Inspection Reports for Life Care Center of Omaha

NE

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Deficiencies per Year

28 21 14 7 0
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2025
Severe High Moderate Unclassified

Census Over Time

60 80 100 120 140 Dec '10 Aug '13 Oct '15 Jul '16 Sep '17 Dec '18
Census Capacity
Notice Deficiencies: 0 Nov 19, 2025
Visit Reason
This Notice of Disciplinary Action was issued due to the facility's failure to implement treatment and interventions to promote healing and prevent new pressure ulcers, as evidenced by the CMS-2567 Report from the survey dated November 19, 2025.
Findings
The facility's license is placed on probation for 90 days beginning December 17, 2025, requiring submission of a Plan of Correction and reports on residents with pressure ulcers. Violations include failure to prevent pressure sores and promote healing, constituting conduct detrimental to resident health and safety.
Report Facts
Probation period: 90 Report due date: 2025
Employees Mentioned
NameTitleContext
Timothy TesmerChief Medical OfficerSigned the Notice of Disciplinary Action
Dan TaylorAdministratorHealth Facilities Licensure Unit, mentioned in the notice
Linda StenversAdministrative SpecialistCertified mailing of the Notice of Disciplinary Action
Inspection Report Complaint Investigation Deficiencies: 0 Apr 8, 2020
Visit Reason
An offsite review was conducted to investigate a complaint alleging the facility failed to give appropriate discharge notice.
Findings
The facility was found to have given appropriate discharge notice; record review showed the resident had not been discharged nor given notice of discharge, and interviews with family and administrator resolved the concern to the family's satisfaction.
Complaint Details
The complaint alleged failure to give appropriate discharge notice. The complaint was investigated and resolved with no deficiency found.
Employees Mentioned
NameTitleContext
Connie VogtProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit
Inspection Report Complaint Investigation Deficiencies: 0 Dec 5, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha from December 5, 2019 to December 11, 2019, by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The investigation found the facility was in compliance with regulations regarding respect and dignity, grievance handling, protection from abuse and misappropriation, and timely completion of written investigations within five working days.
Complaint Details
The complaint allegations included failure to ensure residents were treated with respect and dignity, failure to address grievances/complaints, failure to protect residents from abuse and misappropriation, and failure to complete written investigations within five working days. All allegations were found to be unsubstantiated with the facility in compliance.
Employees Mentioned
NameTitleContext
Connie VogtProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the report as Program Manager
Inspection Report Complaint Investigation Deficiencies: 0 Jul 16, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha on July 16-17, 2019, by representatives of the Department of Health and Human Services Division of Public Health. The investigation focused on multiple allegations including inadequate nutrition, skin care, change of condition identification, catheter care, hand washing, housekeeping, fall prevention, and protection from abuse.
Findings
The facility was found to be in compliance with all relevant regulatory requirements for each allegation investigated. Observations, record reviews, and interviews confirmed adequate nutrition, skin care, change of condition identification, catheter care, hand washing, housekeeping, fall prevention interventions, and protection from abuse.
Complaint Details
The complaint included nine allegations: inadequate intake of calories or nutrients, failure to provide care to prevent skin changes, failure to identify change of condition, failure to provide appropriate catheter care, failure to ensure appropriate hand washing, failure to have appropriate housekeeping and maintenance, failure to use fall interventions to prevent injuries, and failure to protect residents from abuse. All allegations were found to be unsubstantiated with no violations.
Employees Mentioned
NameTitleContext
Connie VogtProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the inspection report and correspondence
Inspection Report Complaint Investigation Deficiencies: 0 Jul 1, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging the facility failed to ensure residents are accounted for to prevent elopements.
Findings
The facility was found to be in compliance with regulatory requirements, ensuring residents were accounted for to prevent elopement through observations, record reviews, and staff interviews confirming proper interventions and education.
Complaint Details
The complaint alleged the facility failed to ensure residents are accounted for to prevent elopements. The investigation found the facility compliant with no substantiated deficiencies.
Employees Mentioned
NameTitleContext
Connie VogtProgram ManagerSigned the complaint investigation report.
Inspection Report Complaint Investigation Deficiencies: 0 Feb 27, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding insufficient supervision to prevent elopement at Life Care Center Of Omaha.
Findings
The facility was found to provide sufficient supervision to prevent elopement, including routine staff rounds, elopement risk assessments for all new residents, and extra monitoring for residents at risk. The facility was in compliance with regulatory requirements.
Complaint Details
The allegation was that the facility failed to provide sufficient supervision to prevent elopement. The complaint was investigated and found to be unsubstantiated as the facility met regulatory requirements.
Employees Mentioned
NameTitleContext
Connie VogtProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS
Inspection Report Complaint Investigation Census: 93 Deficiencies: 3 Dec 10, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha from December 10 to December 12, 2018, triggered by allegations regarding failure to follow practitioner's orders, medication administration errors, inadequate care for skin breakdown, and hygiene issues.
Findings
The investigation found the facility failed to follow practitioner's orders and the Five Rights for medication administration, resulting in a medication error rate of 12.12%. The facility also failed to provide care and treatment to promote healing of skin breakdown for one resident. However, the facility was compliant with hygiene and grooming requirements.
Complaint Details
The complaint investigation was substantiated with findings of medication errors and inadequate care for skin breakdown. The facility was found non-compliant with relevant regulations.
Severity Breakdown
SS=D: 3
Deficiencies (3)
DescriptionSeverity
Failure to follow practitioner's orders, including medication administration errors with 4 errors out of 33 medications.SS=D
Failure to follow the Five Rights for medication administration, resulting in a medication error rate of 12.12%.SS=D
Failure to provide care and treatment to promote healing of skin breakdown for one resident.SS=D
Report Facts
Medication errors: 4 Resident census: 93 Medication error rate: 12.12
Employees Mentioned
NameTitleContext
Connie VogtProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the complaint investigation letter.
RN ARegistered NurseInterviewed during the investigation; confirmed medication errors and failure to implement pressure ulcer prevention interventions.
Peter StygarAdministratorFacility administrator addressed in the report.
Inspection Report Complaint Investigation Deficiencies: 0 Oct 29, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha on October 29, 2018, by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The facility was found to be in compliance with regulatory requirements regarding prevention of verbal abuse, provision of assessments to identify changes in condition, and provision of emergency treatment as ordered.
Complaint Details
The complaint alleged failure to prevent verbal abuse, failure to provide assessments to identify change in condition, and failure to provide emergency treatment as ordered. The investigation found the facility compliant in all these areas.
Employees Mentioned
NameTitleContext
Connie VogtProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the report and contact person for questions
Inspection Report Complaint Investigation Census: 92 Capacity: 128 Deficiencies: 21 Jun 18, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha on June 18-19, 2018, by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The investigation found no violations related to bowel/bladder care, medical records, change in condition identification, resident dignity, or diabetes management. However, several deficiencies were cited including failure to cover urine drainage bags, failure to notify physicians of elevated blood glucose, failure to report an allegation of misappropriation timely, failure to provide baths per resident preference, inadequate supervision of smoking residents, unsafe fireplace temperature, failure to evaluate weight loss causes, inadequate pain management, medication storage issues, behavior monitoring for antipsychotic use, food temperature control, administration deficiencies, infection control lapses, antibiotic stewardship program deficiencies, medication error rate above 5%, and fire safety code violations.
Complaint Details
The visit was complaint-related as it was triggered by allegations including failure to provide care for bowel/bladder elimination, failure to provide medical records, failure to identify change in condition, failure to treat residents with respect and dignity, and failure to follow practitioner's orders for diabetes management. The investigation found no violations for these allegations.
