
Capacity: 65
Deficiencies: 0
Date: APP2022
Visit Reason
This document serves as a renewal application for the nursing home license of Falls City Nursing and Rehabilitation Center, including verification of licensure and occupancy permits.
Findings
The documents confirm the facility's licensure renewal status, ownership information, and maximum occupancy capacity. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shannon Severs | Director of Nursing | Named in the Nursing Home Licensure Renewal Application. |
| Spencer Morris | Administrator | Named in the Nursing Home Licensure Renewal Application. |
Document
Capacity: 65
Deficiencies: 0
Date: APP2023
Visit Reason
The document is a licensure renewal application and related certification and occupancy permit for Falls City Nursing and Rehabilitation Center, verifying license renewal and facility capacity.
Findings
The documents certify that the facility meets statutory requirements for licensure renewal, with no inspection findings or deficiencies reported.
Report Facts
Total licensed beds: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Peter Kleinsteuber | Administrator | Named in the Nursing Home Licensure Renewal Application. |
| Shannon Severs | Director of Nursing | Named in the Nursing Home Licensure Renewal Application. |
| Tara Helenthal | President | Officer listed in the Corporate Organization Chart. |
| Craig Fitch | Secretary | Officer listed in the Corporate Organization Chart and signed renewal application. |
| Soon Burnam | Treasurer | Officer listed in the Corporate Organization Chart and signed renewal application. |
| Spencer Burton | Director | Officer listed in the Corporate Organization Chart. |
Document
Capacity: 65
Deficiencies: 0
Date: APP2024
Visit Reason
The documents serve to renew the nursing home license for Falls City Nursing and Rehabilitation Center and provide updated ownership and organizational information.
Findings
No inspection findings or deficiencies are reported. The documents confirm licensure renewal, ownership details, and occupancy permit status.
Report Facts
Total licensed beds: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tara Helenthal | Administrator | Named as administrator on the renewal application and corporate organization chart. |
| Heavenlee Brown | Director of Nursing | Named as Director of Nursing on the renewal application. |
| Soon Burnam | Treasurer | Listed as Treasurer on the corporate organization chart and signed renewal application. |
| Craig Fitch | Secretary | Listed as Secretary on the corporate organization chart and signed renewal application. |
| Dave Jorgensen | Director | Listed as Director on the corporate organization chart. |
Notice
Capacity: 65
Deficiencies: 0
Date: APP2025
Visit Reason
The documents serve to verify the renewal of the SNF/NF dual certification license and provide the occupancy permit for Falls City Nursing and Rehabilitation Center.
Findings
The documents confirm the facility meets statutory requirements for licensing renewal and certify the maximum occupancy of 65 beds as approved by the State Fire Marshal.
Report Facts
Total licensed beds: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tara Helenthal | Administrator | Named as facility administrator on renewal application |
| Beth Brooks | Director of Nursing | Named as director of nursing on renewal application |
| Soon Burnam | Authorized Representative / Secretary | Signed renewal application and listed as corporate officer |
| Ami Sato | Authorized Representative / Treasurer | Signed renewal application and listed as corporate officer |
| Dave Jorgensen | Director | Listed as corporate officer |
| Beth Brooks | Director of Nursing | Named on renewal application |
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