Deficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Notice
Capacity: 33
Deficiencies: 0
Mar 14, 2025
Visit Reason
The document serves as a renewal application and license renewal notice for Lebensraum Assisted Living facility.
Findings
The document confirms that Lebensraum Assisted Living meets statutory requirements for licensure renewal and includes ownership and contact information.
Report Facts
Total licensed beds: 33
Renewal license expiration date: License expires on 2026-04-30 as shown on the renewal card
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Corona | Administrator and Secretary | Named as administrator on renewal application and emergency contact on occupancy permit |
| Deborah Halm | President | Named as 60% owner and president in ownership information |
Inspection Report
Renewal
Capacity: 33
Deficiencies: 0
Mar 14, 2024
Visit Reason
The document is related to the renewal of the assisted-living facility license for Lebensraum Assisted Living.
Findings
The document certifies that Lebensraum Assisted Living meets statutory requirements as an assisted-living facility and is licensed through the renewal date of 4/30/2025.
Report Facts
Total licensed beds: 33
Renewal license expiration date: License expires on 2025-04-30 as shown on the renewal card.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Corona | Administrator | Named as administrator on the renewal application and emergency contact on the occupancy permit. |
| Deborah Halm | President | Named as 60% owner and President in ownership information. |
| Megan Corona | Secretary | Named as 40% owner and Secretary in ownership information. |
Notice
Capacity: 33
Deficiencies: 0
Mar 15, 2023
Visit Reason
The document serves as a renewal application and verification of licensure for Lebensraum Assisted Living facility, confirming the facility is licensed through the renewal date.
Findings
The documents confirm the facility meets statutory requirements for assisted living licensure and includes ownership information, licensing fees, and occupancy permit details.
Report Facts
Total licensed beds: 33
Renewal license expiration date: Expires 4/30/2024 as shown on the renewal card
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Corona | Authorized representative signing the renewal application and listed as emergency contact on occupancy permit | |
| Deborah Halum | Authorized representative signing the renewal application and listed as 60% owner and President |
Inspection Report
Renewal
Capacity: 33
Deficiencies: 0
Mar 15, 2021
Visit Reason
The document is a renewal application and certification for the assisted living facility license for Lebensraum Assisted Living, verifying licensure through the renewal date.
Findings
The document confirms that Lebensraum Assisted Living meets statutory requirements as an assisted-living facility and includes ownership and licensing information. No deficiencies or inspection findings are noted.
Report Facts
Total licensed beds: 33
Inspection Report
Renewal
Capacity: 33
Deficiencies: 0
Mar 27, 2019
Visit Reason
The document is a licensure renewal application and certification for Lebensraum Assisted Living facility, verifying that the facility is licensed through the indicated renewal date.
Findings
The documents confirm the facility's licensure renewal status, ownership information, and occupancy permit with an occupant load of 33. No deficiencies or inspection findings are reported.
Report Facts
Total licensed beds: 33
Occupant load: 33
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Corona | Administrator | Named as facility administrator in the renewal application |
| Deborah Sue Halm | 60% ownership of the facility | |
| Megan Michelle Corona | 40% ownership of the facility | |
| Shayne Murphy | Inspector | Grand Island Fire Department inspector who signed the Occupancy Use Permit |
Inspection Report
Complaint Investigation
Census: 31
Deficiencies: 6
Feb 12, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Lebensraum Assisted Living on February 12, 2018, triggered by allegations that the facility failed to provide services as agreed upon in the service agreement and failed to give appropriate notice for discharges.
Findings
The facility was found to be in compliance with the complaint allegations regarding service agreements and discharge notices. However, deficiencies were identified including failure to complete APS/CPS registry checks for one Medication Aide, lack of required ongoing training documentation for five Medication Aides, failure to conduct a resident satisfaction survey, incomplete documentation of CPR wishes in resident service agreements for two residents, missing monthly documentation of activities of daily living for four residents, and unlabeled chemical bottles in the beauty shop.
Complaint Details
The complaint allegations were that the facility failed to provide services as agreed upon in the service agreement and failed to give appropriate notice for discharges. Both allegations were investigated and the facility was found to be in compliance with related regulatory requirements.
Deficiencies (6)
| Description |
|---|
| Failed to ensure APS/CPS registry checks were completed on 1 of 5 sampled Medication Aides. |
| Failed to produce documentation that five Medication Aides completed education on physical and mental special care needs. |
| Failed to develop and perform a resident satisfaction survey. |
| Failed to ensure CPR was clearly outlined and signed in Resident Service Agreements for 2 of 4 sampled residents. |
| Failed to document monthly summaries addressing activities of daily living, personal cares, and health maintenance for 4 of 4 sampled residents. |
| Failed to label 2 bottles of solution in the beauty shop. |
Report Facts
Medication Aides: 7
Residents: 31
Medication Aides without APS/CPS registry check: 1
Medication Aides without documented training: 5
Residents affected by missing CPR documentation: 2
Residents affected by missing monthly documentation: 4
Unlabeled chemical bottles: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Corona | Administrator | Confirmed missing APS/CPS registry check and responsible for corrective actions. |
| Dan Taylor | RN, Training Coordinator | Signed the report as Training Coordinator for the Office of LTC Facilities. |
| Sandy Fowler | RN | Responsible for corrective action related to staff training on physical and mental health. |
| Deb Halm | Owner | Responsible for corrective action related to resident/family satisfaction survey. |
Inspection Report
Complaint Investigation
Census: 29
Deficiencies: 1
Apr 26, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to provide supervision to prevent elopement.
