Inspection Reports for Heritage Crossings

501 NORTH 13TH STREET, GENEVA, NE, 68361

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Deficiencies (last 10 years)

Deficiencies (over 10 years) 6.1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

45% worse than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

16 12 8 4 0
2010
2011
2012
2014
2015
2016
2017
2018
2020
2023

Census

Latest occupancy rate 85% occupied

Based on a May 2018 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

0 20 40 60 80 Aug 2010 Nov 2011 Feb 2014 Feb 2016 May 2017 May 2018

Inspection Report

Renewal
Capacity: 30 Deficiencies: 0 Date: Mar 23, 2023

Visit Reason
The document is a renewal application and license verification for the assisted-living facility Heritage Crossings, confirming licensure through the renewal date and compliance with renewal requirements.

Findings
The facility is licensed as an assisted-living facility with a total licensed capacity of 30 beds. The renewal application was completed and signed by authorized representatives on March 23, 2023.

Report Facts
Total licensed beds: 30

Employees mentioned
NameTitleContext
Brian StuhrAuthorized RepresentativeSigned renewal application
Glenn Van EkerenAuthorized RepresentativeSigned renewal application
Sherri DueAdministratorListed on renewal application

Notice

Capacity: 30 Deficiencies: 0 Date: Apr 15, 2020

Visit Reason
This document serves as a renewal application for the assisted-living facility license for Heritage Crossings and includes related licensing and occupancy permit information.

Findings
The documents verify that Heritage Crossings meets statutory requirements for licensure as an assisted-living facility with a maximum occupancy of 30 beds, and includes a fire marshal occupancy permit.

Report Facts
Total licensed beds: 30 Renewal application date: Apr 15, 2020 Occupancy permit date issued: Oct 30, 2019

Employees mentioned
NameTitleContext
Jack D. VetterAuthorized RepresentativeSigned the renewal application.
Glenn Van EkerenAuthorized RepresentativeSigned the renewal application.

Notice

Capacity: 30 Deficiencies: 0 Date: May 3, 2018

Visit Reason
This document serves to verify that Heritage Crossings Assisted-Living Facility is licensed through the indicated renewal date and includes the occupancy permit specifying the maximum capacity of 30 beds.

Findings
The document confirms the facility's licensure status and renewal through April 30, 2019, and provides the occupancy permit issued by the Nebraska State Fire Marshal with a maximum occupancy of 30 beds.

Report Facts
Total licensed beds: 30

Inspection Report

Complaint Investigation
Census: 58 Capacity: 68 Deficiencies: 5 Date: May 2, 2018

Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Heritage Crossings from May 2, 2018 to May 14, 2018, by representatives of the Department of Health and Human Services Division of Public Health.

Complaint Details
The complaint alleged the facility failed to implement interventions to prevent injuries. The investigation found the facility did implement interventions and no violation was identified.
Findings
The facility implemented interventions to prevent injuries and no violation was found related to the complaint. Observations and interviews confirmed individualized safety interventions were in place and staff were knowledgeable. Additionally, a wall damage deficiency was found and corrected. Other deficiencies related to life safety and fire safety were also identified.

Deficiencies (5)
Facility failed to ensure walls in resident rooms were free from holes and damage, affecting 2 residents.
Doors to hazardous areas failed to positively latch into the door frame in 2 of 5 smoke compartments.
Facility lacked a complete policy regarding procedures when sprinkler system is out of service for more than 10 hours in 24-hour period.
Fire drills were not conducted at random times and fire alarm was not activated during second shift drills for 3 of 5 quarters.
Facility failed to assess integrity, resistance, leakage current, and UL listing of power strips throughout the facility.
Report Facts
Facility census: 58 Total licensed capacity: 68 Sample size: 17 Number of holes in wall: 9 Number of residents affected by wall damage: 2 Number of skilled certified beds: 68 Facility census at life safety survey: 56 Number of smoke compartments with door latch issues: 2 Number of residents affected by door latch issues: 22 Number of fire drills conducted less than 1 hour apart: 2 Number of quarters with second shift fire drills without alarm activation: 3

Employees mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned complaint investigation letter
Laura LeaAdministratorNamed in complaint investigation and facility staffing forms
Maintenance SupervisorNamed in relation to wall repair and door latch corrective actions
Maintenance Staff AInterviewed regarding door latch issues and fire drill alarm activation
Maintenance Manager AInterviewed regarding fire watch policy
Administration Staff AInterviewed regarding power strip assessment and fire drill documentation

Inspection Report

Routine
Census: 27 Deficiencies: 1 Date: Nov 29, 2017

Visit Reason
The inspection was conducted to review compliance with medication administration policies and procedures at the assisted-living facility.

