Deficiencies (last 6 years)
Deficiencies (over 6 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
40% better than Nebraska average
Nebraska average: 4.2 deficiencies/year
Deficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
99 residents
Based on a January 2018 inspection.
Census over time
Inspection Report
Renewal
Capacity: 128
Deficiencies: 0
Apr 30, 2024
Visit Reason
The document is a renewal application and certification for Heritage Pointe Assisted Living facility, verifying the facility's license renewal and compliance with statutory requirements.
Findings
The documents confirm that Heritage Pointe Assisted Living meets statutory requirements for licensure as an assisted-living facility, including Alzheimer's Memory Care endorsement. The renewal application includes facility ownership, capacity, and certification details with no deficiencies or violations noted.
Report Facts
Total licensed beds: 128
Maximum occupancy: 128
Alzheimer's unit beds: 20
License expiration date: Apr 30, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paul Elam | Administrator | Named as facility administrator and authorized representative on renewal application and Alzheimer's endorsement application (pages 2 and 14). |
| Farhan Khan | Authorized Representative | Signed renewal application as authorized representative (page 2). |
| Nate Underwood | Authorized Representative | Signed renewal application as authorized representative (page 2). |
| Donald Davis | Inspector | Inspected facility for fire marshal certificate of occupancy (page 4). |
Inspection Report
Complaint Investigation
Census: 99
Deficiencies: 5
Jan 23, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Heritage Pointe Assisted Living from January 23, 2018 to January 25, 2018 by the Department of Health and Human Services Division of Public Health.
Findings
The facility was found to be in compliance regarding residents' access to communication. However, deficiencies were found related to failure to evaluate a resident's ability to self-administer medications, expired medication aide certifications, and food safety issues including outdated food, improper dishwasher sanitation, and inadequate hot food temperatures.
Complaint Details
The complaint alleged the facility failed to ensure residents have access to communication. The investigation found the facility was in compliance with this allegation.
Deficiencies (5)
| Description |
|---|
| Failed to evaluate ability to self-administer medications for 1 of 11 sampled residents. |
| Two medication aides were not current on the medication aide 40 hour registry. |
| Leftover foods were not disposed of timely, risking food borne illness. |
| Dishwasher sanitizer was not properly maintained and incorrect test strips were used. |
| Potentially hazardous food was maintained below required hot holding temperatures. |
Report Facts
Census: 99
Sampled residents: 11
Medication aides: 26
Expired medication aide certifications: 2
Leftover food items observed: 7
Food temperature: 120.7
Food temperature: 109
Food temperature: 129.8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed the initial complaint investigation letter |
| Kay Reeves | Nutrition/dietitian Surveyor | Conducted the inspection |
| Carol Johnson | Administrator | Facility administrator named in report |
| Medication Aide A | Reported on medication administration practices for Resident 10 | |
| Medication Aide B | Found to have expired medication aide certification | |
| Medication Aide C | Found to have expired medication aide certification | |
| Registered Nurse Director of Healthcare | Registered Nurse Director of Healthcare | Confirmed lack of evaluation for Resident 10 and responsible for corrective actions |
| Executive Director | Executive Director | Interviewed regarding visitor restrictions and medication aide certifications |
| Dietary Director | Dietary Director | Interviewed regarding food safety and sanitation practices |
| Dining Services Director | Dining Services Director | Responsible for corrective actions related to food safety and dishwasher sanitation |
| Regional Nurse | Regional Nurse | Reported on medication aide certification status |
| Memory Support Director | Memory Support Director | Responsible for ongoing monitoring of food temperature corrections |
Notice
Capacity: 128
Deficiencies: 0
Mar 15, 2017
Visit Reason
This document serves as a licensure renewal application and certificate of occupancy for Heritage Pointe Assisted Living, verifying the facility's license renewal and maximum occupancy.
Findings
The documents confirm that Heritage Pointe Assisted Living is licensed through the renewal date and meets statutory requirements as an assisted living facility with a maximum licensed capacity of 128 beds. The certificate of occupancy was issued on March 15, 2017.
