Inspection Reports for Heritage of Bel Air
1203 North 13th Street, NORFOLK, NE, 68701
Back to Facility ProfileDeficiencies (last 9 years)
Deficiencies (over 9 years)
7.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
71% worse than Nebraska average
Nebraska average: 4.2 deficiencies/year
Deficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
83% occupied
Based on a April 2018 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Notice
Capacity: 108
Deficiencies: 0
Date: Mar 13, 2025
Visit Reason
This document serves to verify the renewal of the Skilled Nursing Facility/Nursing Facility dual certification license for Heritage of Bel Air through the date indicated on the renewal card.
Findings
The documents confirm the facility's licensure renewal status, ownership information, and occupancy permit details without reporting any inspection findings or deficiencies.
Report Facts
Total licensed beds: 108
Renewal application date: Mar 13, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Zamora | Administrator | Named on Nursing Home Licensure Renewal Application. |
| Kami Hackerott | Director of Nursing | Named on Nursing Home Licensure Renewal Application. |
| Brian Stuhr | Treasurer | Named as officer in corporate documents and authorized representative. |
| Glenn Van Ekeren | President | Named as officer in corporate documents and authorized representative. |
Inspection Report
Annual Inspection
Census: 90
Capacity: 108
Deficiencies: 7
Date: Apr 17, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Heritage Of Bel Air on April 16-19, 2018, by representatives of the Department of Health and Human Services Division of Public Health.
Complaint Details
The inspection included investigation of allegations that the facility failed to protect residents from abuse, failed to immediately report allegations of abuse, and failed to submit investigations within 5 working days. The facility was found to be in compliance with relevant regulatory requirements regarding abuse.
Findings
The facility was found to be in compliance with abuse protection regulations but had deficiencies related to fire safety, sprinkler system maintenance, means of egress, door locking mechanisms, cooking facility safety, fire extinguisher placement, and emergency generator fuel quality.
Deficiencies (7)
Failed to conduct a 3 year air leakage test on the fire sprinkler dry system and failed to prevent obstruction of fire sprinklers by shower curtains without mesh.
Allowed abrupt changes in elevation of walking surfaces in a path of egress exceeding 1/2 inch, creating a tripping hazard.
Failed to post instructions adjacent to delayed egress door release device and delayed egress door required more than 15 pounds of force to activate release.
Failed to train kitchen staff on extinguishing grease fires and failed to maintain grease-tight internal seams and joints of kitchen hood and exhaust system.
Failed to conduct a 3 year air leakage test on the fire sprinkler dry system and failed to maintain intact ceiling tile to ensure sprinkler activation.
Installed fire extinguishers exceeding maximum height of 5 feet above finished floor.
Allowed particle count in emergency generator diesel fuel to exceed acceptable limits, risking generator failure.
Report Facts
Deficiencies cited: 7
Facility census: 90
Total licensed capacity: 108
Fire extinguisher height: 62
Change in elevation: 0.75
Force to activate delayed egress door: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Frederick | Administrator | Named as facility administrator in report. |
| Dan Taylor | RN, Training Coordinator | Signed complaint investigation letter. |
| Maintenance Staff A | Acknowledged and verified multiple fire safety and maintenance deficiencies. | |
| Dietary Manager | Responsible for training dietary staff on fire extinguisher use. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 28, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Heritage Of Bel Air on February 28, 2018, by representatives of the Department of Health and Human Services Division of Public Health.
Complaint Details
The complaint alleged the facility failed to put interventions in place to prevent injuries, failed to submit investigations within 5 working days, and failed to evaluate causal factors for falls. All allegations were found to have no violations.
Findings
The investigation found that the facility implemented interventions to prevent injuries, submitted investigations within five working days, and evaluated causal factors for falls. No violations were determined related to the allegations.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed the report as Training Coordinator, Office of LTC Facilities - Licensure Unit - Division of Public Health |
Inspection Report
Renewal
Capacity: 108
Deficiencies: 0
Date: Jul 1, 2017
Visit Reason
The document package relates to the change of ownership and renewal of the Skilled Nursing Facility license for Heritage of Bel Air, effective July 1, 2017.
Findings
The documents include the license issuance, change of ownership application, Alzheimer's Special Care Unit Disclosure, facility lease agreement, and related supporting materials. The facility is licensed for 108 beds and includes a Memory Support Household for residents with dementia.