Severity Breakdown
SS=D: 7 SS=K: 2 SS=G: 1 SS=E: 4 SS=F: 6
Deficiencies (21)
DescriptionSeverity
Facility staff failed to ensure a urine drainage bag was covered to maintain dignity for 1 resident.SS=D
Facility staff failed to notify the physician and responsible party of elevated blood glucose levels for 1 resident.SS=D
Facility staff failed to submit an investigation of an allegation of misappropriations within 5 working days to the required State Agency for 1 resident.SS=D
Facility staff failed to provide baths per resident preference for 1 resident.SS=D
Facility failed to evaluate smoking safety and supervision for residents who smoke and failed to ensure a stationary fireplace did not reach a temperature that could cause burns.SS=K
Facility staff failed to evaluate causal factors for weight loss and implement interventions for 1 resident.SS=D
Facility failed to implement interventions for pain management for 1 resident.SS=G
Facility staff failed to ensure 25 nursing assistants had 12 hours of annual continuing education.SS=E
Facility failed to ensure expired medications were not available and medications were not prepared in advance and left in medication carts.SS=E
Facility failed to monitor specific target behaviors for the use of an antipsychotic medication for 1 resident.SS=D
Facility staff failed to ensure food temperatures were maintained at safe levels to prevent food borne illness.SS=F
Facility administration failed to ensure effective management of resources to maintain highest practicable physical, mental, and psychosocial well-being of residents and facility environment, with multiple repeated deficiencies.SS=K
Facility Quality Assessment Performance Improvement Plan failed to identify ongoing issues and implement plans of action to correct repeated deficiencies.SS=F
Facility failed to train kitchen staff on procedures to extinguish grease fires and failed to have kitchen range hood extinguishing system inspected every 6 months.SS=F
Facility failed to provide a complete fire alarm system out of service policy including notification and fire watch procedures.SS=F
Facility failed to conduct a 3 year air leakage test on the fire sprinkler dry system.SS=F
Facility failed to provide a complete sprinkler system out of service policy including notification and fire watch procedures.SS=F
Facility failed to provide the proper fire extinguisher size in the staff smoking area.SS=D
Facility failed to ensure hand hygiene and cleaning of reusable equipment to prevent cross contamination.SS=E
Facility failed to develop and implement an antibiotic stewardship program to evaluate antibiotic use.SS=F
Facility failed to ensure medication error rate was less than 5%, with 6 errors in 32 medications observed.SS=D
Report Facts
Facility census: 92 Total licensed capacity: 128 Medication error rate: 18.75 Weight loss percentage: 12.38 Blood glucose levels: 490 Blood glucose levels: 400 Number of nursing assistants lacking training: 25 Number of residents affected by uncovered urine drainage bag: 1 Number of residents affected by failure to notify physician of elevated glucose: 1 Number of residents affected by failure to report misappropriation timely: 1 Number of residents affected by failure to provide baths per preference: 1 Number of residents affected by smoking supervision failure: 2 Number of residents with unsafe fireplace exposure: 12 Number of residents affected by weight loss evaluation failure: 1 Number of residents affected by pain management failure: 1 Number of residents affected by antipsychotic behavior monitoring failure: 1 Number of residents affected by food temperature failure: 88 Facility census at time of fire safety inspection: 91
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned complaint investigation letter
Peter StygarAdministratorFacility administrator during inspection
LPN FLicensed Practical NurseConfirmed uncovered urine drainage bag
Director of NursingDirector of NursingMultiple interviews and confirmations of deficiencies
RN ARegistered NurseObserved medication administration errors
RN BRegistered NurseObserved medication administration errors
NA CNursing AssistantFailed to notify nurse of pain and hand hygiene lapses
NA BNursing AssistantFailed to notify nurse of pain and hand hygiene lapses
LPN ELicensed Practical NurseAdministered pain medication late
Maintenance AMaintenance StaffAcknowledged fire safety documentation lapses
Administrator AAdministratorConfirmed fire watch policy deficiencies
Dietary Services ManagerDSMConfirmed food temperature deficiencies and kitchen staff training
RN IRegistered NurseReported no supervision for smoking residents
LPN HLicensed Practical NurseReported no supervision for smoking residents
LPN GLicensed Practical NurseReported no supervision for smoking residents
Inspection Report Complaint Investigation Deficiencies: 0 Jun 18, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha on June 18-19, 2018, by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The investigation found no violations related to the allegations concerning care and treatment for bowel and/or bladder elimination, provision of medical records, identification of change in condition, treatment of residents with respect and dignity, and following practitioner's orders for diabetes management.
Complaint Details
The complaint alleged failures in care and treatment for bowel and/or bladder elimination, provision of medical records, identification of change in condition, respect and dignity towards residents, and following practitioner's orders regarding diabetes management. All allegations were found to have no violations upon investigation.
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned the report as Training Coordinator, Office of LTC Facilities - Licensure Unit - Division of Public Health
Inspection Report Complaint Investigation Deficiencies: 0 Apr 11, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding insufficient supervision to prevent elopement at Life Care Center Of Omaha.
Findings
The facility was found to provide sufficient supervision to prevent elopement, and no violation was identified related to this issue at the time of the investigation.
Complaint Details
The complaint alleged that the facility failed to provide sufficient supervision to prevent elopement. The allegation was not substantiated as the investigation found adequate supervision and interventions in place.
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned the report and identified as representative of the Office of LTC Facilities - Licensure Unit - Division of Public Health
Notice Deficiencies: 3 Apr 4, 2018
Visit Reason
The document serves as a Notice of Disciplinary Action issued to Life Care Center Of Omaha due to violations of licensure regulations related to resident safety, care, and treatment, including failure to evaluate safety for residents who smoked and inadequate pain management.
Findings
The facility was found to have failed in evaluating and providing supervision for residents at risk, including those who smoked, and failed to ensure a stationary fireplace did not reach a burn hazard temperature. Additionally, the facility did not implement adequate pain management interventions, resulting in a resident experiencing pain.
Deficiencies (3)
Description
Failure to evaluate safety and provide supervision for residents that smoked.
Failure to ensure that a stationary fireplace did not reach a temperature that could cause potential burns.
Failure to implement interventions for pain management resulting in a resident experiencing pain.
Report Facts
Probation period (days): 180 Report submission frequency (days): 14 Notice finalization date: 15
Employees Mentioned
NameTitleContext
Dan TaylorRN, Interim Program ManagerContact person for submission of reports and responses related to the disciplinary action.
Thomas L WilliamsMD, Chief Medical Officer, Director, Division of Public HealthSigned the Notice of Disciplinary Action.
Becky WisellAdministrator, Licensure UnitSigned Certificate of Service for the Notice.
Linda StenversStaff Assistant II, Office of Long Term Care FacilitiesCertified mailing of the Notice of Disciplinary Action.
Inspection Report Complaint Investigation Census: 85 Deficiencies: 3 Jan 29, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding narcotic patch management and feeding tube care at Life Care Center Of Omaha.
Findings
The facility failed to manage narcotic patches according to practitioner orders, resulting in a delay in dosage change for one resident. Additionally, the facility failed to provide proper care for feeding tubes, including inadequate positioning and failure to check residual stomach contents prior to feeding.
Complaint Details
The complaint alleged failure to manage narcotic patches according to orders and failure to provide care according to standards for feeding tubes. The investigation substantiated these allegations.
Severity Breakdown
Level D: 3
Deficiencies (3)
DescriptionSeverity
Failure to manage narcotic patches according to care practitioner orders, including a 3-day delay in starting a new dosage.Level D
Failure to provide care and treatment according to standards of practice for feeding tubes, including improper positioning and failure to check residuals.Level D
Failure to ensure residents were treated with dignity during care for one resident.Level D
Report Facts
Facility census: 85 Deficiency count: 3 Delay in medication administration: 3
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned the complaint investigation letter
Peter StygarAdministratorFacility administrator addressed in the report
Registered Nurse BObserved providing care to Resident 6 during feeding
Director of NursingDirector of Nursing (DON)Interviewed regarding findings and care practices
Registered Nurse AInterviewed regarding narcotic patch administration
LPN CObserved administering tube feeding without checking residual
Inspection Report Complaint Investigation Census: 92 Deficiencies: 2 Dec 12, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to put interventions into place to prevent injuries.
