Inspection Reports for Holmes Lake Rehabilitation & Care Center

The document is a Nursing Home Licensure Renewal Application and related renewal certification for Holmes Lake Rehabilitation & Care Center, verifying the facility's license renewal through the indicated date.

The documents confirm the facility meets statutory requirements for licensure renewal and include ownership information, certification of compliance, and an occupancy permit indicating a maximum capacity of 97 beds.

This document package serves as a renewal application for the nursing home license of Holmes Lake Rehabilitation & Care Center, including certification of licensure and occupancy permit.

The documents confirm the facility's licensure renewal status, ownership information, and occupancy permit approval with a maximum capacity of 97 beds.

The notice was issued to inform Holmes Lake Rehabilitation & Care Center of disciplinary action placing their license on probation for 90 days starting March 26, 2019, due to violations related to failure to assess and implement interventions to prevent resident falls.

The facility failed to ensure an assessment was completed and interventions were implemented for the use of an electric recliner to prevent falls with injury, violating licensure regulations and posing risks to resident health and safety.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to use appropriate interventions to prevent injuries.

The facility failed to ensure an assessment was completed and interventions were implemented for the use of an electric recliner to prevent falls, resulting in multiple falls and an acute right knee fracture for one resident. The facility lacked documentation of recliner assessments, risk/benefit analysis, and family education related to recliner use.

The complaint alleged the facility failed to use appropriate interventions to prevent injuries. The investigation confirmed this failure, citing the facility at Federal Tag F689 and State Licensure 12-006.09D7b.

An unannounced visit was conducted to investigate a complaint that the facility fails to answer call notification systems promptly.

The facility ensured the call notification system was answered promptly, with records and observations confirming timely responses and functional call lights. The facility was found to be in compliance with relevant regulatory requirements.

The complaint alleged the facility failed to answer call notification systems promptly. The investigation found the allegation unsubstantiated as the system was answered promptly and staff responded quickly.

Routine state licensure and certification inspection of Holmes Lake Rehabilitation & Care Center to assess compliance with Nebraska Administrative Code and federal regulations.

The facility was found to have deficiencies related to environmental cleanliness, infection control, life safety code compliance, fire safety, electrical safety, and emergency preparedness. Deficiencies included dirty exhaust vents, inadequate hand washing practices, missing exit signage, overdue fire suppression system inspections, sprinkler system maintenance issues, incomplete fire watch policy, incomplete fire evacuation plan, missing electrical outlet cover plate, improper use of extension cords, lack of power strip testing, and improper oxygen cylinder storage.

This document is a Nursing Home Licensure Renewal Application and related licensing and certification documents for Holmes Lake Rehabilitation & Care Center, verifying the renewal of the facility's SNF/NF dual certification and licensure.

The documents confirm that Holmes Lake Rehabilitation & Care Center meets statutory requirements for licensure and certification as a skilled nursing and nursing facility with a licensed capacity of 97 beds. The renewal application and related permits indicate compliance with state regulations.

An unannounced visit was conducted to investigate a complaint that the facility fails to put interventions into place to prevent injuries.

The investigation found that the facility is in compliance with regulatory requirements regarding fall interventions to prevent injuries. Reviews of records, observations, and interviews confirmed appropriate fall prevention measures were in place.

The complaint alleged the facility failed to put interventions into place to prevent injuries. The investigation found the facility compliant with regulations.

An unannounced visit was conducted to investigate a complaint and annual survey at Holmes Lake Rehabilitation & Care Center on April 5, 2017-April 18, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to have failed to immediately report an allegation of abuse and failed to submit an investigation within 5 working days for one sampled resident. Other complaint allegations such as resident grooming, sufficient staffing, dignity and respect, housekeeping, pest control, and equipment maintenance were found to be in compliance. The facility census was 63.

The complaint included allegations that the facility failed to ensure residents are free from abuse, failed to immediately report allegations of abuse, failed to submit investigations within 5 working days, failed to ensure clean and groomed residents, failed to ensure sufficient staffing, failed to provide services to maintain residents' highest level of well-being, failed to answer call notification systems promptly, failed to have effective housekeeping and maintenance programs, failed to ensure residents are treated with dignity and respect, failed to ensure appropriate hand sanitation, failed to address grievances, failed to change fall interventions, failed to maintain pest control, failed to maintain housekeeping, and failed to maintain essential equipment. The facility was substantiated to have failed to immediately report abuse and submit investigations timely for one resident (Resident 90). Other allegations were not substantiated.