Report Facts
Licensed beds: 108
Memory Support Household capacity: 36
License effective date: Jul 1, 2017
License expiration date: Mar 31, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Frederick | Administrator | Named as facility administrator in licensing and disclosure documents. |
| Jack D. Vetter | Chairman of the Board and CEO | Named as Chairman of the Board and CEO of Vetter Senior Living and signatory on lease agreement. |
| Glenn Van Ekeren | President | Named as President of Vetter Senior Living and signatory on lease agreement. |
| Shari Terry | Chief Operations Officer | Signed cover letter submitting change of ownership documents. |
| Eve Lewis | Program Manager | Contact person for licensing questions at Nebraska Department of Health and Human Services. |
Inspection Report
Renewal
Capacity: 108
Deficiencies: 0
Date: Mar 27, 2017
Visit Reason
This document is related to the renewal of the facility license for Heritage of Bel Air, a skilled nursing facility, including certification and compliance with statutory requirements.
Findings
The document includes verification of the facility's SNF/NF dual certification, licensure renewal application details, ownership information, fire marshal occupancy permit, and Alzheimer's Special Care Unit Disclosure with detailed descriptions of memory care philosophy, staffing, training, environment, and family support programs.
Report Facts
Total licensed beds: 108
Maximum endorsed capacity for Alzheimer's Special Care Unit: 36
Renewal license expiration date: 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Frederick | Administrator | Named in licensure renewal application and Alzheimer's Special Care Unit Disclosure |
| Staci Kolm | Director of Nursing | Named in licensure renewal application |
| Jack D. Vetter | Authorized Representative | Signed renewal application and listed as President and Chair of the Board & CEO in ownership information |
| Julie Knobbe | Contact for legal owning entity | Listed in Alzheimer's Special Care Unit Disclosure |
Inspection Report
Annual Inspection
Census: 85
Capacity: 108
Deficiencies: 16
Date: Feb 28, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Heritage Of Bel Air on February 21, 2017-February 28, 2017, by representatives of the Department of Health and Human Services Division of Public Health.
Complaint Details
The complaint allegation was that the facility fails to protect residents from abuse. The investigation found the facility was in compliance with abuse protection regulations.
Findings
The facility was found to be in compliance with abuse protection regulations. However, deficiencies were cited related to nutrition status maintenance, food sanitation, medication storage and administration, and multiple life safety code violations including egress doors, illumination, emergency lighting, exit signage, hazardous area enclosures, corridor separation, fire alarm synchronization, HVAC system, fire drills, electrical receptacles, essential electrical systems, power cords, and oxygen safety.
Deficiencies (16)
Failed to implement weight loss interventions to maintain nutritional parameters and prevent ongoing weight loss for 2 of 28 sampled residents.
Failed to ensure food was prepared and stored in a manner to prevent cross contamination due to dusty soil residue on ceiling light fixtures and juice dispenser filter, and peeling paint in food storage area.
Failed to assure medications were stored and secured at all times to prevent access from unauthorized persons for 1 of 28 sampled residents.
Failed to ensure all staff carried the key to the locked egress gate, potentially delaying egress during emergency.
Failed to provide illumination of the exit discharge so that failure of any single lighting fixture did not leave the area in darkness.
Failed to provide illumination of the exit discharge to the public way, leaving the area in darkness.
Failed to provide an exit sign for the second required exit in 4 of 8 smoke compartments, potentially delaying evacuation.
Failed to maintain doors to hazardous areas to provide smoke resistant partitions; laundry storage door failed to latch and gap between Dutch door leafs exceeded 1/8 inch.
Failed to ensure corridor treatment area was separated from exit corridor, allowing smoke to spread into exit corridor and therapy room.
Failed to ensure corridor room doors resisted passage of smoke; multiple doors had gaps greater than 1/8 inch or lacked latching devices.
Failed to provide protected egress corridors by using corridors as return air plenums for heating and air conditioning systems, potentially spreading smoke and fire.
Failed to hold fire drills under varied conditions during all shifts; third shift drills were only discussions.
Failed to install Ground Fault Circuit Interrupter (GFCI) protected outlets at sink location in resident room.