Findings
The facility failed to implement assessed interventions to prevent falls for one sampled resident and failed to report and investigate potential abuse for that resident. Specifically, interventions such as bowel and bladder tracking and sleep/awake tracking were not completed, and an incident involving a resident's fear of a roommate was not investigated.
Complaint Details
The complaint alleged the facility failed to put interventions into place to prevent injuries. The investigation confirmed the facility did not implement interventions for one resident with a fall history and failed to investigate a potential abuse incident involving that resident.
Severity Breakdown
SS=D: 2
Deficiencies (2)
DescriptionSeverity
Failure to report and investigate potential abuse for Resident 3.SS=D
Failure to implement assessed interventions to prevent falls for Resident 3.SS=D
Report Facts
Census: 92 Deficiency completion date: 2018
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned the complaint investigation letter
Peter StygarAdministratorFacility administrator addressed in the report
Director of NursingInterviewed regarding failure to investigate abuse and implement interventions
Inspection Report Complaint Investigation Census: 85 Deficiencies: 2 Sep 12, 2017
Visit Reason
An MDS survey was conducted to determine whether the facility was in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.
Findings
The survey found isolated deficiencies related to inaccurate coding on the Minimum Data Set (MDS) assessments, including failure to code a Stage 4 pressure ulcer for Resident 8 and failure to accurately code falls with injuries for Resident 10.
Complaint Details
The visit was complaint-related, focusing on accuracy of MDS assessments. The deficiencies were substantiated as evidenced by the findings of inaccurate coding of pressure ulcers and falls.
Severity Breakdown
SS=D: 2
Deficiencies (2)
DescriptionSeverity
Failure to code a Stage 4 pressure ulcer for Resident 8 on the Minimum Data Set (MDS).SS=D
Failure to code falls with non-major and major injuries accurately for Resident 10 on the MDS.SS=D
Report Facts
Facility census: 85 Sample size: 12 Civil money penalty: 1000 Civil money penalty: 5000
Employees Mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the important notice letter
Peter StygarAdministratorFacility administrator addressed in the report
MDS Coordinator AConfirmed errors in MDS coding for Resident 10
Director of NursingConfirmed errors in MDS coding for Resident 8
Inspection Report Complaint Investigation Deficiencies: 0 Aug 21, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha regarding allegations of failure to ensure clean and groomed hair, skin, teeth, and/or nails, and failure to provide care and treatment to promote healing of skin breakdown.
Findings
The facility was found to be in compliance with regulatory requirements for both allegations. Residents were observed to be clean and well groomed, and care and treatment to promote healing of skin breakdown were provided appropriately with staff knowledgeable of treatments and preventative measures.
Complaint Details
The complaint alleged failure to ensure clean and groomed hair, skin, teeth, and/or nails, and failure to provide care and treatment to promote healing of skin breakdown. Both allegations were found to be unsubstantiated as the facility was in compliance.
Employees Mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS
Inspection Report Complaint Investigation Census: 84 Deficiencies: 4 Aug 1, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha on July 31, 2017-August 1, 2017, by representatives of the Department of Health and Human Services Division of Public Health. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.
Findings
The facility failed to submit investigations within 5 working days for 2 of 3 sampled residents, failed to implement fall interventions for 2 of 3 residents at risk for falls, and failed to protect a resident during an investigation of verbal abuse. Additionally, food brought in for a birthday party was not from approved sources. The facility resolved grievances/complaints appropriately.
Complaint Details
The complaint alleged the facility failed to submit investigations within 5 working days, failed to resolve grievances/complaints, and failed to use fall interventions to prevent injuries. The investigation confirmed failures in timely submission of investigations and fall interventions but found grievances/complaints were resolved.
Severity Breakdown
SS=D: 4
Deficiencies (4)
DescriptionSeverity
Failed to ensure 1 resident was protected during an investigation of verbal abuse.SS=D
Failed to submit results of potential abuse/neglect investigations to the state agency within required time frames for 2 of 3 sampled residents.SS=D
Failed to implement assessed fall interventions for 2 of 3 residents at risk for falls.SS=D
Failed to ensure food brought into the facility for a birthday party was obtained from approved sources for 3 of 5 residents.SS=D
Report Facts
Census: 84 Deficiencies cited: 4 Residents assessed for foodborne illness: 3
Employees Mentioned
NameTitleContext
Eve LewisProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the complaint investigation letter
Sara DelahoydeAdministratorFacility Administrator interviewed regarding investigation findings
Licensed Practical Nurse (LPN) DInterviewed regarding Resident 1 fall and bed position
Licensed Practical Nurse (LPN) EInterviewed regarding Resident 3 call light and video monitoring
Dietary ManagerInterviewed regarding food brought in for birthday party
Inspection Report Complaint Investigation Census: 77 Deficiencies: 3 Mar 27, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha from March 27, 2017 to March 29, 2017 by the Department of Health and Human Services Division of Public Health.
Findings
The investigation found no violations related to substitute food choices or care to prevent weight loss. However, the facility failed to monitor and notify the physician of residents' blood sugar levels according to practitioner orders, constituting a violation. Additional deficiencies included failure to implement fall prevention interventions and significant medication errors related to insulin administration.
Complaint Details
The complaint alleged failure to offer substitute food choices, failure to provide care to prevent weight loss, and failure to monitor blood sugar according to practitioner orders. The investigation substantiated the failure to monitor blood sugar and notify the physician.
Severity Breakdown
SS=D: 3
Deficiencies (3)
DescriptionSeverity
Failure to notify physician of blood sugar results for Resident 1 as ordered.SS=D
Failure to implement assessed fall prevention interventions for Resident 3.SS=D
Failure to ensure Resident 1 was free of significant medication errors related to insulin administration.SS=D
Report Facts
Census: 77 Deficiencies cited: 3 Fall Risk Evaluation score: 20 Blood sugar levels: 428 Blood sugar levels: 400 Blood sugar levels: 245 Blood sugar levels: 311
Employees Mentioned
NameTitleContext
Eve LewisProgram Manager - Office of LTC Facilities - Licensure UnitSigned the complaint investigation letter
Barry ColemanRN, BSN Executive Diabetes Account SpecialistProvided education on diabetes and insulin administration
LPN ALicensed Practical NurseAdministered insulin and involved in medication error findings
CAssistant Director of NursingConfirmed bed positioning deficiency and interview regarding blood sugar notification
Sara DelahoydeAdministratorFacility administrator addressed in the report
Inspection Report Renewal Capacity: 128 Deficiencies: 0 Feb 13, 2017
Visit Reason
The document is a nursing home licensure renewal application and related materials for Life Care Center of Omaha, including renewal fees payment, facility floor plan, and fire marshal certificate of occupancy.
Findings
The facility is licensed as a Skilled Nursing Facility/Nursing Facility dual certification with a total licensed capacity of 128 beds. The Nebraska State Fire Marshal issued an occupancy permit confirming compliance with fire safety codes.
Report Facts
License renewal fee: 1950 Total licensed beds: 128
Employees Mentioned
NameTitleContext
Sara DelahoydeAdministratorNamed as facility administrator on renewal application
Melissa MonicalDirector of NursingNamed as Director of Nursing on renewal application
Eve LewisAdministratorRecipient of renewal documents and correspondence
Teresa L. ThigpenAssistant Licensure CoordinatorSigned cover letter submitting renewal documents
Cindy S. CrossAssistant SecretaryAuthorized representative on renewal application
Joan E. ThurmondAuthorized RepresentativeAuthorized representative on renewal application
Notice Deficiencies: 0 Jan 26, 2017
Visit Reason
The document serves as a Notice of Disciplinary Action placing Life Care Center Of Omaha on probation for 90 days starting February 10, 2017, due to violations related to care and treatment, specifically failure to evaluate and monitor pain management and bowel care.