Findings
The facility failed to provide supervision to prevent elopement, as evidenced by record review, observation, and interviews. The facility did not have measures in place to prevent elopement, resulting in a resident leaving the facility unattended and sustaining facial abrasions.
Complaint Details
The complaint alleged the facility failed to provide supervision to prevent elopement. The allegation was substantiated with findings that the facility did not have measures in place to prevent elopement, affecting Resident 1 who left the facility and was injured.
Deficiencies (1)
| Description |
|---|
| Facility failed to provide supervision to prevent elopement. |
Report Facts
Facility census: 29
Occurrence date: Apr 22, 2017
Survey date: Apr 26, 2017
Estimated time to correct: Completion date for corrective actions is June 30, 2017.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Betty Smith | Registered Nurse | Surveyor conducting the complaint investigation. |
| Eve Lewis | Program Manager | Signed the complaint investigation report. |
Inspection Report
Renewal
Capacity: 33
Deficiencies: 0
Apr 20, 2016
Visit Reason
This document serves as a licensure renewal application and verification for Lebensraum Assisted Living facility, confirming the facility's license renewal and compliance with state requirements.
Findings
The document confirms that Lebensraum Assisted Living meets statutory requirements for licensure renewal as an assisted-living facility with a total licensed capacity of 33 beds. No deficiencies or violations are noted.
Report Facts
Total licensed beds: 33
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joyce Cantrell | Administrator | Named as administrator on the licensure renewal application |
Inspection Report
Complaint Investigation
Census: 31
Deficiencies: 4
Aug 25, 2011
Visit Reason
An onsite inspection was conducted to determine compliance with regulatory requirements following a complaint or allegation at Lebensraum Assisted Living on August 24-25, 2011.
Findings
The facility was found to be in violation of assisted living facility licensure regulations related to administration, direct care staff orientation, medication storage, and administration of medication. Specific issues included failure to identify and review incidents, incomplete staff orientation records, improper medication storage, and failure to properly document medication orders.
Complaint Details
The inspection was complaint-related; no allegations resulted in citations unrelated to the violations found. The facility was found in violation of licensure regulations but not related to the complaint allegations.
Deficiencies (4)
| Description |
|---|
| Failed to identify and review incidents, accidents, resident complaints, and trends; no method to track, trend, re-evaluate, or determine interventions to prevent recurrence. |
| Failed to ensure staff completed orientation within two weeks of employment for 2 of 4 direct care staff members. |
| Failed to store refrigerated medications in a designated Medication Only refrigerator; staff food items stored with resident medications. |
| Failed to implement policies and procedures to ensure residents receive medications only as legally prescribed; improper documentation of medication orders for 2 of 4 residents. |
Report Facts
Facility census: 31
Sample size: 4
Unusual occurrences missing documentation: 16
Direct care staff missing orientation: 2
Residents with medication documentation issues: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anna Harrison | Registered Nurse | Surveyor who conducted the inspection |
| Joyce Cantrell | Owner/Administrator | Named in compliance statement and response to deficiencies |
| Eve Lewis | RN-C, Administrator | Office of Long Term Care Facilities, signed inspection correspondence |
Document
Capacity: 33
Deficiencies: 0
APP2020
Visit Reason
The document serves as a licensure renewal application and verification for Lebensraum Assisted Living facility, including occupancy permit and ownership information.
Findings
No inspection findings or deficiencies are reported; the documents confirm licensure renewal status and occupancy limits.
Report Facts
Total licensed beds: 33
Occupant load: 33
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Corona | Administrator named on the renewal application (page 2). | |
| Deborah Halm | President | 60% owner and President of the facility as stated on ownership information (page 3 and emergency contact on page 4). |
Notice
Capacity: 33
Deficiencies: 0
APP2022
Visit Reason
This document serves as a renewal notice and application for the assisted-living facility license for Lebensraum Assisted Living.
Findings
The document certifies that Lebensraum Assisted Living meets statutory requirements as an assisted-living facility and is licensed through the expiration date on the renewal card.
Report Facts
Total licensed beds: 33
Renewal license fee: 1650
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Corona | Administrator | Named as administrator and emergency contact on renewal application and occupancy permit. |
| Deborah Halm | 60% owner - President | Listed as owner and president of the facility. |
| Megan Corona | 40% owner - Secretary | Listed as owner and secretary of the facility. |
Notice
Capacity: 33
Deficiencies: 0
APP2017
Visit Reason
This document serves to verify that Lebensraum Assisted Living is licensed through the indicated renewal date and includes the renewal application for the facility's license.
Findings
The document confirms the facility meets statutory requirements for licensure as an assisted-living facility and provides ownership, contact, and occupancy permit information.
Report Facts
Total licensed beds: 33
Occupant load: 33
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joyce Cantrell | Administrator | Named as facility administrator and emergency contact |
| Deborah Halm | Named as 50% owner of the facility | |
| Joyce Cantrell | Named as 50% owner of the facility |
Notice
Capacity: 33
Deficiencies: 0
APP2018
Visit Reason
This document serves to verify the renewal of the assisted-living facility license for Lebensraum Assisted Living through the indicated expiration date.
Findings
The documents confirm that Lebensraum Assisted Living meets statutory requirements as an assisted-living facility and is licensed through the renewal date. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 33
License expiration date: Apr 30, 2019
Occupant load: 33
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Corona | Administrator | Named as facility administrator on renewal application |
| Deborah Halm | 60% Owner, President | Named as 60% owner and President of the facility |
| Megan Corona | 40% Owner, Secretary | Named as 40% owner and Secretary of the facility |
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