Failed to use power taps according to their listing and CMS regulations; refrigerator plugged into power strip in Business Office.
Failed to take precautions to prevent creation of oxygen-enriched atmosphere; oxygen concentrator running unattended in resident room.
Failed to assure visual fire alarm devices were synchronized in 2 of 8 smoke compartments, potentially causing seizures.
Report Facts
Facility census: 85
Total licensed capacity: 108
Residents sampled: 28
Weight loss percentage: 5.6
Weight loss percentage: 3.9
Power strip ampere rating: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Frederick | Administrator | Named as facility administrator and signer of documents |
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit | Signed inspection report and correspondence |
| Doug Hohbein | Chief Plans Examiner | Conducted Informal Dispute Resolution Conference |
| Joel Wichman | Vetter Health Services | Participant in Informal Dispute Resolution Conference |
| NA-N | Nursing Assistant | Involved in nutrition and medication administration observations |
| NA-F | Nursing Assistant | Involved in medication administration observations |
| LPN-O | Licensed Practical Nurse | Observed leaving medication unattended with resident |
| Maintenance Staff A | Interviewed regarding fire safety, HVAC, and electrical system deficiencies | |
| Administrative Staff A | Interviewed regarding fire safety and HVAC deficiencies | |
| Dietary Manager | Interviewed regarding food service deficiencies | |
| Registered Nurse J | Interviewed regarding documentation of fortified snack administration | |
| Registered Dietician | Provided dietary recommendations and care plan updates | |
| Director of Nursing | Interviewed regarding fortified snack monitoring and medication administration |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 26, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging the facility failed to ensure residents were free from abuse.
Complaint Details
The complaint alleged the facility failed to ensure residents were free from abuse. The complaint was not substantiated as no violations were found.
Findings
The investigation found that the facility ensured residents were free from abuse, with policies and procedures in accordance with regulatory requirements. Staff and resident interviews, record reviews, and observations confirmed no violation related to abuse.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | Training Coordinator, Licensure Unit, Division of Public Health-DHHS | Signed the report and involved in the investigation. |
Inspection Report
Complaint Investigation
Census: 87
Deficiencies: 1
Date: May 9, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to use fall interventions to prevent injuries.
Complaint Details
The complaint alleged the facility failed to use fall interventions to prevent injuries. The investigation substantiated this allegation with findings that interventions were not implemented for two residents.
Findings
The facility failed to implement fall prevention interventions for two residents with a history of falls, as confirmed by observations, record reviews, and interviews. Specific interventions such as glow call lights, Dycem pads, and silent pressure alarms were either not in place or not used as required.
Deficiencies (1)
Failure to implement fall prevention interventions for two residents (Residents 1 and 3).
Report Facts
Facility census: 87
Residents reviewed: 3
Residents with deficient interventions: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the complaint investigation report |
| Katie Frederick | Administrator | Facility administrator addressed in the report |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 108
Deficiencies: 7
Date: Jan 11, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Heritage Of Bel Air on January 4, 2016-January 11, 2016, by representatives of the Department of Health and Human Services Division of Public Health.
Complaint Details
The complaint alleged the facility failed to use care planned fall interventions to prevent injuries. The investigation confirmed the facility failed to assess causal factors and develop and implement interventions for 3 out of 5 residents reviewed who were at risk for falls and/or injury, including falls with hospitalization and skin tears.
Findings
The facility failed to use care planned fall interventions to prevent injuries for multiple residents, failed to provide proper repositioning assistance, failed to identify causal factors and implement interventions for falls and skin tears, and failed to maintain proper infection control practices including hand hygiene. Life safety code deficiencies were also noted including improper door gaps, missing exit signage, and obstructed sprinkler spray patterns.
Deficiencies (7)
Facility failed to provide care in accordance with plans of care for prevention of falls and skin tears for residents.
Failed to provide repositioning assistance for a dependent resident.
Failed to identify causal factors and implement interventions for prevention of falls and skin tears.
Failed to maintain infection control practices including hand hygiene after glove removal.
Resident corridor doors did not fit tightly within the doorframe to resist passage of smoke.
Missing illuminated exit sign at the end of the east corridor for one of three exits.
Resident room privacy curtain obstructed the spray pattern of the sprinkler head.