Report Facts
Maximum licensed capacity: 128
Maximum endorsed capacity for Alzheimer's Memory Care: 20
Staffing ratio day & evening shifts: 5
Staffing ratio overnight shift: 8
Cost per month - Studio Level I: 5195
Cost per month - Studio Level II: 5795
Cost per month - Studio Deluxe Level I: 5495
Cost per month - Studio Deluxe Level II: 6095
Cost per month - Companion Level I: 3995
Cost per month - Companion Level II: 4795
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carol Johnson | Administrator | Named as facility administrator and contact person in licensure renewal and Alzheimer's care endorsement application |
| Farhan Khan | Named as 50% owner of Heritage Partners LLC, general partner of Heritage Pointe Operating LLC | |
| Nate Underwood | Named as 50% owner of Heritage Partners LLC, general partner of Heritage Pointe Operating LLC |
Notice
Capacity: 128
Deficiencies: 0
Mar 10, 2016
Visit Reason
This document serves as a licensure renewal application and verification for Heritage Pointe Assisted Living facility, confirming its licensed status and renewal of the assisted-living facility license.
Findings
The documents confirm the facility meets statutory requirements for licensure renewal, including certification of occupancy for 128 beds and ownership information. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 128
Special care unit beds: 20
Renewal expiration date: License expiration date is 2017-04-30 as shown on renewal card.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carol Johnson | Administrator | Named as facility administrator on the licensure renewal application. |
| Farhan Khan | Listed as 50% owner and general partner of Heritage Pointe Operating LLC. | |
| Nate Underwood | Listed as 50% owner and general partner of Heritage Pointe Operating LLC. | |
| Captain David Mausbach | Inspector | Inspected the facility for the Nebraska State Fire Marshal Certificate of Occupancy. |
Inspection Report
Complaint Investigation
Census: 99
Deficiencies: 0
May 28, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging the facility failed to protect residents from abuse and neglect.
Findings
The facility protected residents from abuse and neglect, with no violations found. Observations and record reviews confirmed timely investigations and protection measures were in place.
Complaint Details
The complaint alleged failure to protect residents from abuse and neglect. The investigation found no violations and confirmed protective policies and procedures were followed.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carol Nemenan | Social Worker | Conducted the complaint investigation visit. |
| Eve Lewis | Program Manager | Signed the correspondence closing the investigation. |
Inspection Report
Complaint Investigation
Census: 101
Deficiencies: 0
Feb 11, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint at Heritage Pointe Assisted Living regarding food handling practices, drug disposal, property security, protection from misappropriation, and supervision to avoid harm.
Findings
The facility was found to be in compliance with all related regulatory requirements in all investigated areas including food handling, drug disposal, property security, protection from misappropriation, and supervision to avoid harm. The facility census was consistently reported as 101.
Complaint Details
The complaint alleged failures in food handling practices to prevent food borne illness, proper disposal of discontinued and outdated drugs, ensuring property is not lost, protection from misappropriation, and sufficient supervision to avoid harm. All allegations were found to be unsubstantiated with the facility in compliance.
Report Facts
Facility census: 101
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Schmidt | Registered Nurse | Conducted the investigation |
| Eve Lewis | Program Manager | Signed the report |
Inspection Report
Complaint Investigation
Census: 98
Deficiencies: 10
Jul 28, 2011
Visit Reason
The inspection and complaint investigation were conducted following a compliance inspection and complaint investigation at Heritage Pointe Assisted Living completed on July 28, 2011, to assess compliance with licensure regulations and investigate allegations.
Findings
The facility was found to be in compliance with regulations related to the complaint allegations; however, an unrelated violation was discovered involving incomplete criminal background checks, registry checks, ongoing training, medication administration, medication records, storage, and food safety issues.
Complaint Details
The complaint investigation was related to allegations of abuse, neglect, and misappropriation of property. The facility was found to be in compliance with regulations related to these allegations, and appropriate actions were taken as a result of the investigation.