Findings
The facility was found in violation of licensure regulations concerning care and treatment, including inadequate evaluation and monitoring of pain and bowel management, leading to probation with required submission of plans of correction and periodic reports.
Report Facts
Probation period (days): 90 Report submission frequency (days): 14 Notice mailing date: Jan 26, 2017
Employees Mentioned
NameTitleContext
Eve LewisRNC, Program ManagerContact for submission of reports and correspondence related to probation
Thomas L. WilliamsChief Medical Officer, Director, Division of Public HealthSigned the Notice of Disciplinary Action
Becky WisellAdministrator, Licensure UnitSigned the Notice of Disciplinary Action
Linda StenversStaff Assistant IICertified mailing of the Notice of Disciplinary Action
Inspection Report Complaint Investigation Census: 85 Capacity: 128 Deficiencies: 12 Jan 4, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Life Care Center Of Omaha on January 4, 2017-January 11, 2017, by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The facility was found to be in compliance with infection control, supervision, and protection from abuse allegations. Deficiencies were found related to incomplete health screenings for new employees, inadequate pain management for residents, failure to coordinate dialysis care, failure to monitor and treat constipation, failure to respond to resident suicide ideation, failure to maintain nutrition status for dialysis residents, and medication storage and labeling issues.
Complaint Details
The complaint investigation included allegations that the facility failed to follow infection control policies, failed to provide sufficient supervision, and failed to protect residents from abuse. The facility was found to be in compliance with these allegations.
Severity Breakdown
SS=G: 1 SS=D: 2 SS=E: 5 SS=F: 2
Deficiencies (12)
DescriptionSeverity
Failed to complete and follow through on new employees' health screenings to ensure they were not a health risk to residents.
Failed to evaluate, monitor and prevent a decline related to pain management for 2 residents, failed to communicate with outpatient dialysis team, and failed to evaluate and provide care related to bowel management for one resident.SS=G
Failed to evaluate and monitor a resident when statements of self harm were made; no 15 minute checks or notifications were documented.SS=D
Failed to evaluate the diet needs and provide the correct diet for a resident related to renal failure requiring dialysis and diabetes.SS=D
Failed to ensure medications were kept secure in medication storage room; medication room door was propped open allowing unauthorized access; outdated and unlabeled medications were available for resident use.SS=E
Failed to ensure expired medication was removed from medication cart.SS=E
Failed to place date opened on medication bottles as required by pharmacy label.SS=E
Failed to ensure panic bar on Southwest Exit in Dining Room released with no more than 15 pounds of pressure.SS=F
Failed to maintain smoke doors fully closed within door frames for 2 of 8 smoke barriers.SS=E
Failed to ensure storage boxes did not obstruct access to electrical disconnect boxes and refrigerators were not plugged into surge protectors.SS=E
Failed to ensure remote annunciator with battery backup for emergency generator was installed and functioning.SS=F
Failed to secure compressed gas cylinder in closet allowing potential fall and leak.SS=E
Report Facts
Census: 85 Total Capacity: 128 Deficiencies cited: 12 Pain rating: 10 Potassium level: 6.4 Potassium level: 5.2 Expiration date: Nov 20, 2016 Weight: 250 Fluid restriction: 1200
Employees Mentioned
NameTitleContext
Sara DelahoydeAdministratorNamed as facility administrator in report
Dan TaylorRN, Training CoordinatorSigned complaint investigation letter
LPN BLicensed Practical NurseConfirmed expired medication and medication labeling issues
ADON KAssistant Director of NursingConfirmed medication room door propped open and medication labeling issues
DONDirector of NursingInterviewed regarding pain management, dialysis communication, and diet issues
RD MRegistered DietitianDialysis center dietitian interviewed about resident diet needs
LPN PLicensed Practical NurseInterviewed about missed medications on dialysis days
SSDSocial Services DirectorInterviewed regarding suicide ideation follow-up
Inspection Report Complaint Investigation Census: 85 Deficiencies: 7 Oct 24, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha regarding multiple allegations including failure to notify family of change in condition, medication administration, assistance for dressing, response to falls, identification of change in condition, protection from abuse, and care for drainage devices.
Findings
The facility was found compliant with most allegations except for failure to provide care and treatment for drainage devices for one resident. A separate follow-up inspection in 2017 identified deficiencies related to incomplete health screenings for new employees, inadequate pain management for multiple residents, failure to coordinate dialysis care and bowel management, failure to monitor a resident expressing suicidal ideation, failure to provide appropriate renal diet and nutritional care, and medication storage and labeling issues.
Complaint Details
The complaint investigation was triggered by multiple allegations including failure to notify family of change in condition, medication administration errors, failure to provide assistance for dressing, failure to respond promptly to falls, failure to identify change in condition, failure to protect residents from abuse, and failure to provide care for drainage devices. The investigation included review of resident records, observations, and interviews with residents, family, and staff.
Severity Breakdown
SS=G: 2 SS=D: 2 SS=E: 1
Deficiencies (7)
DescriptionSeverity
Failure to provide care and treatment for drainage devices for one resident.
Failure to complete and follow through on new employees' health screenings to ensure they were not a health risk to residents.
Failure to evaluate, monitor and prevent decline related to pain management for multiple residents.SS=G
Failure to communicate with outpatient dialysis team and provide bowel management to prevent constipation requiring hospital visit.SS=G
Failure to evaluate and monitor a resident after statements of self-harm were made; no 15-minute checks or notifications documented.SS=D
Failure to evaluate diet needs and provide correct renal and diabetic diet for a resident requiring dialysis.SS=D
Failure to ensure medications were kept secure; medication storage room door was propped open allowing unauthorized access; outdated and unlabeled medications found.SS=E
Report Facts
Census: 85 Pain severity ratings: 10 Number of residents with health screening deficiencies: 5 Medication expiration date: 2016 Medication doses missed: 16
Employees Mentioned
NameTitleContext
Eve LewisProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned complaint investigation letter
Sara DelahoydeAdministratorFacility administrator named in complaint investigation
LPN BLicensed Practical NurseConfirmed lack of 15-minute checks and medication labeling issues
ADON KAssistant Director of NursingConfirmed medication storage door propped open and diet issues
DONDirector of NursingInterviewed regarding pain management and dialysis communication failures
RD MRegistered DietitianDialysis center dietitian interviewed about renal diet needs
LPN PLicensed Practical NurseInterviewed about missed medications during dialysis days
Inspection Report Complaint Investigation Deficiencies: 0 Sep 27, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha regarding allegations of failure to evaluate causal factors for falls, failure to ensure staff follow the plan of care, and failure to serve residents food in a timely manner.
Findings
The facility was found to be in compliance with regulatory requirements for all allegations. Evaluations of falls and related care plans were completed and implemented, staff followed the plan of care, and residents were served food in a timely manner with appropriate meal scheduling.
Complaint Details
The complaint alleged failure to evaluate causal factors for falls, failure to ensure staff follow the plan of care, and failure to serve residents food in a timely manner. All allegations were found to be unsubstantiated as the facility was in compliance.
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training Coordinator, Licensure UnitSigned letter as Training Coordinator related to complaint investigation findings
Notice Deficiencies: 0 Jul 27, 2016
Visit Reason
The notice was issued to impose disciplinary action on the facility for failure to evaluate and ensure the functioning of respiratory equipment, which resulted in a resident being hospitalized.
