Inspection Reports for Grandview Assisted Living Facility

827 NORTH 19TH STREET, ORD, NE, 68862

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 0.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

93% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2017
2018
2019
2024

Notice

Capacity: 50 Deficiencies: 0 Date: Mar 7, 2024

Visit Reason
The document set serves to verify the licensure renewal of Grandview Assisted Living Facility and includes the renewal application, occupancy permit, and related administrative information.

Findings
No inspection findings or deficiencies are reported. The documents confirm the facility meets statutory requirements for licensure renewal and occupancy with a maximum capacity of 50 beds.

Report Facts
Total licensed beds: 50 Maximum occupancy: 50

Employees mentioned
NameTitleContext
Megan GotschallAdministratorNamed as administrator on the Assisted-Living Facility Licensure Renewal Application.
Dale ZadinaAuthorized RepresentativeSigned the renewal application as an authorized representative on March 7, 2024.
Lisa NielsenAuthorized RepresentativeSigned the renewal application as an authorized representative on March 7, 2024.
Robert StoessDeputy State Fire MarshalInspected the facility and approved the occupancy permit on March 28, 2024.

Inspection Report

Renewal
Capacity: 50 Deficiencies: 0 Date: Apr 18, 2019

Visit Reason
This document is related to the renewal of the assisted living facility license and a follow-up fire safety inspection to verify correction of previous deficiencies.

Findings
The facility was inspected for renewal of its assisted living license and underwent a follow-up fire safety inspection. All previously cited deficiencies have been corrected as of the plan of correction approval dated 2019-05-23, and the facility was approved for occupancy with reasonable safety to life in case of fire.

Report Facts
Total licensed capacity: 50 Occupant load: 50

Employees mentioned
NameTitleContext
Lisa NielsenAdministratorNamed as facility administrator on renewal application
Brandi CornwellContact person for fire marshal inspection
Todd BrehmDeputy State Fire MarshalConducted fire safety inspection and signed occupancy permit

Inspection Report

Complaint Investigation
Census: 22 Deficiencies: 1 Date: Sep 19, 2018

Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Grandview Assisted Living Facility on September 19, 2018. The complaint alleged the facility failed to ensure residents have access to communication with friends and family.

Complaint Details
The complaint alleged the facility failed to ensure residents have access to communication with friends and family. This allegation was investigated and found to be unsubstantiated as residents had access to communication.
Findings
The complaint regarding residents' access to communication was investigated and the facility was found to be in compliance. However, the facility failed to ensure oxygen cylinders were secured in resident rooms, which had the potential to affect 4 residents.

Deficiencies (1)
Oxygen cylinders were not secured when stored in resident rooms for 2 of 4 sampled residents.
Report Facts
Facility census: 22 Number of oxygen cylinders unsecured: 6 Number of residents affected: 4

Employees mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned the complaint investigation report

Inspection Report

Renewal
Capacity: 50 Deficiencies: 0 Date: Apr 26, 2017

Visit Reason
This document is a licensure renewal application and certification for Grandview Assisted Living Facility, verifying the facility's license renewal and compliance with statutory requirements.

Findings
The facility is licensed for 50 beds and meets the statutory requirements for an assisted living facility. The renewal application certifies compliance with Nebraska Department of Health and Human Services rules and regulations.

Report Facts
Total licensed beds: 50

Employees mentioned
NameTitleContext
Melinda RowseAdministratorNamed as the facility administrator and signatory on the renewal application.

Notice

Capacity: 50 Deficiencies: 0 Date: APP2016

Visit Reason
This document serves as a licensure renewal application and verification for Grandview Assisted Living Facility, confirming the facility's license renewal and occupancy capacity.

Findings
The documents certify that Grandview Assisted Living Facility meets statutory requirements for licensure renewal with a licensed capacity of 50 beds. The Nebraska State Fire Marshal issued an occupancy permit confirming the maximum occupancy of 50 beds.

Report Facts
Renewal Fees: 950 Renewal Fees: 1450 Renewal Fees: 1650 Renewal Fees: 1950 Total licensed beds: 50

Employees mentioned
NameTitleContext
Melinda RowseAdministratorNamed as the facility administrator on the renewal application and letter.