Report Facts
Facility census: 94
Facility capacity: 108
Residents affected by privacy curtain deficiency: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Frederick | Administrator | Named in cover letter and signature on inspection report |
| Eve Lewis | RNC, Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Author of complaint investigation letter |
| NA-I | Nursing Assistant | Named in repositioning and incontinent care deficiencies |
| NA-J | Nursing Assistant | Named in repositioning and incontinent care deficiencies and hand hygiene deficiency |
| RN-R | Registered Nurse | Named in fall prevention and care plan deficiencies |
| NA-L | Nursing Assistant | Named in hand hygiene deficiency |
| MA-G | Medication Assistant | Named in hand hygiene deficiency |
| LPN-F | Licensed Practical Nurse | Named in hand hygiene deficiency |
| Administrative Staff A | Named in life safety deficiencies | |
| Maintenance Staff A | Named in life safety deficiencies | |
| Director of Nurses | Named in repositioning and hand hygiene deficiencies |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 15, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to submit a written report about a reported incident within 5 working days.
Complaint Details
The complaint alleged the facility failed to submit a written report regarding a reported incident within 5 working days. The investigation found the facility was in compliance with reporting requirements.
Findings
The facility submitted written reports regarding reported incidents within 5 working days. Reviews of medical records, observations, staff interviews, and policy documents confirmed compliance with regulatory requirements.
Report Facts
Residents reviewed: 3
Staff interviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brenda Orlowski | Registered Nurse | Conducted the complaint investigation visit |
| Eve Lewis | Program Manager | Signed the inspection report letter |
Inspection Report
Routine
Census: 96
Deficiencies: 2
Date: Sep 3, 2015
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.
Findings
The facility failed to ensure that the Minimum Data Set (MDS) assessment accurately reflected the resident's status, specifically failing to code a urinary tract infection (UTI) for Resident 8. Additionally, the facility failed to post accurate nurse staffing information daily as required by federal regulations.
Deficiencies (2)
Failed to ensure the MDS assessment accurately reflected the resident's status by not coding a UTI for Resident 8.
Failed to post accurate nurse staffing information daily, including facility name, current date, resident census, nursing staff categories, actual hours worked, and number of nursing staff per shift.
Report Facts
Facility census: 96
Medication dosage: 750
Medication dosage: 100
Staffing hours: 32
Staffing hours: 16
Staff count: 4
Staff count: 2
Staff count: 3
Staff count: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Nurse A | Confirmed the MDS had not been coded correctly for Resident 8 | |
| Administrator | Confirmed responsibility of ADON for staffing posting and acknowledged inaccuracies in posted staffing information | |
| ADON | Assistant Director of Nursing | Responsible for posting and updating nurse staffing information |
| DON | Director of Nursing | Conducted inservice education and confirmed staffing posting procedures |
Inspection Report
Annual Inspection
Census: 88
Deficiencies: 4
Date: Dec 17, 2014
Visit Reason
The inspection was conducted as an annual survey to assess compliance with state and federal regulations governing skilled nursing facilities, including housekeeping, care services, fall prevention, infection control, and life safety.
Findings
The facility was found non-compliant in several areas including housekeeping and maintenance services due to dusty exhaust vents, failure to provide appropriate care and dietary interventions for residents with swallowing and skin conditions, inadequate fall prevention measures, and improper storage of respiratory equipment leading to infection control risks. The facility was compliant with life safety code requirements.
Deficiencies (4)
Facility failed to maintain a clean and sanitary environment as exhaust vents were observed to be soiled with dust in 8 of 16 resident rooms on the 500 wing.
Facility failed to identify, assess and monitor skin conditions for multiple residents and to provide dietary interventions recommended by the Speech Therapist for prevention of aspiration for one resident.
Facility failed to identify causal factors and develop new interventions to prevent falls for Resident 97.
Facility failed to assure respiratory equipment was stored in a sanitary manner to prevent cross contamination for multiple residents.
Report Facts
Resident rooms with dusty exhaust vents: 8
Facility census: 88
Resident census: 87
Fall incidents: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Director of Nursing | Signed plan of correction and verified findings during interviews |
| NA-S | Nursing Assistant involved in food preparation for Resident 68 | |
| NA-L | Nursing Assistant who verified food consistency for Resident 68 | |
| RN-T | Registered Nurse | Provided information on fall reporting and interventions for Resident 97 |
| DON | Director of Nursing | Verified multiple findings including food consistency, skin condition monitoring, fall documentation, and infection control |
Inspection Report
Complaint Investigation
Census: 89
Deficiencies: 12
Date: Jan 27, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Heritage Of Bel Air on January 16, 2014-January 27, 2014, by representatives of the Department of Health and Human Services Division of Public Health.