Findings
The facility was found to have violated licensure regulations related to special needs and respiratory equipment management, leading to probation and requirements for a plan of correction and ongoing reporting.
Report Facts
Probation period: 90 Report due date: 2016
Employees Mentioned
NameTitleContext
Courtney N. PhillipsChief Executive OfficerSigned the Notice of Disciplinary Action.
Becky WisellAdministratorSigned the Notice of Disciplinary Action.
Linda StenversStaff Assistant IICertified service of the Notice.
Eve LewisProgram ManagerContact for submission of required reports and responses.
Inspection Report Complaint Investigation Census: 95 Deficiencies: 0 Jul 20, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha on July 20-21, 2016, by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The investigation found that the facility was in compliance with regulations regarding timely submission of investigations, medication administration, nutritional needs, care for skin breakdown, provision of a home-like environment, and ensuring residents were free from verbal abuse. No violations were identified related to the allegations.
Complaint Details
The complaint allegations included failure to submit investigations within 5 working days, failure to administer medications as ordered, failure to ensure foods/meals meet nutritional needs to prevent weight loss, failure to provide care and treatment to promote healing of skin breakdown, failure to provide a home-like environment, and failure to ensure residents are free from verbal abuse. All allegations were found to be unsubstantiated.
Report Facts
Medications observed: 34 Staff members observed: 4 Units observed: 4
Employees Mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS
Inspection Report Complaint Investigation Census: 104 Deficiencies: 1 Jun 28, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha regarding failure to identify change in condition, failure to promptly respond to calls for assistance, and failure to properly maintain essential equipment.
Findings
The facility was found to be in compliance with regulatory requirements for identifying changes in condition and responding promptly to calls for assistance. However, the facility failed to properly maintain essential respiratory equipment (CPAP machine) for one resident, which resulted in a violation of federal requirements.
Complaint Details
The complaint alleged failure to identify change in condition, failure to promptly respond to calls for assistance, and failure to properly maintain essential equipment. The facility was found compliant with the first two allegations but deficient in maintaining respiratory equipment. The deficiency was substantiated.
Severity Breakdown
SS=G: 1
Deficiencies (1)
DescriptionSeverity
Failure to properly maintain essential respiratory equipment (CPAP machine) for one resident, resulting in non-functioning equipment and subsequent hospitalization.SS=G
Report Facts
Facility census: 104 Deficiency completion date: Aug 11, 2016
Employees Mentioned
NameTitleContext
Eve LewisRNC, Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the complaint investigation letter
Sara DelahoydeAdministratorFacility administrator named in the report
Medication Aide AMedication AideInterviewed regarding the malfunctioning CPAP machine
Director of NursingDirector of NursingInterviewed regarding awareness of CPAP malfunction
Inspection Report Complaint Investigation Census: 95 Deficiencies: 6 Jun 2, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha from June 2, 2016 to June 7, 2016 by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The investigation found multiple deficiencies including failure to submit investigations within 5 working days, failure to administer medications according to practitioner's orders, failure to provide care and treatment for bowel elimination, failure to provide care and treatment to prevent skin breakdown, and failure to complete daily weights as ordered. Several other allegations were found to be in compliance. The facility was cited for violations of federal and state requirements.
Complaint Details
The complaint investigation was triggered by allegations including failure to submit investigations timely, medication administration errors, failure to protect residents from adverse behaviors, failure to address food preferences and nutritional needs, failure to provide care and treatment for bowel elimination, failure to assess fall risk, failure to provide therapeutic diets, failure to treat residents with dignity and respect, failure to follow practitioner's orders, failure to prevent skin breakdown, failure to protect residents from retaliation, failure to resolve complaints, and failure to protect residents from mental abuse. Some allegations were substantiated with deficiencies cited, others were found in compliance.
Severity Breakdown
SS=D: 6
Deficiencies (6)
DescriptionSeverity
Failure to submit investigations within 5 working days for two residents.SS=D
Failure to administer medication according to practitioner's orders, including administration of sliding scale insulin not ordered by physician.SS=D
Failure to provide care and treatment for bowel elimination for one resident.SS=D
Failure to complete daily weights in accordance with physician orders for three residents.SS=D
Failure to implement interventions to prevent development of a pressure sore for one resident.SS=D
Failure to provide medication in accordance with physician orders for one resident, including administration of sliding scale insulin at bedtime which was not ordered.SS=D
Report Facts
Facility census: 95 Deficiency count: 6 Medication administration error rate: 5 Days delay in submitting investigations: 5 Pressure sore measurement: 1.5 Pressure sore measurement: 0.8 Weight gain: 7 Missed daily weights: 3
Employees Mentioned
NameTitleContext
Sara DelahoydeAdministratorNamed as facility administrator receiving the report
Eve LewisProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the complaint investigation letter
Director of NursingInterviewed regarding deficiencies in medication administration, daily weights, and pressure sore care
Inspection Report Complaint Investigation Census: 100 Deficiencies: 0 Jan 13, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint at Life Care Center Of Omaha regarding allegations of failure to provide care and services according to practitioner's orders, failure to ensure residents are bathed according to their preferences, and failure to have sufficient staff to meet residents’ needs.
Findings
The investigation found no violations related to the allegations. The facility ensured care and services were provided according to practitioner's orders, residents were bathed according to their preferences, and sufficient staff were available to meet residents' needs.
Complaint Details
The complaint alleged failure to provide care and services according to practitioner's orders, failure to ensure residents are bathed according to their preferences, and failure to have sufficient staff to meet residents’ needs. All allegations were found to be unsubstantiated.
Report Facts
Census: 100
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training Coordinator, Licensure UnitSigned the report and is the contact person for the investigation
Inspection Report Complaint Investigation Census: 95 Deficiencies: 1 Dec 22, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to protect residents from residents with adverse behaviors.
Findings
The facility failed to protect residents from residents with adverse behaviors, specifically failing to implement additional interventions to manage behaviors for one resident involved in resident-to-resident altercations. Other allegations regarding following practitioners' orders and resolving complaints/grievances were found to be compliant.
Complaint Details
The complaint alleged the facility failed to protect residents from residents with adverse behaviors, failed to follow practitioners' orders for treatments, and failed to resolve complaints/grievances. The facility was found in violation only for failing to protect residents from adverse behaviors; other allegations were not substantiated.
Severity Breakdown
SS=D: 1
Deficiencies (1)
DescriptionSeverity
Failure to implement additional interventions to manage behaviors for one resident involved in resident-to-resident altercations.SS=D
Report Facts
Facility census: 95 Deficiency completion date: 2016
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training Coordinator - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the complaint investigation letter
Licensed Practical Nurse CLicensed Practical NurseInterviewed regarding resident-to-resident altercation and monitoring
Director of NursingDirector of NursingInterviewed regarding care plan interventions following resident-to-resident altercation
Inspection Report Complaint Investigation Census: 95 Deficiencies: 0 Oct 20, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's care and treatment for bowel elimination and protection of residents from abuse.
Findings
The facility was found to provide appropriate care and treatment for bowel elimination and to protect residents from abuse, with no violations identified during the investigation.
Complaint Details
The complaint alleged failure to provide care and treatment for bowel elimination and failure to protect residents from abuse. Both allegations were found to be unsubstantiated.
Report Facts
Census: 95
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training Coordinator, Licensure Unit, Division of Public Health-DHHSSigned the report and provided contact information
Inspection Report Renewal Capacity: 128 Deficiencies: 0 Oct 1, 2015
Visit Reason
The document is related to the renewal of the nursing home license for Life Care Center of Omaha, including submission of the renewal application, floor plan, fire marshal certificate of occupancy, and payment of renewal fees.
Findings
The documents confirm that the facility meets statutory requirements for licensure renewal, with no deficiencies or violations noted in the materials provided.