Notice

Capacity: 50 Deficiencies: 0 Date: APP2018

Visit Reason
The document serves as the licensure renewal application and verification for Grandview Assisted Living Facility, confirming compliance with statutory requirements and renewal of the assisted-living facility license.

Findings
The documents confirm that Grandview Assisted Living Facility is licensed for 50 beds, with no deficiencies or inspection findings reported. The occupancy permit issued by the Nebraska State Fire Marshal confirms a maximum occupancy of 50 beds.

Report Facts
Total licensed beds: 50

Employees mentioned
NameTitleContext
Lisa WoitalewiczAdministratorNamed as the facility administrator and signatory on renewal documents.
Dale ZadinaPresidentNamed as President of the Board of Grandview Assisted and Independent Living.
Jim NovotnyVice PresidentNamed as Vice President of the Board of Grandview Assisted and Independent Living.
Max CruikshankTreasurerNamed as Treasurer of the Board of Grandview Assisted and Independent Living.
Dorothy AndreesenSecretaryNamed as Secretary of the Board of Grandview Assisted and Independent Living.
Dan SpilinekBoard MemberNamed as Board Member of Grandview Assisted and Independent Living.
Candi ZieglerBoard MemberNamed as Board Member of Grandview Assisted and Independent Living.
Jim ZieglerBoard MemberNamed as Board Member of Grandview Assisted and Independent Living.

Document

Capacity: 50 Deficiencies: 0 Date: APP2020

Visit Reason
The document set pertains to the renewal of the assisted-living facility license for Grandview Assisted Living Facility, including submission of the renewal application and related certifications.

Findings
No inspection findings or deficiencies are reported. The documents include a license renewal certificate valid through 4/30/2021, a fire marshal occupancy permit for 50 beds issued on 5/31/2019, and detailed floor plans of the facility.

Report Facts
Total licensed capacity: 50 Fire marshal maximum occupancy: 50

Notice

Capacity: 50 Deficiencies: 0 Date: APP2021

Visit Reason
This document serves to verify the assisted-living facility's license renewal and includes the renewal application for Grandview Assisted Living Facility.

Findings
The document confirms that Grandview Assisted Living Facility meets statutory requirements for licensure and provides renewal details including capacity and ownership information.

Report Facts
Total licensed beds: 50 Renewal license fees: 1650

Employees mentioned
NameTitleContext
Megan GotschallAdministratorNamed in the renewal application as facility administrator

Notice

Capacity: 50 Deficiencies: 0 Date: APP2022

Visit Reason
The document serves to verify that the Grandview Assisted Living Facility is licensed through the date indicated on the renewal card and includes the renewal application and occupancy permit.

Findings
The documents confirm the facility's licensure status, renewal application details, and occupancy permit with a maximum capacity of 50 beds. No inspection findings or deficiencies are reported.

Report Facts
Total licensed capacity: 50 Renewal license expiration date: Expires 4/30/2023 as shown on the renewal card.

Notice

Capacity: 50 Deficiencies: 0 Date: APP2023

Visit Reason
This document serves as a renewal application and verification of licensure for Grandview Assisted Living Facility, confirming that the facility meets statutory requirements and is licensed through the indicated renewal date.

Findings
The documents certify that Grandview Assisted Living Facility meets statutory requirements for licensure and holds a valid occupancy permit for 50 beds, with no deficiencies or inspection findings noted.

Report Facts
Total licensed beds: 50

Notice

Capacity: 50 Deficiencies: 0 Date: APP2025

Visit Reason
The documents serve to verify the renewal of the assisted-living facility license and provide occupancy permit details for Grandview Assisted Living Facility.

Findings
The documents confirm that the facility meets statutory requirements for licensure, the license renewal is valid through 4/30/2026, and the occupancy permit allows a maximum of 50 beds.

Report Facts
Total licensed beds: 50

Employees mentioned
NameTitleContext
Megan GotschallAdministratorNamed on the renewal application form.
Candace ZieglerAuthorized RepresentativeSigned the renewal application form.
James NovotnyAuthorized RepresentativePrinted name on the renewal application form.
Kyle WoodgateDeputy State Fire MarshalInspected the facility and approved the occupancy permit.

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