Complaint Details
The complaint investigation included allegations that the facility failed to ensure residents' privacy, evaluate use of alarms, protect residents from abuse, report allegations of neglect, keep residents' mail confidential, address complaints/grievances, ensure food preparation according to Food Code, and have sufficient staff. The facility was found compliant on these issues.
Findings
The facility was found to be in compliance with regulations regarding residents' privacy, use of alarms, protection from abuse, reporting allegations of neglect, confidentiality of mail, addressing complaints, food preparation, and staffing sufficiency. Deficiencies were found related to staff credentials, maintenance of nutrition status, unnecessary drug use, and multiple life safety code violations including door gaps, smoke barriers, fire alarm system maintenance, sprinkler system maintenance, kitchen equipment placement, electrical equipment use, and alcohol-based hand rub placement.
Deficiencies (12)
Facility failed to assess and implement nutritional interventions for prevention of weight loss for Resident 113.
Facility failed to assure 1 Medication Aide had current credentials authorizing them to dispense medications.
Resident 8 received Seroquel without an attempt at gradual dose reduction and no documentation of clinical contraindication.
Gap greater than 1/4 inch between door and door frame to Resident room 510 allowing smoke to spread.
Unsealed penetrations around conduit pipes in smoke barrier above barrier doors for 700 wing.
300 Hall smoke/fire doors panic hardware failed to positively latch into the door frame.
Unsealed penetrations around cables and conduit in ceiling of 200 wing boiler room and mechanical room near nurses station.
Fire alarm pull station at 100/200 wing exit blocked by furnishings and decorations.
Automatic sprinkler system not maintained; missing sprinkler head wrench and foreign material on sprinkler heads.
Kitchen cooking equipment not installed in designed location under suppression system.
Electrical equipment improperly used including power taps and extension cords.
Alcohol-based hand rub dispensers installed adjacent to electrical outlets or switches.
Report Facts
Facility census: 89
Facility census: 90
Weight loss: 23
Medication dose: 50
Medication dose: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Frederick | Administrator | Addressee of complaint investigation letter |
| Eve Lewis | Program Manager | Signed complaint investigation letter |
| Maintenance A | Interviewed regarding multiple life safety deficiencies including door gaps, penetrations, fire alarm pull station blockage, sprinkler maintenance, electrical equipment, and fire door latching | |
| LPN-R | Licensed Practical Nurse | Interviewed regarding Resident 8 medication use |
| Dietary Manager | Interviewed regarding Resident 113 nutritional interventions | |
| Registered Dietician | Interviewed regarding Resident 113 nutritional interventions |
Inspection Report
Routine
Census: 93
Deficiencies: 1
Date: Jan 23, 2013
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.
Findings
The facility failed to maintain proper infection control practices, specifically failing to wash hands at appropriate intervals during care provision and meal service, involving multiple residents and staff on the Special Care Unit. Observations and staff interviews confirmed these deficiencies.
Deficiencies (1)
Failure to wash hands at appropriate intervals during provision of cares to residents and during meal service on the Special Care Unit.
Report Facts
Facility census: 93
Residents involved: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NA-K | Nursing Assistant | Observed failing to wash hands appropriately during incontinent care and meal service |
| NA-J | Nursing Assistant | Observed failing to wash hands appropriately during meal service |
| NA-A | Nursing Assistant | Observed failing to wash hands appropriately during incontinent care and meal service |
| NA-1 | Nursing Assistant | Observed providing incontinent care |
| NA-B | Nursing Assistant | Observed providing incontinent care |
| DON | Director of Nursing | Responsible for re-educating and counseling staff on infection control |
| ADON | Assistant Director of Nursing | Responsible for re-educating and counseling staff on infection control |
Inspection Report
Annual Inspection
Census: 98
Capacity: 108
Deficiencies: 6
Date: Oct 23, 2012
Visit Reason
Annual inspection of Heritage of Bel Air nursing facility to assess compliance with state and federal regulations including resident dignity, nurse staffing postings, medication storage, and life safety code standards.