Findings
The facility failed to ensure that medication administration policies and procedures were reviewed annually as required. The Registered Nurse Resident Service Coordinator confirmed the lack of documentation for annual review and reported ongoing revisions due to a new computer system.

Deficiencies (1)
Failure to ensure medication administration policies and procedures are reviewed annually.
Report Facts
Census: 27

Employees mentioned
NameTitleContext
C. LichtyRN AL CoordinatorNamed as person responsible for correction of medication administration policy violation

Inspection Report

Renewal
Capacity: 68 Deficiencies: 0 Date: Jul 1, 2017

Visit Reason
The document package relates to the renewal and change of ownership of the Skilled Nursing Facility license for Heritage Crossings, effective July 1, 2017.

Findings
The documents include the issuance of a new Skilled Nursing Facility license due to change of ownership, confirmation of licensure, occupancy permit with a maximum capacity of 68 beds, and a lease agreement between Manor of Geneva, Inc. and VSL Geneva, LLC for the facility property. No deficiencies or violations are noted.

Report Facts
Total licensed beds: 68 License issuance date: Jul 1, 2017 License expiration date: Mar 31, 2018

Employees mentioned
NameTitleContext
Thomas L. WilliamsChief Medical Officer, Director, Division of Public HealthSigned licensure issuance documents
Laura LeaDirector of NursingNamed in licensure application
Linnea DetrickAdministratorNamed in licensure application
Jack D. VetterChairman of the Board and CEOListed as officer of Manor of Geneva, Inc. and VSL Geneva, LLC
Shari TerryChief Operations OfficerAuthor of cover letter submitting change of ownership documents

Inspection Report

Annual Inspection
Census: 49 Capacity: 68 Deficiencies: 10 Date: May 1, 2017

Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Heritage Crossings from April 24, 2017 to May 3, 2017 by the Department of Health and Human Services Division of Public Health.

Complaint Details
The visit included a complaint investigation regarding allegations that the facility failed to put interventions in place to prevent injuries. The complaint was unsubstantiated as the facility was found to protect residents from injury.
Findings
The facility was found to have no violation related to injury prevention interventions. However, multiple deficiencies were identified related to life safety code including missing exit signage, hazardous area door latching failures, sprinkler system maintenance issues, electrical panel labeling and separation, fire drill scheduling, GFCI protection, emergency generator annunciator location, and securing the natural gas supply valve for the generator.

Deficiencies (10)
Failed to provide an exit sign for the second required exit in 1 of 5 smoke compartments (200 Hall).
Doors protecting hazardous areas failed to close and latch within the door frame, allowing smoke and fire to migrate into exit corridors.
Failed to maintain sprinkler system by not providing a means to accurately conduct an annual flow test of the main drain.
Failed to have a complete policy regarding procedures when sprinkler system is out of service for more than 10 hours in 24-hour period.
Failed to provide a complete directory identifying circuits in electrical panels, risking delay and injury during electrical emergencies.
Failed to hold fire drills under varied conditions on each shift for all quarters reviewed.
Failed to install Ground Fault Circuit Interrupter (GFCI) protected outlets at sink location in Resident Room 101.
Failed to provide a separate Life Safety Branch for the Type II essential electrical system; life safety and non-life safety circuits intermixed.
Failed to provide a remote audible annunciator panel for the emergency generator in an attended location.
Failed to run natural gas generator monthly under available load and failed to secure supply valve for gas supply to generator.
Report Facts
Facility census: 49 Total licensed capacity: 68 Deficiency counts: 10

Employees mentioned
NameTitleContext
Linnea DetrickAdministratorNamed in the cover letter and waiver requests
Eve LewisProgram Manager - Office of LTC Facilities - Licensure UnitSigned complaint investigation letter
Maintenance Staff AInterviewed and confirmed multiple deficiencies related to maintenance issues
Administration Staff AInterviewed and confirmed multiple deficiencies

Inspection Report

Complaint Investigation
Census: 58 Deficiencies: 1 Date: Apr 18, 2016

Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to ensure residents see health care practitioners of their choosing and failure to provide care and services according to practitioner's orders.

Complaint Details
The complaint alleged the facility failed to ensure residents see health care practitioners of their choosing and failed to provide care and services according to practitioner's orders. The investigation found no violation regarding choice of practitioners but confirmed failure to coordinate care with specialty physicians.
Findings
The facility ensured residents could see their chosen health practitioners, so no violation was found on that issue. However, the facility failed to coordinate care by notifying specialty physicians of resident care needs, resulting in vision loss for one resident due to missed eye injections.