Report Facts
Total licensed beds: 128 License expiration date: Mar 31, 2017 License renewal fee: 1950
Employees Mentioned
NameTitleContext
Sara DelahoydeAdministratorNamed in the Nursing Home Licensure Renewal Application
Melody PrescottDirector of NursingNamed in the Nursing Home Licensure Renewal Application
Inspection Report Complaint Investigation Census: 99 Deficiencies: 20 Sep 29, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Life Care Center Of Omaha from September 29, 2015 to October 7, 2015.
Findings
The facility was found to be in compliance with many allegations including care for bowel elimination, protection from abuse, staff training, and call light response. However, deficiencies were found related to involuntary discharge documentation, protection from injury, completion of treatments, care for bladder elimination, and management of resident personal funds. Additional deficiencies were noted in housekeeping, care planning, pressure sore treatment, catheter care, hydration, medication error rates, fire safety, and nutrition management.
Complaint Details
The complaint investigation included allegations related to care and treatment for bowel elimination, protection from behaviors and abuse, involuntary discharge notice, staff training, furnishing adequacy, injury protection, treatment completion, bladder elimination, call response, and others. Some allegations were substantiated with deficiencies found, including failure to document involuntary discharge rationale, failure to assess injury risk, failure to complete ordered treatments, and failure to provide care for bladder elimination.
Severity Breakdown
Level D: 9 Level E: 7 Level F: 1 Level G: 2
Deficiencies (20)
DescriptionSeverity
Failed to ensure physician documentation of rationale for involuntary discharge of two residents.Level D
Failed to properly assess residents for risk for injury and develop a plan of care accordingly.Level D
Failed to complete treatments according to practitioner's orders for catheter care for two residents.Level D
Failed to provide care and treatment for bladder elimination as ordered.Level E
Failed to ensure resident personal funds were available after 5:00 PM for two residents.Level D
Failed to maintain doors, walls, base boards, caulking and flooring in good repair in multiple resident rooms.Level E
Failed to revise comprehensive care plans for potential hot liquid burns for two residents.Level D
Failed to evaluate skin condition under a splint and failed to evaluate nutritional requirements for pressure ulcer healing for one resident.Level G
Failed to ensure catheter care was performed according to physician orders and facility policy for residents with suprapubic catheters.Level E
Failed to re-evaluate and implement additional interventions to prevent hot liquid burns for one resident.Level G
Failed to implement recommended nutritional interventions for one resident.Level D
Failed to implement and monitor interventions to prevent potential dehydration for one resident.Level D
Failed to monitor target behaviors for the use of an anti-psychotic medication for one resident.Level D
Failed to ensure medication error rate was less than 5%, with 3 errors in 25 medications observed.Level D
Failed to ensure ventilation was functional in 8 resident bathrooms in 6 of 8 hallways.Level E
Failed to maintain exit doors so the delayed egress hardware would release with the application of 15 pounds of pressure.Level E
Failed to maintain fire alarm system to prevent false alarms in 500 hall.Level F
Failed to maintain automatic fire sprinkler systems in reliable operating condition; corrosion and obstruction noted.Level E
Failed to ensure fire extinguishers were installed at proper height and failed to document monthly inspections.Level E
Failed to use electrical wiring and equipment in accordance with NFPA 70; rechargeable jumpstarter improperly plugged into power strip.Level E
Report Facts
Census: 99 Medication error rate: 12 Pressure ulcer measurements: 1.2 Pressure ulcer measurements: 2.7 Pressure ulcer measurements: 2.5 Pressure ulcer measurements: 2.4 Fluid intake recommendation: 2152 Medication dose: 40 Medication dose: 18 Medication dose: 90 Medication dose: 3.125 Medication pulse threshold: 60
Employees Mentioned
NameTitleContext
Sara DelahoydeAdministratorNamed in multiple findings and correspondence
Gerald NevinsRegistered NurseInvestigator during complaint and annual survey
Khristy SweeneyRegistered NurseInvestigator during complaint and annual survey
Ron ChaseRegistered NurseInvestigator during complaint and annual survey
Kay ReevesNutrition/dietitianInvestigator during complaint and annual survey
Eve LewisProgram Manager - Office of LTC FacilitiesSigned complaint investigation letter
Dee KaserRN-Quality Improvement AdvisorConducted Informal Dispute Resolution
Dan TaylorTraining CoordinatorSigned Informal Dispute Resolution decision letter
Notice Deficiencies: 0 Dec 2, 2014
Visit Reason
The notice was issued to impose disciplinary probation on the facility's license for 90 days beginning December 2, 2014, due to violations found in the facility's care and treatment processes, specifically related to pressure ulcer and pain management.
Findings
The facility failed to assess residents for causal factors and implement interventions to address pressure sores and pain, resulting in disciplinary action and a probation period requiring submission of plans of correction and periodic reports.
Report Facts
Probation period length: 90 Report submission frequency: 14 Report due date: Dec 12, 2014
Employees Mentioned
NameTitleContext
Eve LewisRNC, Program ManagerRecipient of required reports and contact for response
Joseph M. AciernoMD, JD, Chief Medical Officer, Director, Division of Public HealthSigned the Notice of Disciplinary Action
Becky WisellAdministrator, Licensure UnitSigned the Notice of Disciplinary Action
Linda StenversStaff Assistant IICertified mailing of the Notice
Sara DelahoydeAdministratorFacility administrator addressed in follow-up letter
Inspection Report Annual Inspection Census: 96 Capacity: 99 Deficiencies: 25 Oct 30, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Life Care Center Of Omaha on October 27, 2014-October 30, 2014.
Findings
The facility failed to maintain a sufficient housekeeping program, failed to provide liability notices after discontinuation of Medicare benefits for 3 residents, failed to provide choice of bath frequency and type for 3 residents, failed to provide notification of room changes for 2 residents, failed to maintain clean and good repair of carpeting, wallpaper and cabinets, failed to re-evaluate and implement pain management interventions for 1 resident, failed to implement a restorative nursing program for 1 resident, failed to provide nail care for 1 resident, failed to arrange for vision evaluation for 1 resident, failed to evaluate and treat pressure ulcers for 2 residents, failed to implement a toileting program for 1 resident, failed to evaluate and prevent decrease in range of motion for 1 resident, failed to ensure proper drug storage and labeling, failed to have detailed written emergency evacuation plans, and failed to maintain an effective quality assessment and assurance program.
Complaint Details
The complaint investigation found the facility failed to maintain a sufficient housekeeping program, failed to provide liability notices after discontinuation of Medicare benefits for 3 residents, failed to provide choice of bath frequency and type for 3 residents, failed to provide notification of room changes for 2 residents, failed to maintain clean and good repair of carpeting, wallpaper and cabinets, failed to re-evaluate and implement pain management interventions for 1 resident, failed to implement a restorative nursing program for 1 resident, failed to provide nail care for 1 resident, failed to arrange for vision evaluation for 1 resident, failed to evaluate and treat pressure ulcers for 2 residents, failed to implement a toileting program for 1 resident, failed to evaluate and prevent decrease in range of motion for 1 resident, failed to ensure proper drug storage and labeling, failed to have detailed written emergency evacuation plans, and failed to maintain an effective quality assessment and assurance program.