Findings
The facility failed to provide care that maintained resident dignity during treatments and medication administration, failed to post current nurse staffing information in accessible locations, failed to secure medication carts during medication passes, and had life safety code violations including doors not latching properly, exit discharge lighting failures, and lack of locking device on fire alarm circuit breaker.
Deficiencies (6)
Facility failed to provide care to residents in a manner that enhances dignity; treatments and medication administered during whirlpool bath and dining service inappropriately.
Facility failed to post daily nurse staffing information in a current, accessible, and visible manner to residents and visitors.
Facility failed to assure medications were stored and secured at all times; medication carts left unlocked and unattended during medication passes.
Corridor doors did not latch tightly and had gaps allowing passage of smoke, violating life safety code.
Exit discharge lighting fixtures had burned out bulbs, leaving exits inadequately illuminated.
Fire alarm system lacked a locking device on circuit breaker, risking accidental or intentional disabling of the system.
Report Facts
Facility census: 98
Facility total capacity: 108
Number of residents at risk for wandering: 5
Number of medication cassettes observed on cart: 8
Number of medication pills left unsecured: 5
Number of exit discharge light fixtures with burned out bulbs: 2
Number of smoke zone corridor doors with gaps: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN-G | Licensed Practical Nurse | Named in findings related to medication administration during whirlpool bath and dining service, and unsecured medication carts |
| RN-M | Registered Nurse | Named in findings related to unsecured medication carts |
| RN-H | Registered Nurse | Named in findings related to unsecured medication carts |
| RN-N | Registered Nurse | Named in findings related to unsecured medication carts |
| Director of Nursing | Interviewed confirming improper medication administration and storage practices | |
| Maintenance Staff | Acknowledged corridor door and lighting deficiencies |
Inspection Report
Complaint Investigation
Census: 101
Deficiencies: 1
Date: Feb 27, 2012
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to report incidents of potential abuse/neglect involving a resident who had a fall with significant injury.
Complaint Details
The complaint investigation involved Resident 1 who had a fall resulting in significant injury. The facility did not report the incident to the State Agency as potential abuse/neglect. The Director of Nurses verified the incident was not reported during an interview on 2/27/12.
Findings
The facility failed to report to the State Agency an incident involving Resident 1 who fell from a wheelchair resulting in significant injury. The fall and injuries were not reported as potential abuse/neglect as required by state regulations.
Deficiencies (1)
Facility failed to report to the State Agency all incidents of potential abuse/neglect involving Resident 1 who had a fall with significant injury.
Report Facts
Facility census: 101
Fall Investigation Report date: Feb 8, 2012
Progress Notes date: Feb 8, 2012
Plan of Correction completion date: Mar 26, 2012
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nurses | Verified during interview that the incident had not been reported to the State Agency |
Notice
Deficiencies: 0
Date: Oct 8, 2011
Visit Reason
The notice informs Heritage Of Bel Air Skilled Nursing Facility of disciplinary action placing their license on probation for 90 days due to failure to develop and implement interventions for fall prevention.
Findings
The Department of Health and Human Services determined the facility violated licensure regulations related to accident prevention, specifically failing to develop and implement interventions to prevent falls.
Report Facts
Probation period: 90
Report due date: Oct 18, 2011
Notice finalization date: Oct 8, 2011
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joann Schaefer | Chief Medical Officer, Director, Division of Public Health | Signed the Notice of Disciplinary Action |
| Helen L. Meeks | Administrator, Licensure Unit | Signed the Notice of Disciplinary Action |
| Linda Stenvers | Staff Assistant II, Office of Long Term Care Facilities | Certified mailing of the Notice of Disciplinary Action |
| Eve Lewis | RNC, Administrator, Office of Long Term Care Facilities | Recipient of reports and sender of follow-up letter terminating probation |
| Janet Zierke | Administrator | Facility administrator addressed in follow-up letter |
Inspection Report
Routine
Census: 100
Capacity: 108
Deficiencies: 8
Date: Sep 8, 2011
Visit Reason
The inspection was a routine survey to assess compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities, including life safety code compliance.