Deficiencies (10)
| Description |
|---|
| The facility failed to ensure a criminal background check was completed for 1 of 6 sampled direct care staff members. |
| The facility failed to ensure Adult Protective Services Central Registry and Central Register of Child Protection Cases checks had been completed for 1 of 6 sampled direct care staff members. |
| The facility failed to ensure 2 of 3 sampled direct care staff had evidence of 12 hours of ongoing education per year. |
| The facility failed to ensure medications were provided in accordance with standards of practice and manufacturer’s recommendations for 3 of 13 sampled residents. |
| The facility failed to ensure Narcotic Log was completed in accordance with facility procedure for 1 of 15 sampled residents. |
| The facility failed to ensure insulin pens for 2 of 13 sampled residents were dated when opened. |
| The facility failed to ensure food packages were sealed after opening, failed to ensure staff washed hands when switching tasks, failed to ensure employees wore hair restraints, failed to refrigerate leftovers after meals, and failed to maintain nonfood contact surfaces and ventilation systems in a clean manner. |
| The facility failed to ensure proper food handling and sanitation practices by dietary staff, including hand washing and glove use. |
| The facility failed to ensure potentially hazardous food was cooled to required temperatures within specified timeframes. |
| The facility failed to maintain cleanliness of kitchen equipment, ventilation hood, food preparation tables, carts, and dishwasher area. |
Report Facts
Total census: 98
Direct care staff sampled: 6
Residents sampled for medication administration: 13
Residents sampled for narcotic log: 15
Direct care staff sampled for ongoing training: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kay Reeves | Nutrition/dietitian | Surveyor conducting the compliance inspection and complaint investigation |
| Mary Dyson | Administrator | Named in correspondence and plan of correction |
| Eve Lewis | RN-C, Administrator | Office of Long Term Care Facilities, signed letters related to inspection and compliance |
Notice
Capacity: 128
Deficiencies: 0
APP2022
Visit Reason
This document serves as a license renewal application and certification for Heritage Pointe Assisted Living, verifying the facility's licensure status and providing related administrative and facility information.
Findings
The documents confirm the facility's licensure renewal, ownership structure, maximum licensed capacity, and endorsement for Alzheimer's Memory Care. No inspection findings or deficiencies are reported.
Report Facts
Total licensed capacity: 128
Maximum capacity for Alzheimer's beds: 20
Ownership percentages: 25
Ownership percentage: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kate Murphy | Administrator | Named as administrator and contact person on renewal application and Alzheimer's Memory Care Endorsement Application (pages 2 and 9). |
| Gary J. Anihone, MD | Chief Medical Officer, Director, Division of Public Health | Signed the certification on the license renewal card (page 1). |
Notice
Capacity: 128
Deficiencies: 0
APP2023
Visit Reason
This document package serves as a renewal license application and verification for Heritage Pointe Assisted Living, confirming licensure status and providing facility and ownership information.
Findings
No inspection findings or deficiencies are reported; the documents primarily verify licensure, ownership, facility capacity, and provide disclosures related to Alzheimer's special care unit services.
Report Facts
Total licensed beds: 128
Maximum capacity for Alzheimer's beds: 20
Renewal license fees: 1950
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kate Murphy | Administrator | Named as facility administrator and contact person on renewal application and Alzheimer's special care unit disclosure (pages 2 and 10). |
| Farhan Khan | Authorized Representative | Signed renewal application as authorized representative (page 2) and listed as owner (page 3). |
| Nate Underwood | Authorized Representative | Signed renewal application as authorized representative (page 2) and listed as owner (page 3). |
Notice
Capacity: 128
Deficiencies: 0
APP2025
Visit Reason
This document package serves as the renewal application and verification of licensure for Heritage Pointe Assisted Living, including Alzheimer's Memory Care Endorsement and related facility and ownership information.
Findings
The documents confirm the facility's licensure renewal status, ownership structure, licensed bed capacity, and endorsement for Alzheimer's Memory Care. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 128
Alzheimer's special care beds: 20
Maximum occupancy: 128
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paul Elam | Administrator | Named as administrator on the renewal application (page 2). |
| Crystal Douglas | Administrator and Contact Name | Named as administrator and contact for Alzheimer's Memory Care Endorsement application (page 14). |
| Farhan Khan | Authorized Representative | Signed renewal application as authorized representative (page 2). |
| Nate Underwood | Authorized Representative | Signed renewal application as authorized representative (page 2). |
Notice
Capacity: 128
Deficiencies: 0
APP2018
Visit Reason
This document serves as a licensure renewal application for Heritage Pointe Assisted Living and includes an Alzheimer's Memory Care Endorsement application.