Severity Breakdown
SS=D: 7 SS=E: 6 SS=F: 7 SS=G: 3
Deficiencies (25)
DescriptionSeverity
Failed to provide liability notices after discontinuation of Medicare benefits for 3 residents.SS=D
Failed to provide choice of bath frequency and type for 3 residents.SS=D
Failed to provide notification of room changes for 2 residents.SS=D
Failed to maintain clean and good repair of carpeting, wallpaper and cabinets.SS=E
Failed to re-evaluate and implement pain management interventions for 1 resident.SS=G
Failed to implement a restorative nursing program for 1 resident.SS=D
Failed to provide nail care for 1 resident.SS=D
Failed to arrange for vision evaluation for 1 resident.SS=D
Failed to evaluate and treat pressure ulcers for 2 residents.SS=G
Failed to implement a toileting program for 1 resident.SS=D
Failed to evaluate and prevent decrease in range of motion for 1 resident.SS=D
Failed to ensure proper drug storage and labeling, including outdated laboratory tubes and culture swabs.SS=F
Failed to have detailed written emergency evacuation plans including destination for residents.SS=F
Failed to maintain an effective quality assessment and assurance program.SS=G
Failed to provide a one-hour rated ceiling in the north restroom.SS=E
Door to DON office blocked open with chair preventing closing.SS=F
Fire rated smoke separation doors at 100 and 500 Halls failed to resist passage of smoke.SS=F
Separation of hazardous areas from other compartments not maintained; storage in resident room and doors held open.SS=F
Therapy exit door lacked delayed egress signage.SS=E
Failed to conduct fire drills for each shift quarterly.SS=F
Fire alarm system lacked 100% smoke and heat detector testing.SS=F
Sprinkler escutcheons missing and obstructions to sprinkler heads.SS=F
Oxygen in use sign missing on room 107.SS=E
Generator not tested monthly under 30% load and no annual load bank test.SS=F
Electrical wiring and equipment not installed per code; storage in front of electrical panels and cords run through door openings.SS=E
Report Facts
Deficiencies cited: 26 Facility census: 97 Facility census: 99 Residents affected: 178 Residents affected: 45 Residents affected: 34 Residents affected: 38 Smoke detectors tested: 41 Heat detectors tested: 135 Fire drills missing: 1 Expired laboratory vials: 30 Expired culture swabs: 5
Employees Mentioned
NameTitleContext
Eve LewisProgram ManagerSigned complaint investigation letter
Michelle YosickAdministratorNamed in complaint investigation letter and interview
Khristy LongRegistered NurseComplaint investigation surveyor
Ron ChaseRegistered NurseComplaint investigation surveyor
Kay ReevesNutrition/dietitianComplaint investigation surveyor
LPN DNamed in pain management deficiency and interview
Bath Aide ANamed in bath choice deficiency and interview
Activity Director BNamed in bath choice deficiency and interview
Registered Nurse CNamed in bath choice deficiency and interview
Registered Nurse ENamed in nail care and vision evaluation deficiencies and interview
Social Service Director FNamed in vision evaluation deficiency and interview
Social Service Assistant GNamed in vision evaluation deficiency and interview
Maintenance ANamed in multiple facility maintenance and safety deficiencies and interview
Nursing Assistant HNamed in quality assurance deficiency and interview
Licensed Practical Nurse KNamed in quality assurance deficiency and interview
Nursing Assistant LNamed in quality assurance deficiency and interview
Assistant Director of NursingNamed in quality assurance deficiency and interview
Director of MaintenanceNamed in oxygen signage deficiency and interview
Executive DirectorNamed in generator testing deficiency and interview
Inspection Report Complaint Investigation Census: 107 Deficiencies: 1 Aug 21, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to ensure residents are free from sexual abuse.
Findings
The facility failed to ensure residents were free from sexual abuse by not reporting and investigating allegations of potential abuse for two sampled residents, violating federal regulation F 225 and state licensure requirements.
Complaint Details
The complaint alleged the facility failed to ensure residents are free from sexual abuse. The investigation confirmed the facility failed to report and investigate allegations of potential abuse for two residents. Resident 1 reported being raped in another facility, and Resident 2 reported inappropriate behavior by a nursing aide. The facility suspended involved staff and failed to conduct proper investigations in writing.
Severity Breakdown
SS=D: 1
Deficiencies (1)
DescriptionSeverity
Failure to report and investigate allegations of potential abuse for two residents.SS=D
Report Facts
Census: 107 Deficiency count: 1
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned the complaint investigation letter.
Michelle YosickAdministratorFacility administrator addressed in the complaint investigation letter.
Nursing Aide ANamed in abuse allegation involving Resident 2.
Licensed Practical Nurse BSuspended for failure to immediately report Resident 1's statement about being raped.
Regional Vice PresidentNurse ConsultantReported suspensions and confirmed facility policy on abuse reporting.
Interim Director of NursingInterviewed regarding abuse allegations and investigations.
Inspection Report Complaint Investigation Census: 100 Deficiencies: 3 Nov 25, 2013
Visit Reason
An unannounced visit was conducted to investigate a complaint survey at Life Care Center Of Omaha from November 19, 2013 to November 25, 2013, triggered by multiple allegations including failure to change fall interventions, inadequate housekeeping, incomplete laboratory work, unpalatable meals, failure to provide pain control, failure to prevent accidents, failure to address significant weight loss, and failure to promote healing of pressure sores.
Findings
The facility was found compliant with fall interventions, housekeeping, laboratory work, meal quality, pain control, accident prevention, and weight loss evaluation. However, the facility failed to communicate the development of a new pressure ulcer and treatment changes to staff, failed to ensure a hospice plan of care was provided timely, failed to provide care and treatment to promote healing of pressure sores for Resident 2, and failed to evaluate causal factors and implement interventions for a pressure ulcer for Resident 6. Additionally, the facility failed to properly disinfect glucometers used for blood sugar testing for Residents 5 and 6.
Complaint Details
The complaint investigation included multiple allegations: failure to change fall interventions, inadequate housekeeping, incomplete laboratory work, unpalatable meals, failure to provide pain control, failure to prevent accidents, failure to address significant weight loss, and failure to provide care and treatment to promote healing of pressure sores. Most allegations were not substantiated except for the failure to provide care and treatment to promote healing of pressure sores and related communication failures.
Severity Breakdown
SS=D: 3
Deficiencies (3)
DescriptionSeverity
Facility hospice provider failed to communicate the development of a pressure ulcer and treatment change to facility staff and failed to ensure a hospice plan of care was provided to the facility for Resident 2.SS=D
Facility failed to provide care and treatment to promote the healing of pressure sores for Resident 2 and failed to evaluate causal factors and implement interventions for a pressure ulcer for Resident 6.SS=D
Facility staff failed to clean a glucometer for the required time to prevent potential cross contamination for Residents 5 and 6.SS=D
Report Facts
Census: 100 Deficiency count: 3 Pressure ulcer size: 1 Pressure ulcer size: 1.5 Blood sugar checks per day: 4 Blood sugar checks per day: 2 Disinfection wet time: 2
Employees Mentioned
NameTitleContext
Ron ChaseRegistered NurseConducted complaint survey investigation
Sara DelahoydeAdministratorFacility administrator receiving the report
Eve LewisProgram ManagerSigned the complaint investigation letter
RN CRegistered NurseObserved wound care and interviewed regarding pressure ulcer on Resident 2
RN EHospice Registered NurseInterviewed regarding hospice care and communication for Resident 2
LPN ALicensed Practical NurseObserved performing blood sugar testing and glucometer cleaning for Resident 5
LPN BLicensed Practical NurseObserved performing blood sugar testing and glucometer cleaning for Resident 6
LPN DLicensed Practical NurseInterviewed regarding foot pedal placement for Resident 6
Inspection Report Routine Census: 95 Deficiencies: 2 Aug 12, 2013
Visit Reason
The inspection was conducted as a routine survey to assess compliance with Nebraska Administrative Code regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.
Findings
The facility failed to check the Nurse Aide registry with the state of Nebraska prior to employment of one nurse aide, potentially affecting 34 residents. Additionally, the facility failed to administer IV antibiotics according to physician orders for one resident, resulting in a significant medication error.