Findings
The facility was found deficient in developing comprehensive care plans addressing residents' specific needs, identifying and monitoring pressure ulcers, implementing fall prevention interventions, maintaining fire safety code standards including smoke detector sensitivity, sprinkler system inspections, use of non-flammable furnishings, and electrical safety.
Deficiencies (8)
Failed to develop comprehensive care plans for residents addressing fall prevention and pain management.
Failed to identify and monitor pressure ulcers for a resident.
Failed to ensure resident environment was free of accident hazards and provide adequate supervision to prevent falls.
Failed to maintain required separation of hazardous areas per NFPA 101 Life Safety Code.
Failed to maintain and test smoke detectors for sensitivity in accordance with NFPA 72.
Failed to maintain and test automatic sprinkler system with required inspections and testing.
Used furnishings that were not of non-flammable character in resident areas.
Electrical junction box without an approved cover in linen storage closet.
Report Facts
Facility census: 100
Facility capacity: 108
Residents affected by wooden furnishings: 51
Pressure ulcer measurements: 1
Pressure ulcer slit measurement: 0.1
Notice
Capacity: 108
Deficiencies: 0
Date: APP2016
Visit Reason
This document serves as a Nursing Home Licensure Renewal Application for Heritage of Bel Air, including verification of licensure, occupancy permit, and detailed program descriptions for the Memory Support Household.
Findings
The document contains no inspection findings but provides administrative and programmatic information about the facility, including licensure renewal, occupancy capacity, and detailed descriptions of the Memory Support Household program and services.
Report Facts
Total licensed beds: 108
Renewal fees: 1750
Memory Support Daily Rate: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Frederick | Administrator | Named in the Nursing Home Licensure Renewal Application. |
| Staci Kolm | Director of Nursing | Named in the Nursing Home Licensure Renewal Application. |
| Jack D. Vetter | President and Chair of the Board & CEO | Listed as an officer and director in related corporations. |
| Eldora D. Vetter | Vice President and Secretary | Listed as an officer and director in related corporations. |
| Todd D. Vetter | Assistant Secretary and Secretary | Listed as an officer and director in related corporations. |
| Joani Schelm | Chief Financial Officer | Listed as an officer in related corporations. |
Notice
Capacity: 108
Deficiencies: 0
Date: APP2018
Visit Reason
This document serves to verify that Heritage of Bel Air's SNF/NF dual certification license is renewed and valid through 3/31/2019, including facility and ownership information.
Findings
The document confirms the facility's license renewal status, ownership details, facility capacity, and includes related corporate and facility information. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 108
Maximum endorsed capacity: 36
Base rate: 189
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Frederick | Administrator | Named as facility administrator on licensing documents. |
| Staci Kolm | Director of Nursing | Named as Director of Nursing on licensing documents. |
| Jack D. Vetter | CEO | Authorized representative signing renewal application and CEO of parent corporation. |
| Glenn Van Ekeren | President | Officer of parent corporation and authorized representative. |
| Julie Knobbe | Contact person for legal owning entity VSL Norfolk, LLC. |
Notice
Capacity: 108
Deficiencies: 0
Date: APP2019
Visit Reason
This document serves to verify the renewal of the SNF/NF dual certification license for Heritage of Bel Air and includes the occupancy permit indicating the maximum licensed capacity.
Findings
The document confirms that Heritage of Bel Air meets statutory requirements for licensure as a skilled nursing facility/nursing facility and holds an occupancy permit for 108 beds.
Report Facts
Total licensed beds: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Frederick | Administrator | Named as facility administrator on license renewal application. |
| Staci Kolm | Director of Nursing | Named as Director of Nursing on license renewal application. |
| Bo Botelho | Interim CEO, Interim Director of Public Health | Signed the license renewal verification document. |
| Todd Brehm | Deputy State Fire Marshal | Inspected the facility for occupancy permit. |
Document
Capacity: 108
Deficiencies: 0
Date: APP2020
Visit Reason
The document set includes a licensure renewal application for Heritage of Bel Air nursing home, renewal fee schedule, ownership and corporate officer information, and an occupancy permit indicating maximum occupancy.
Findings
No inspection findings or deficiencies are reported in these documents. They primarily serve as administrative and licensing paperwork for facility renewal and occupancy certification.