The document is a nursing home licensure renewal application and related materials for Holmes Lake Rehabilitation & Care Center, submitted to renew the facility's nursing home license.

The documents confirm that Holmes Lake Rehabilitation & Care Center meets statutory requirements for licensure renewal as a skilled nursing facility with 97 licensed beds. The renewal application includes ownership information, certification details, and occupancy permits.

The inspection was conducted as an annual survey to assess compliance with federal and state regulations governing skilled nursing facilities, including resident care, safety, and facility operations.

The facility was found deficient in multiple areas including failure to provide individualized activity programs for residents, inadequate provision of medically-related social services, failure to complete significant change assessments, incomplete care plans, failure to prevent contractures, lack of timely physician visits, inadequate fire drill practices, improper HVAC system design affecting smoke compartments, lack of semiannual hood inspections, improper oxygen storage and signage, incomplete emergency generator maintenance documentation, and unsafe electrical wiring practices.

An unannounced visit was conducted to investigate a complaint alleging the facility failed to implement interventions to prevent falls.

The facility did implement interventions to prevent falls, and no violation was found related to this issue. Incident/accident logs, resident records, observations, and interviews with residents, family, and staff revealed no concerns.

The complaint alleged failure to implement interventions to prevent falls. The allegation was not substantiated as the facility had appropriate interventions in place.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to implement or follow the plan of care and failure to change fall interventions after residents were identified at risk for falls.

The investigation found no violation related to failure to implement or follow the plan of care, and the facility did change fall interventions after residents were identified at risk. However, the facility failed to ensure bedside stands and dressers were in sturdy condition in 7 of 9 rooms observed, posing accident hazards.

Complaint investigation regarding failure to implement or follow the plan of care and failure to change fall interventions after residents were identified at risk for falls. Both allegations were found unsubstantiated.

An unannounced visit was conducted to investigate complaints regarding pain management, identification of change in condition, staffing sufficiency, call notification response, and fluid consistency at Holmes Lake Rehabilitation & Care Center.

The facility was found to be compliant with all allegations investigated, including pain management, change in condition identification, staffing sufficiency, call notification response, and ensuring appropriate consistency of fluids. No violations were identified.

The investigation was triggered by complaints alleging failure to assist residents with pain management, failure to identify changes in condition, insufficient staffing, failure to answer call notifications promptly, and failure to ensure appropriate consistency of fluids. All allegations were found to have no violations.

An unannounced visit was conducted to investigate a complaint and annual survey at Holmes Lake Rehabilitation & Care Center on January 5-8, 2015.

The facility was found to be in compliance with medication administration, staffing, resident property protection, and accident prevention. Deficiencies were identified related to resident rights during dining service, access to personal funds, bathing frequency choices, housekeeping and maintenance, food service hand hygiene, infection control during medication administration, and multiple life safety code violations including fire safety, door and corridor issues, emergency lighting, exit signage, fire drills, sprinkler system maintenance, HVAC system, cooking facilities, egress path maintenance, oxygen signage, generator testing, and gas supply security.

The complaint investigation included allegations related to medication administration, staffing sufficiency, resident property misappropriation, and accident prevention. The facility was found compliant with all complaint allegations.

An unannounced visit was conducted to investigate a complaint at Holmes Lake Rehabilitation & Care Center on June 16, 2014, focusing on multiple allegations regarding resident care and facility practices.

The investigation found no violations related to fall interventions, skin breakdown prevention, dignity and respect, privacy, supplement orders, treatment completion, grievance resolution, notification of condition changes, food/fluid assistance, bowel elimination care, and medication administration. One deficiency was noted regarding inadequate equipment for one resident, but the physician placed the treatment on hold and referred the resident to a wound clinic.

The complaint investigation addressed multiple allegations including failure to change fall interventions, prevent skin breakdown, treat residents with dignity and respect, maintain privacy, have adequate equipment, have practitioner's orders for supplements, complete treatments as ordered, resolve grievances, notify healthcare practitioners of condition changes, identify changes in condition, provide staff assistance for food/fluid intake, provide care for bowel elimination, and administer medications according to orders. Most allegations were found unsubstantiated except for the equipment adequacy issue.