Deficiencies (1)
Facility failed to provide treatment by not coordinating care with a specialty physician for one resident related to hip fracture care and vision care, causing vision loss.
Report Facts
Facility census: 58 Deficiency severity: 1

Employees mentioned
NameTitleContext
Linnea DetrickAdministratorNamed as facility administrator in complaint investigation
Dan TaylorRN, Training Coordinator - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned complaint investigation letter
LPN ALicensed Practical NurseInterviewed regarding care coordination and appointment scheduling for Resident 1
Director of NursingDirector of NursingInterviewed about care coordination between specialists
Eye SpecialistInterviewed and confirmed missed injections caused vision loss
Dan WeissRN, Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSConducted Informal Dispute Resolution Conference
Eve LewisRNC, Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSent Informal Dispute Resolution decision letter
Becky WisellAdministrator, Licensure UnitSent Notice of Department of Health and Human Services Decision following Informal Dispute Resolution

Inspection Report

Renewal
Capacity: 68 Deficiencies: 0 Date: Feb 18, 2016

Visit Reason
The document is a Nursing Home Licensure Renewal Application and related certification and occupancy permit for Heritage Crossings, verifying the facility's license renewal and capacity.

Findings
The documents confirm that Heritage Crossings meets statutory requirements for licensure renewal as a Skilled Nursing Facility and Nursing Facility, with a licensed capacity of 68 beds. The Nebraska State Fire Marshal issued an occupancy permit for the maximum occupancy of 68 beds.

Report Facts
Number of beds to be relicensed: 68 Maximum Occupancy: 68 Renewal Fees: 1550

Employees mentioned
NameTitleContext
Edward RemmAdministratorNamed in Nursing Home Licensure Renewal Application
Laura LeaDirector of NursingNamed in Nursing Home Licensure Renewal Application

Inspection Report

Complaint Investigation
Census: 62 Deficiencies: 15 Date: Feb 11, 2016

Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Heritage Crossings on February 8, 2016-February 11, 2016, by representatives of the Department of Health and Human Services Division of Public Health. The complaint allegation was that the facility fails to protect residents from residents with adverse behaviors.

Complaint Details
The complaint allegation was that the facility fails to protect residents from residents with adverse behaviors. The investigation found the facility did protect residents from residents with adverse behaviors and had interventions in place to prevent adverse behaviors.
Findings
The facility did protect residents from residents with adverse behaviors. The facility was found in compliance with regulations related to the complaint. However, multiple life safety code deficiencies were identified including issues with fire rated ceilings, smoke barrier doors, emergency lighting, fire drills, sprinkler system maintenance, fire extinguisher placement, exit signage, oxygen cylinder storage, and generator fuel shutoff security.

Deficiencies (15)
Failed to provide a one-hour rated ceiling in the 200 Hall Wet Closet and 100 Hall Utility Room.
Failed to ensure that 1 of 4 sets of smoke separation doors (100 Hall) were capable of resisting the passage of smoke.
Failed to provide a positive latching door (kitchen utility room) for a hazard area and failed to provide separation of a hazard area (200 hall storage area) from the corridor.
Failed to maintain delayed egress hardware so it would release with the application of not more than 15 pounds of force.
Failed to provide illumination of the exit discharge for five exits so that the failure of any single lighting fixture (bulb) did not leave the area in darkness.
Failed to provide uninterruptable emergency lighting in the 100 Hall corridor, Multi-purpose Room, Chapel, Dining Room and Café area.
Failed to provide an exit sign for the second required exit (Cafe) in 1 of 5 smoke compartments.
Failed to hold fire drills under varied conditions and failed to activate the fire alarm during the fourth quarter, 1st shift drill.
Allowed unsealed penetrations around sprinkler piping in two resident rooms and failed to maintain the required clearance to the sprinkler heads in 2 Resident closets.
Failed to secure and install two fire extinguishers in the Service Corridor.
Failed to ensure that the Service exit corridor was free of obstructions.
Failed to ensure that empty oxygen cylinders were labeled and separated from full oxygen cylinders in the Oxygen Storage Room.
Failed to post 'oxygen in use' sign on Resident Room 113.
Failed to secure the shut-off for the gas supply to the generator located outdoors.
Allowed storage to obstruct access to the electrical disconnect box in the Utility Room.
Report Facts
Facility census: 62 Deficiency count: 13 Fire drills: 4 Fire drills: 4 Oxygen cylinder storage capacity: 300 Residents potentially affected: 62

Employees mentioned
NameTitleContext
Dan TaylorRN, Training Coordinator - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned complaint investigation letter
Edward RemmAdministratorFacility administrator named in complaint letter
Maintenance AConfirmed multiple life safety deficiencies during interviews
Administration AConfirmed multiple life safety deficiencies during interviews
Maintenance BConfirmed oxygen cylinder storage issues during interview

Inspection Report

Annual Inspection
Census: 57 Deficiencies: 9 Date: Feb 18, 2015

Visit Reason
Annual inspection of Heritage Crossings nursing facility to assess compliance with federal and state regulations including Life Safety Code standards.