Findings
The document verifies the facility's licensure renewal status, ownership information, facility capacity, and details about the Alzheimer's Memory Care program including philosophy, placement criteria, discharge criteria, staffing, training, physical environment, resident activities, family support, and cost of care.
Report Facts
Total licensed capacity: 128
Alzheimer's Memory Care endorsed capacity: 20
Staffing ratio day/evening: 5
Staffing ratio overnight: 8
Cost of care - Studio Level 1: 5345
Cost of care - Studio Level II: 5945
Cost of care - Studio Deluxe Level 1: 5645
Cost of care - Studio Deluxe Level II: 6245
Cost of care - Companion Level 1: 4195
Cost of care - Companion Level II: 4995
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carol Johnson | Administrator | Named as facility administrator and contact for Alzheimer's Memory Care Endorsement |
| Farhan Khan | Authorized Representative | Authorized representative signing renewal application |
| Nate Underwood | Authorized Representative | Authorized representative signing renewal application |
Notice
Capacity: 128
Deficiencies: 0
APP2019
Visit Reason
This document serves as a licensure renewal application and certification for Heritage Pointe Assisted Living, verifying the facility's license renewal and compliance with state requirements.
Findings
The documents confirm the facility's licensure renewal, maximum occupancy of 128 beds, fire marshal certificate of occupancy, and detailed disclosure of Alzheimer's Memory Care Endorsement including philosophy, placement criteria, discharge criteria, staffing, training, physical environment, resident activities, family support, and fee structure.
Report Facts
Total licensed beds: 128
Alzheimer's Memory Care beds: 20
Staffing ratio day/evening: 5
Staffing ratio overnight: 8
Renewal fees: 1950
Cost of care - Shared Companion Suite Level 1: 4365
Cost of care - Shared Companion Suite Level 2: 5195
Cost of care - Private Suite Level 1: 5565
Cost of care - Private Suite Level 2: 6195
Cost of care - Private Deluxe Level 1: 5865
Cost of care - Private Deluxe Level 2: 6495
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary Moser | Administrator | Named as facility administrator and authorized representative on renewal application and Alzheimer's Memory Care Endorsement. |
| David Mausbach | Inspector | Inspected the facility for the Nebraska State Fire Marshal Certificate of Occupancy. |
| Bo Botelho | Interim CEO, Interim Director of Public Health | Signed the licensure verification letter. |
Notice
Capacity: 128
Deficiencies: 0
APP2020
Visit Reason
This document serves to verify that Heritage Pointe Assisted Living is licensed through the date indicated on the renewal card and includes a renewal license application.
Findings
The document confirms the facility meets statutory requirements as an assisted-living facility with Alzheimer's memory care endorsement and provides detailed ownership, capacity, and service information.
Report Facts
Total licensed beds: 128
Alzheimer's unit beds: 20
Staffing ratio: Day and evening shifts staffing ratio is 1 caregiver to 5 residents; overnight shift is 1 caregiver to 8 residents.
Training hours: 4
Cost/Fees of care: 4545
Cost/Fees of care: 5395
Cost/Fees of care: 5785
Cost/Fees of care: 6445
Cost/Fees of care: 6095
Cost/Fees of care: 6755
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary Moser | Administrator | Named as facility administrator and contact person on renewal application. |
| Farhan Khan | Authorized Representative | Signed renewal application as authorized representative. |
| Nathan Underwood | Authorized Representative | Signed renewal application as authorized representative. |
| Shawn Lahr | Authorized Representative | Signed the application declaration on 3/21/2020. |
Document
Capacity: 128
Deficiencies: 0
APP2021
Visit Reason
The documents pertain to the renewal of the assisted-living facility license for Heritage Pointe Assisted Living, including ownership disclosures and certification of occupancy.
Findings
No inspection findings or deficiencies are reported. The documents provide administrative and licensing information, including facility capacity, ownership, and special care unit endorsement.
Report Facts
Total licensed capacity: 128
Alzheimer's unit beds: 20
Maximum occupancy: 128
Renewal application date: 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Larson | Administrator | Named as facility administrator and authorized representative on renewal and Alzheimer's endorsement applications (pages 2 and 7). |
| Farhan Khan | Listed as owner with 25% ownership interest (page 3). | |
| Nate Underwood | Listed as owner with 25% ownership interest (page 3). |
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