Report Facts
Total licensed beds: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Frederick | Administrator | Named on Nursing Home Licensure Renewal Application. |
| Staci Kolm | Director of Nursing | Named on Nursing Home Licensure Renewal Application. |
| Jack D. Vetter | Authorized Representative, Chairman of the Board and CEO | Named as authorized representative and corporate officer. |
| Glenn Van Ekeren | Authorized Representative, President | Named as authorized representative and corporate officer. |
| Todd Brehm | Deputy State Fire Marshal | Inspected the facility for occupancy permit. |
Notice
Capacity: 108
Deficiencies: 0
Date: APP2021
Visit Reason
This document serves as a licensure renewal application and verification of licensure for the Heritage of Bel Air nursing home facility, including a temporary occupancy permit.
Findings
The documents certify that Heritage of Bel Air meets statutory requirements for licensure renewal as a Skilled Nursing Facility with a licensed capacity of 108 beds and includes a temporary occupancy permit valid through 03/31/2022.
Report Facts
Licensed beds: 108
Renewal license fees: 1950
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Katie Frederick | Administrator | Named in Nursing Home Licensure Renewal Application. |
| Staci Kolm | Director of Nursing | Named in Nursing Home Licensure Renewal Application. |
| Jack D. Vetter | Chairman of the Board and CEO | Named as officer in related corporate documents. |
| Glenn Van Ekeren | President | Named as officer in related corporate documents. |
| Robert Folck | Deputy State Fire Marshal | Inspected the facility for the Temporary Occupancy Permit. |
Document
Capacity: 108
Deficiencies: 0
Date: APP2022
Visit Reason
The documents pertain to the renewal of the nursing home license for Heritage of Bel Air, including submission of renewal application and verification of licensure status.
Findings
No inspection findings or deficiencies are reported. The documents confirm licensure renewal and occupancy permit for 108 beds.
Report Facts
Total licensed beds: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Zamora | Administrator | Named on the Nursing Home Licensure Renewal Application |
| Crystal Dredge | Director of Nursing | Named on the Nursing Home Licensure Renewal Application |
| Brian Stuhr | Authorized Representative | Signed the Nursing Home Licensure Renewal Application |
| Glenn Van Ekeren | Authorized Representative and President | Signed the Nursing Home Licensure Renewal Application and listed as President on Directors and Officers list |
| Jack D. Vetter | Chairman of the Board and CEO | Listed on Directors and Officers list |
| Eldora D. Vetter | Secretary | Listed on Directors and Officers list |
| Heath Boddy | Listed on Directors and Officers list | |
| Gary J. Anthone, MD | Chief Medical Officer, Director, Division of Public Health | Named on licensure renewal card |
| Robert Folck | Deputy State Fire Marshal | Inspected the facility for occupancy permit |
Notice
Capacity: 108
Deficiencies: 0
Date: APP2023
Visit Reason
This document serves to verify the renewal of the SNF/NF dual certification license for Heritage of Bel Air and includes the Nursing Home Licensure Renewal Application.
Findings
The document confirms that the facility is licensed through the renewal date and provides details about the facility's ownership, accreditation, and special care services. It also includes an occupancy permit indicating a maximum capacity of 108 beds.
Report Facts
Total licensed capacity: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Zamora | Administrator | Named on the Nursing Home Licensure Renewal Application. |
| Crystal Dredge | Director of Nursing | Named on the Nursing Home Licensure Renewal Application. |
Notice
Capacity: 108
Deficiencies: 0
Date: APP2024
Visit Reason
The documents serve to verify the renewal of the Skilled Nursing Facility license for Heritage of Bel Air and to provide the occupancy permit issued by the Nebraska State Fire Marshal.
Findings
The documents confirm that Heritage of Bel Air meets statutory requirements for licensure renewal and has an occupancy permit for 108 beds issued on 7/20/2023.
Report Facts
Total licensed beds: 108
Occupancy permit date: 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Zamora | Administrator | Named on Nursing Home Licensure Renewal Application |
| Kerry Mutschelknaus | Director of Nursing | Named on Nursing Home Licensure Renewal Application |
| Brian Stuhr | Authorized Representative | Signed Nursing Home Licensure Renewal Application |
| Glenn Van Ekeren | Authorized Representative | Signed Nursing Home Licensure Renewal Application and listed as President of Vetter Senior Living |
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