Findings
The facility was found to be in compliance with long term care regulations except for several Life Safety Code deficiencies including use of non-flame retardant plastic as a dust barrier, unsealed smoke barrier penetrations, hazardous storage areas, missing handrails on boiler room steps, non-functional emergency lighting, incomplete fire drills, missing monthly fire extinguisher inspections, snow obstructing an exit, and improper electrical wiring in a resident room.

Deficiencies (9)
Use of plastic as a dust barrier during construction that was not labeled as flame retardant in 1 of 5 smoke compartments affecting 22 residents.
Failed to seal smoke barrier penetrations in 5 of 5 smoke barriers allowing potential smoke migration affecting all residents.
Failed to separate hazardous areas from exit corridor in 2 of 5 smoke compartments; kitchen door failed to latch and combustible storage in temporary storage room without self-closing door.
Missing handrails on 2 sets of steps in the Boiler Room, risking occupant balance loss.
Battery backup emergency light in Boiler Room failed to function.
Fire drills not conducted quarterly on each shift; fire alarm not sounded during 2nd shift drill on 8/30/14 and drills not varied in timing.
Wet chemical fire extinguisher in Kitchen not inspected monthly since October 2014.
One of nine exit discharges obstructed by snow accumulation outside Chapel exit, potentially preventing safe egress for approximately 30 residents.
Use of a 3-outlet power tap in Resident Room 104, not in compliance with electrical wiring standards, posing electrical fire risk.
Report Facts
Facility census: 57 Residents affected: 22 Residents affected: 30 Fire drills missing: 2 Fire extinguisher inspections missed: 4

Employees mentioned
NameTitleContext
Maintenance AConfirmed multiple deficiencies including unsealed smoke barriers, missing handrails, non-functional emergency light, fire drill issues, fire extinguisher inspection lapse, snow removal, and electrical wiring violation.
Contractor AConfirmed plastic used as dust barrier was not flame retardant.

Inspection Report

Life Safety
Census: 59 Deficiencies: 9 Date: Feb 5, 2014

Visit Reason
The inspection was conducted to assess compliance with the Life Safety Code of the National Fire Protection Association and related regulations for skilled nursing and intermediate care facilities.

Findings
The facility was found to have multiple life safety deficiencies including failure to provide adequate smoke barriers, improper fire door operation, missing smoke detectors in fire alarm power supply areas, failure to maintain sprinkler systems, lack of flame retardant window coverings, missing oxygen storage signage, unlabeled emergency generator shutoff valves, and improper electrical wiring use.

Deficiencies (9)
Failed to provide smoke barriers with at least ½ hour fire resistance rating for 1 of 5 smoke barriers, affecting 11 residents in the 200 Wing.
Failed to separate a hazardous area from the exit corridor in 1 of 5 smoke compartments; a manual roll-down fire shutter over the Kitchen Serving Window was not tied into the fire alarm.
Magnetic lock on 100 Wing Exit/Assisted Living Doors failed to remain unlocked while fire alarm was activated, affecting 18 residents.
Failed to install a smoke detector in the location of fire alarm power supply equipment in 1 of 5 smoke compartments.
Failed to maintain sprinkler system in accordance with NFPA 25; quarterly testing not performed.
Failed to provide documentation that window dressings (plastic mini-blinds) in 1 of 5 smoke compartments were flame retardant.
Failed to install signage on oxygen storage closet to notify occupants of oxidizing gases stored within, affecting 3 residents in the Ice Cream Room.
Failed to maintain emergency generator in accordance with NFPA 110; shutoff valves unlabeled and generator not run at full load for required duration.
Failed to use electrical wiring and equipment in accordance with NFPA 70; coffee maker plugged into power strip instead of wall outlet.
Report Facts
Facility census: 59 Residents affected by smoke barrier deficiency: 11 Residents affected by hazardous area separation deficiency: 79 Residents affected by magnetic lock deficiency: 18 Residents affected by oxygen storage signage deficiency: 3 Timeframe for emergency generator full load test: 36 Timeframe for emergency generator full load test: 48

Employees mentioned
NameTitleContext
Maintenance AConfirmed multiple deficiencies including smoke barrier penetrations, fire shutter wiring, magnetic lock issues, missing smoke detector, sprinkler testing, oxygen signage, emergency generator testing, and electrical wiring issues.
Stephanie WittAdministratorSigned initial comments and plan of correction documents.