An unannounced visit was conducted to investigate a complaint and annual survey at Holmes Lake Manor on February 12, 2014-February 19, 2014, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to have no violations related to abuse, plan of care development, or medical record dating. However, deficiencies were identified related to pressure ulcer prevention, food sanitation practices, infection control including hand hygiene and medication administration, and life safety code compliance including fire drills, smoke detectors, kitchen hood ventilation, and electrical safety.

The complaint allegations included failure to protect residents from abuse, failure to develop a plan of care to address identified needs, and failure to ensure information in the medical record is dated. The facility was found compliant with these allegations.

Routine inspection of Holmes Lake Manor to assess compliance with Nebraska Administrative Code and Life Safety Code standards, including review of resident care and facility safety.

The facility failed to report a resident fall with injury, failed to implement care ordered for a resident with NPO status, and failed to maintain fire safety doors to the soiled laundry hazardous area. Deficiencies were identified in abuse/neglect policies, resident care, and life safety code compliance.

The inspection was conducted to assess compliance with the 2000 Edition of the Life Safety Code of the National Fire Protection Association, specifically related to electrical wiring and equipment standards.

The facility failed to prohibit the use of extension cords as a substitute for adequate wiring or to use them properly, evidenced by a microwave plugged into an extension cord in the employees' break room. The extension cord was used because the microwave cord was too short to reach the outlet.

The inspection was conducted due to a complaint regarding the facility's failure to ensure timely availability of pain medication for residents following admission.

The facility failed to provide pain medication to Resident 2 in a timely manner after admission, with the PRN medication not delivered until several hours after it was due. The Emergency Drug Box did not contain the required Hydrocodone medication, and pharmacy delivery schedules limited timely access to pain medications on weekends.

The visit was complaint-related concerning delayed availability of pain medication for Resident 2. The complaint was substantiated based on record review and staff interviews.

The inspection was conducted as an annual survey to assess compliance with regulatory requirements for Holmes Lake Manor, a skilled nursing facility.

The facility was found to have multiple deficiencies related to dignity and respect of residents, comprehensive care plans, catheter care, infection control, food storage, and life safety code standards. Corrective actions and plans of correction were submitted to address these issues.

The documents pertain to the renewal of the nursing home license, ownership and control disclosure, occupancy permit issuance, and Medicaid bed certification updates for Holmes Lake Rehabilitation & Care Center.

The documents confirm the facility's licensure renewal application for 97 beds, ownership details, occupancy permit approval for 97 beds, and Medicaid certification of all 97 beds as Medicare/Medicaid dual certified.

This document serves to verify the renewal of the Skilled Nursing Facility/Nursing Facility dual certification license for Holmes Lake Rehabilitation & Care Center through the indicated expiration date.

The document confirms the facility's licensure renewal status, ownership information, and occupancy permit details, including maximum licensed capacity and certification status.

The documents pertain to the renewal of the nursing home license for Holmes Lake Rehabilitation & Care Center and include certification of licensure, renewal application, ownership information, and occupancy permit.

The documents certify that the facility meets statutory requirements for licensure renewal, provide ownership and administrative details, and confirm the facility's maximum occupancy of 97 beds as per the occupancy permit.

The document serves as a licensure renewal application and verification for Holmes Lake Rehabilitation & Care Center, including renewal of the SNF/NF dual certification and occupancy permit.

The documents confirm the facility's licensure renewal status, ownership information, and maximum occupancy as certified by the Nebraska State Fire Marshal.

This document serves as a renewal application for the nursing home license of Holmes Lake Rehabilitation & Care Center and includes certification of licensure and occupancy permit information.

The documents certify that Holmes Lake Rehabilitation & Care Center meets statutory requirements for licensure renewal and holds an occupancy permit for 97 beds as of the latest issuance date.

This document set includes a Nursing Home Licensure Renewal Application for Holmes Lake Rehabilitation & Care Center, along with licensing and occupancy permits.

The documents verify the facility's licensure renewal status, ownership information, and occupancy permit with a maximum capacity of 97 beds.

The notice serves to inform Holmes Lake Rehabilitation & Care Center of disciplinary action placing their license on probation for 90 days starting March 3, 2016, due to violations related to failure to provide adequate social services to a resident with depression.

The facility was found in violation of licensure regulations pertaining to social service support, resulting in harm to a resident. Specific violations include failure to provide social services and deficiencies in care planning and staffing related to resident activities and psychosocial interventions.