Inspection Report

Life Safety
Census: 56 Deficiencies: 3 Date: Dec 4, 2012

Visit Reason
The inspection was conducted to assess compliance with the 2000 Edition of the Life Safety Code of the National Fire Protection Association, specifically for existing health care occupancies, focusing on fire safety standards and hazardous area protections.

Findings
The facility failed to maintain corridor doors to close and latch properly, failed to provide adequate separation of hazardous areas with fire-resistant materials, and lacked proper signage for kitchen fire extinguisher use. These deficiencies potentially affected all staff and residents, with a census of 56 at the time of the survey.

Deficiencies (3)
Failure to maintain corridor door to the Dirty Dish room to close and latch, allowing passage of smoke and heated gases.
Failure to provide separation of hazardous areas from other compartments due to holes around phone wires, unapproved foam in boiler room walls, and unsealed penetrations around conduits.
Failure to provide a placard for the kitchen fire extinguisher indicating its use as a secondary backup to the automatic fire suppression hood system.
Report Facts
Facility census: 56 Residents potentially affected: 38

Employees mentioned
NameTitleContext
Maintenance Staff AInterviewed confirming deficiencies related to corridor door and hazardous area penetrations
Kitchen Staff AInterviewed regarding fire extinguisher use and placard requirement

Inspection Report

Complaint Investigation
Census: 17 Deficiencies: 1 Date: Nov 8, 2011

Visit Reason
The inspection was conducted to determine compliance with licensure regulations for Assisted-Living Facilities following a complaint investigation at Heritage Crossings.

Complaint Details
The visit was complaint-related, triggered by concerns about complex nursing interventions provided to Resident 2. The facility was found noncompliant and required to submit a statement of compliance.
Findings
The facility was found to have committed violations related to complex nursing interventions, specifically failing to provide proper dressing changes and staff education for Resident 2. The facility acknowledged the issues and submitted a statement of compliance outlining corrective actions.

Deficiencies (1)
Facility staff provided complex nursing interventions for Resident 2 without proper staff education and documentation of dressing changes.
Report Facts
Residents reviewed for complex nursing interventions: 4 Facility census: 17 Days to correct violations: 90 Days to submit statement of compliance: 10

Employees mentioned
NameTitleContext
Anna HarrisonRegistered NurseSurveyor who conducted the inspection
Ruth BeckerAdministratorFacility administrator named in statement of compliance
Eve LewisRN-C AdministratorOffice of Long Term Care Facilities, signed notification letter

Inspection Report

Complaint Investigation
Census: 58 Capacity: 68 Deficiencies: 2 Date: Nov 2, 2011

Visit Reason
The inspection was conducted to investigate allegations related to compliance with regulations for long term care facilities and skilled nursing facilities, including life safety code standards.

Complaint Details
The facility was investigated for allegations under 42 CFR Part 483 Subpart B and Title 175, Chapter 12 regulations. The complaint was found to be unsubstantiated as the facility was in compliance with long term care regulations but had deficiencies in life safety code standards.
Findings
The facility was found to be in compliance with long term care regulations but failed to maintain one battery backup emergency light and failed to use electrical wiring and equipment in accordance with National Fire Protection Association standards, affecting one resident. The emergency light did not function and a non-compliant power strip was found in a resident room.

Deficiencies (2)
Failed to maintain 1 of 1 battery backup emergency lighting units in accordance with NFPA 101, 7.9, leaving staff or visitors in darkness inside the Boiler Room.
Failed to use electrical wiring and equipment in accordance with NFPA 70 in 1 of 59 resident rooms, creating potential electrical fire risk.
Report Facts
Facility census: 58 Total capacity: 68 Resident rooms affected: 1

Employees mentioned
NameTitleContext
Maintenance AConfirmed emergency light did not function and acknowledged findings about power strip

Inspection Report

Plan of Correction
Census: 48 Deficiencies: 5 Date: Aug 20, 2010

Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to comprehensive resident assessments, care planning, infection control, medication management, and other care standards at Heritage Crossings nursing facility.

Findings
The facility was found deficient in conducting accurate comprehensive assessments of residents' functional capacity and dental conditions, revising care plans to reflect current resident status, preventing infection spread, and ensuring proper medication review and management. Plans of correction were submitted to address these deficiencies.

Deficiencies (5)
Failed to ensure accurate assessment of functional range of motion and dental condition for residents.
Failed to review and revise care plans to reflect current resident status.
Failed to complete bladder assessments and implement toileting plans for residents with incontinence.
Failed to ensure drug irregularities were reported to physicians and monitored.
Failed to establish and maintain an infection control program to prevent spread of infection.
Report Facts
Facility census: 48 Sample size: 28 Correction date: Oct 4, 2010 Deficiencies cited: 5

Employees mentioned
NameTitleContext
RN BRegistered NurseObserved washing hands improperly during resident care
LPN ZLicensed Practical NurseConfirmed incomplete bowel and bladder assessments
LPN QLicensed Practical NurseInterviewed regarding resident toileting and continence
Director of NursingDONInterviewed regarding assessment and care plan deficiencies and infection control
Consulting PharmacistPharmacistReported drug irregularities and medication monitoring issues

Notice

Capacity: 68 Deficiencies: 0

Visit Reason
This document serves to verify the renewal of the SNF/NF dual certification license for Heritage Crossings and includes the nursing home licensure renewal application and occupancy permit.

Findings
The documents confirm that Heritage Crossings meets statutory requirements for licensure renewal as a skilled nursing facility with a licensed capacity of 68 beds. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 68

Employees mentioned
NameTitleContext
Laura LeaAdministratorNamed on the Nursing Home Licensure Renewal Application.
Sharon LambrechtDirector of NursingNamed on the Nursing Home Licensure Renewal Application.
Gary J. Amhone, MDChief Medical Officer, Director, Division of Public HealthNamed on the license renewal verification card.

Notice

Capacity: 68 Deficiencies: 0

Visit Reason
The documents serve to verify the renewal of the SNF/NF dual certification license for Heritage Crossings and include the nursing home licensure renewal application, ownership and officer information, and the Nebraska State Fire Marshal occupancy permit.

Findings
No inspection findings or deficiencies are reported; the documents primarily confirm licensure renewal, ownership details, and occupancy permit status.

Report Facts
Total licensed beds: 68 Renewal license expiration date: Expires 2024-03-31 as shown on the renewal card. Occupancy permit issue date: Date issued 2022-10-25 as shown on the Nebraska State Fire Marshal occupancy permit.

Employees mentioned
NameTitleContext
Sharon LambrechtDirector of NursingNamed in the Nursing Home Licensure Renewal Application.
Sherri DueAdministratorNamed in the Nursing Home Licensure Renewal Application.
Brian StuhrTreasurerListed as an officer of Vetter Senior Living and Disregarded LLCs.
Glenn Van EkerenPresidentListed as an officer of Vetter Senior Living and Disregarded LLCs.
Jack D. VetterChairman of the Board and CEOListed as an officer of Vetter Senior Living and Disregarded LLCs.
Eldora D. VetterSecretaryListed as an officer of Vetter Senior Living and Disregarded LLCs.
Shari TerryListed as a board member of Vetter Senior Living and Disregarded LLCs.

Notice

Capacity: 68 Deficiencies: 0

Visit Reason
The document serves as a renewal application for the nursing home license of Heritage Crossings and includes verification of licensure, ownership information, and occupancy permit details.

Findings
The documents confirm that Heritage Crossings meets statutory requirements for licensure renewal as a Skilled Nursing Facility with 68 licensed beds and includes certification of occupancy by the Nebraska State Fire Marshal.

Report Facts
Total licensed beds: 68

Employees mentioned
NameTitleContext
Sherri DueAdministratorNamed in the Nursing Home Licensure Renewal Application.
Amanda GrantDirector of NursingNamed in the Nursing Home Licensure Renewal Application.
Brian StuhrTreasurerListed as Treasurer of Vetter Senior Living & Related Disregarded LLC's Board of Directors.
Glenn Van EkerenPresidentListed as President of Vetter Senior Living & Related Disregarded LLC's Board of Directors and authorized representative on renewal application.
Jack D. VetterChairman of the Board and CEOListed as Chairman of the Board and CEO of Vetter Senior Living & Related Disregarded LLC's Board of Directors.
Eldora D. VetterSecretaryListed as Secretary of Vetter Senior Living & Related Disregarded LLC's Board of Directors.
Shari TerryListed as a member of the Board of Directors of Vetter Senior Living & Related Disregarded LLC.

Document

Capacity: 68 Deficiencies: 0

Visit Reason
The documents serve to renew the nursing home license for Heritage Crossings, verify licensure status, provide ownership and officer information, and confirm occupancy permit details.

Findings
No inspection findings or deficiencies are reported. The documents confirm licensure renewal, ownership structure, and fire marshal occupancy approval for 68 beds.

Report Facts
Total licensed beds: 68 Renewal application date: Mar 10, 2025 Fire marshal permit date: Dec 7, 2023

Employees mentioned
NameTitleContext
Sherri DueAdministratorNamed on the Nursing Home Licensure Renewal Application
Amanda GrantDirector of NursingNamed on the Nursing Home Licensure Renewal Application
Brian StuhrTreasurerListed as Treasurer on the Directors and Officers list
Glenn Van EkerenPresidentListed as President on the Directors and Officers list and signed renewal application

Notice

Capacity: 68 Deficiencies: 0

Visit Reason
This document serves to verify the renewal of the SNF/NF dual certification license for Heritage Crossings and includes the nursing home licensure renewal application and occupancy permit.

Findings
The documents confirm that Heritage Crossings meets statutory requirements for licensure renewal as a skilled nursing facility with a total licensed capacity of 68 beds. The occupancy permit issued by the Nebraska State Fire Marshal approves the facility for 68 beds.

Report Facts
Number of beds to be relicensed: 68 Total licensed capacity: 68

Employees mentioned
NameTitleContext
Linnea DetrickAdministratorNamed in Nursing Home Licensure Renewal Application
Laura LeaDirector of NursingNamed in Nursing Home Licensure Renewal Application
Jack D. VetterAuthorized RepresentativeSigned Nursing Home Licensure Renewal Application and listed as President and Chair of the Board & CEO in corporate documents
Todd D. VetterAuthorized Representative and Assistant SecretarySigned Nursing Home Licensure Renewal Application and listed as Assistant Secretary in corporate documents

Notice

Capacity: 68 Deficiencies: 0

Visit Reason
The document serves to verify the renewal of the SNF/NF dual certification license for Heritage Crossings through 3/31/2019 and includes an occupancy permit for Ridgewood Rehabilitation Center with a maximum occupancy of 82 beds.

Findings
The documents confirm the licensing status and capacity of Heritage Crossings and Ridgewood Rehabilitation Center, provide ownership and corporate officer information, and include a fire marshal occupancy permit with maximum occupancy limits.

Report Facts
Total licensed beds: 68 Maximum occupancy: 82

Employees mentioned
NameTitleContext
Jack D. VetterCEO and Chairman of the BoardNamed as CEO and Chairman of the Board in ownership and corporate officer information
Glenn Van EkerenPresidentNamed as President in ownership and corporate officer information
Laura LeaAdministratorNamed as Administrator of Heritage Crossings
Sarah YokelDirector of NursingNamed as Director of Nursing of Heritage Crossings
Susen LindnerDeputy State Fire MarshalInspected Ridgewood Rehabilitation Center for occupancy permit

Notice

Capacity: 68 Deficiencies: 0

Visit Reason
This document serves to verify that Heritage Crossings' SNF/NF dual certification license is renewed through the date indicated on the renewal card and includes the occupancy permit issued by the Nebraska State Fire Marshal.

Findings
The document confirms the facility meets statutory requirements for licensure renewal and includes the occupancy permit with a maximum capacity of 68 beds. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 68

Document

Capacity: 68 Deficiencies: 0

Visit Reason
The documents include a nursing home licensure renewal application, license verification, and related corporate and fire marshal documentation for Heritage Crossings.

Findings
No inspection findings or deficiencies are reported. The documents verify licensure status, ownership, and facility capacity, and provide a fire marshal occupancy permit and floor plan.

Report Facts
Total licensed beds: 68 Assisted living beds: 30

Employees mentioned
NameTitleContext
Laura LeaAdministratorNamed on the Nursing Home Licensure Renewal Application.
Sharon LambrechtDirector of NursingNamed on the Nursing Home Licensure Renewal Application.
Jack D. VetterChairman of the Board and CEOListed as officer of Vetter Senior Living and related corporations.
Eldora D. VetterSecretaryListed as officer of Vetter Senior Living and related corporations.
Glenn Van EkerenPresidentListed as officer of Vetter Senior Living and related corporations.
Brian StuhrTreasurerListed as officer of Vetter Senior Living and related corporations.

Notice

Capacity: 68 Deficiencies: 0

Visit Reason
This document serves as a licensure renewal verification and application for Heritage Crossings nursing home, confirming the facility's license status and renewal fees, along with occupancy permit details.

Findings
The documents certify that Heritage Crossings meets statutory requirements for licensure renewal and occupancy with a maximum capacity of 68 beds. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 68 Renewal licensure fee: 1550

Employees mentioned
NameTitleContext
Laura LeaAdministratorNamed on Nursing Home Licensure Renewal Application.
Sharon LambrechtDirector of NursingNamed on Nursing Home Licensure Renewal Application.
Jack D VetterAuthorized RepresentativeSigned Nursing Home Licensure Renewal Application.
Glenn Van EkerenAuthorized RepresentativeSigned Nursing Home Licensure Renewal Application.
Gary J. Anthone, MDChief Medical Officer, Director, Division of Public HealthSigned licensure verification card.
Mark ManchesterDeputy State Fire MarshalInspected and approved occupancy permit.

Notice

Capacity: 43 Deficiencies: 0 Date: APP2016

Visit Reason
This document serves as a licensure renewal application and verification for the assisted-living facility Heritage Crossings, including renewal of the facility license and occupancy permit.

Findings
The documents confirm that Heritage Crossings meets statutory requirements for licensure as an assisted-living facility, with a total licensed capacity of 43 beds as per the occupancy permit.

Report Facts
Total number of beds to be relicensed: 30 Maximum occupancy: 43 Renewal fees: 950

Employees mentioned
NameTitleContext
Todd D. VetterAuthorized RepresentativeSigned the licensure renewal application
Jack D. VetterPresidentListed as Board of Directors and Officer of Vetter Holding, Inc.
Eldora D. VetterVice PresidentListed as Board of Directors and Officer of Vetter Holding, Inc.

Notice

Capacity: 30 Deficiencies: 0 Date: APP2017

Visit Reason
This document serves as a licensure renewal application and verification for the assisted-living facility Heritage Crossings, including renewal fees, ownership information, and occupancy permit details.

Findings
The documents confirm that Heritage Crossings is licensed as an assisted-living facility with a total licensed capacity of 30 beds. An occupancy permit was issued on 2016-03-24 by the Nebraska State Fire Marshal, approving the facility for 30 beds.

Report Facts
Total licensed beds: 30 Renewal fees: 1450 Occupancy permit date: Mar 24, 2016

Employees mentioned
NameTitleContext
Linnea DetrickAdministratorNamed as the facility administrator in the licensure renewal application.
Pat MerrickDeputy State Fire MarshalInspected the facility and approved the occupancy permit.

Notice

Capacity: 30 Deficiencies: 0 Date: APP2019

Visit Reason
This document serves to verify that Heritage Crossings Assisted-Living Facility is licensed through the date indicated on the renewal card and includes an occupancy permit issued for 30 beds.

Findings
The document confirms that Heritage Crossings meets statutory requirements as an assisted-living facility and holds a valid occupancy permit for 30 beds issued on 2018-11-01. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 30 Occupancy permit date issued: Nov 1, 2018

Notice

Capacity: 30 Deficiencies: 0 Date: APP2021

Visit Reason
This document serves to verify that Heritage Crossings is licensed as an assisted-living facility through the date indicated on the renewal card and includes the renewal application for the facility license.

Findings
The document confirms the facility meets statutory requirements for licensure as an assisted-living facility and includes ownership and corporate information, but does not contain inspection findings or deficiencies.

Report Facts
Total licensed beds: 30

Document

Capacity: 30 Deficiencies: 0 Date: APP2022

Visit Reason
The documents serve to verify and renew the assisted-living facility license for Heritage Crossings, including ownership and occupancy details.

Findings
No inspection findings or deficiencies are reported in these documents.

Report Facts
Total licensed beds: 30

Employees mentioned
NameTitleContext
Laura LesAdministratorNamed on the renewal application as facility administrator.
Brian StuhrTreasurerListed as Treasurer of Vetter Senior Living and signer on renewal application.
Glenn Van EkerenPresidentListed as President of Vetter Senior Living and signer on renewal application.

Notice

Capacity: 30 Deficiencies: 0 Date: APP2024

Visit Reason
This document package serves as the renewal licensure notification and application for the assisted-living facility Heritage Crossings, including verification of licensure status and occupancy permit.

Findings
No inspection findings or deficiencies are reported; the documents confirm the facility's licensure renewal status and occupancy permit with a maximum capacity of 30 beds.

Report Facts
Total licensed beds: 30

Notice

Capacity: 30 Deficiencies: 0 Date: APP2025

Visit Reason
This document serves to verify that Heritage Crossings Assisted-Living Facility is licensed through the indicated renewal date and includes an occupancy permit issued by the Nebraska State Fire Marshal.

Findings
The document confirms the facility meets statutory requirements for assisted-living licensure and has a maximum occupancy of 30 beds as per the fire marshal's permit.

Report Facts
Total licensed beds: 30 Renewal license expiration date: License renewal expires on 4/30/2026 as shown on the renewal card Occupancy permit issue date: Occupancy permit issued on 11/27/2023 by Nebraska State Fire Marshal

Document

Capacity: 30 Deficiencies: 0 Date: CHOW2017

Visit Reason
Documents related to the licensing, renewal, and lease agreement for Heritage Crossings, an assisted-living facility in Geneva, Nebraska.

Findings
The documents certify the facility's licensure, including issuance and renewal dates, occupancy permit for 30 beds, and a detailed lease agreement outlining terms, rent, maintenance, insurance, and other contractual obligations.

Report Facts
Total licensed beds: 30 License expiration date: 2018 Licensure issuance date: 2017 Occupancy permit date: 2017 Lease commencement date: 2017 Lease term length: 10

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