Severity Breakdown
SS=E: 1 SS=D: 1
Deficiencies (2)
DescriptionSeverity
Failure to check the Nurse Aide registry with the state of Nebraska prior to employment of one nurse aide.SS=E
Failure to administer medications in accordance with physician's orders to prevent significant medication errors related to IV antibiotics for one resident.SS=D
Report Facts
Facility census: 95 Residents potentially affected: 34
Employees Mentioned
NameTitleContext
NA 1Nurse AideNamed in deficiency for failure to check Nurse Aide registry prior to employment
Director of NursingInterviewed regarding medication error and Nurse Aide registry check
AdministratorInterviewed regarding Nurse Aide registry check
Inspection Report Routine Census: 102 Deficiencies: 15 Jul 1, 2013
Visit Reason
Routine inspection of Life Care Center of Omaha to assess compliance with Nebraska Administrative Code and federal regulations including housekeeping, maintenance, life safety, and care services.
Findings
The facility failed to maintain doors, walls, fixtures, and floors in good condition in multiple resident rooms, failed to evaluate the effectiveness of a pain management program for one resident, failed to monitor antipsychotic and hypnotic drug use for two residents, failed to ensure initial physician visits were completed by physicians personally for two residents, and had multiple life safety code violations including blocked fire doors, malfunctioning smoke doors, inadequate emergency lighting, incomplete fire drills, improper fire alarm system testing, untrained kitchen staff on fire extinguisher use, presence of non-flame retardant curtains, oxygen concentrators left running unattended, and use of non-medical grade power strips.
Severity Breakdown
SS=F: 11 SS=E: 3 SS=D: 3
Deficiencies (15)
DescriptionSeverity
Facility failed to maintain doors, walls, fixtures and floors in good condition in 17 of 60 occupied resident rooms and the South shower room.
Failed to evaluate effectiveness of pain management program for Resident 203.SS=D
Failed to ensure monitoring for continued use of antipsychotic medication for Resident 73 and hypnotic medication for Resident 37.SS=D
Failed to ensure initial physician visits were completed by the physician personally for Residents 73 and 136.SS=D
Main Dining Room door was blocked open by a metal stand preventing door closure.SS=F
Smoke separation doors at 700 and 500 Halls failed to latch properly.SS=E
Failed to provide proper separation of hazardous areas; doors to Hydro-Therapy Room and Environmental Storage Room failed to close and latch; Kitchen Pantry door lacked self-closing device; Kitchen door lacked latching device.SS=F
Failed to provide exit code at magnetically locked exit doors at Therapy and 800 Hall; thumb lock present on front entry sliding doors.SS=E
Failed to provide emergency illumination of at least 5 foot-candles in Main Dining Room during power outage.SS=F
Failed to conduct actual fire drills during 3rd shift; two of four fire drills were only discussions.SS=F
Failed to follow manufacturer instructions and code for installation and testing of smoke detectors; failed to test heat detectors and smoke detectors as required.SS=F
Kitchen staff lacked knowledge of fire extinguisher use and fire procedures in kitchen.SS=F
Facility failed to maintain flame retardant curtains in Main Dining Room.SS=F
Oxygen concentrators left running unattended in Resident Rooms 605 and 503 creating oxygen-enriched atmosphere.SS=F
Medical equipment plugged into non-medical grade power strip in Physical Therapy Ultrasound room.SS=F
Report Facts
Deficient resident rooms: 17 Facility census: 102 Residents affected by blocked Main Dining Room door: 178 Residents affected by smoke door issues: 53 Residents affected by emergency lighting deficiency: 178 Residents affected by fire drill deficiency: 102 Residents affected by fire alarm system deficiency: 102 Residents affected by kitchen fire safety deficiency: 178 Residents affected by flame retardant curtain deficiency: 178 Residents affected by oxygen concentrator deficiency: 30 Residents affected by non-medical grade power strip: 34
Notice Deficiencies: 0 Feb 27, 2013
Visit Reason
The notice was issued to inform the facility of disciplinary action placing the license on probation for 90 days due to violations related to failure to implement fall prevention interventions.
Findings
The facility failed to implement care planned fall prevention interventions which resulted in serious injury. The Department required submission of a Plan of Correction and weekly reports documenting corrective actions during the probation period.
Report Facts
Probation period length: 90 Report submission frequency: 7
Employees Mentioned
NameTitleContext
Joann SchaeferChief Medical Officer, Director, Division of Public HealthSigned the Notice of Disciplinary Action
Linda StenversStaff Assistant II, Office of Long Term Care FacilitiesCertified mailing of the Notice of Disciplinary Action
Eve LewisRNC, Program Manager, Office of Long Term Care FacilitiesContact for submission of reports and later correspondence terminating probation
Inspection Report Routine Census: 99 Deficiencies: 3 Jan 29, 2013
Visit Reason
The inspection was conducted to assess compliance with regulations governing licensure of skilled nursing facilities, focusing on accident hazards, supervision, and use of assistance devices to prevent accidents.
Findings
The facility failed to implement interventions to prevent falls for one resident and failed to transfer two residents using mechanical lifts according to manufacturer's instructions. Specific deficiencies included lack of fall alarms and improper use of Hoyer lifts during transfers.
Severity Breakdown
SS=G: 3
Deficiencies (3)
DescriptionSeverity
Failed to implement interventions to prevent falls for Resident 11, who was found on the floor and later admitted to hospital with a hip fracture.SS=G
Failed to transfer Resident 8 using a mechanical lift according to manufacturer's instructions; Hoyer lift legs were not opened wide during transfer.SS=G
Failed to transfer Resident 10 using a mechanical lift according to manufacturer's instructions; lift legs were together and wheels locked during transfer.SS=G
Report Facts
Census: 99 Sampled residents: 11 Residents with fall prevention issues: 1 Residents with improper mechanical lift use: 2 Staff educated: 3
Employees Mentioned
NameTitleContext
Sara DelahoydeAdministratorNamed as facility administrator in multiple documents
Krystal HaysRN, MDS Coordinator/Interim DONConducted informal conference and prepared report
RN CStaff Educator/Registered NurseConfirmed improper use of Hoyer lifts and training
NA ANurse AideDocumented lack of knowledge about fall alarm for Resident 11
NA BNurse AideObserved not opening Hoyer lift legs wide during transfer of Resident 8
NA DNurse AideObserved lifting Resident 10 with legs of Hoyer lift together and wheels locked
Inspection Report Annual Inspection Census: 89 Deficiencies: 21 Apr 2, 2012
Visit Reason
Annual inspection to assess compliance with federal and state regulations including physical restraints, self-determination, housekeeping, care plans, medication management, infection control, and life safety code standards.
Findings
The facility was found deficient in multiple areas including improper use and incomplete documentation of physical restraints, failure to provide bathing schedule choices, poor housekeeping and maintenance conditions, incomplete and outdated comprehensive care plans, unnecessary medications, medication errors, food sanitation violations, infection control breaches, and life safety code violations such as obstructed doors, inadequate fire drills, sprinkler system deficiencies, and electrical hazards.
Severity Breakdown
SS=F: 4 SS=E: 10 SS=D: 6
Deficiencies (21)
DescriptionSeverity
Failure to complete restraint assessments in entirety including diagnosis and rationale.SS=D
Failure to provide bathing schedule choices to residents.SS=D
Failure to maintain doors, walls, corner guards, handrails, baseboards, and ceiling tiles in good condition.SS=E
Failure to develop comprehensive care plans related to falls and incontinence.SS=D
Failure to review and revise comprehensive care plans for multiple residents.SS=E
Unnecessary use of multiple laxative medications without documented rationale.SS=D
Significant medication error involving oral chemotherapy drug dosing times.SS=D
Failure to prevent significant medication errors related to timing of medication administration.SS=D
Failure to prevent potential contamination of food and equipment related to bare hand contact and improper handwashing in dietary services.SS=F
Failure to provide pharmaceutical services ensuring accurate medication administration times.SS=D
Failure to maintain infection control practices including hand hygiene, glove use, and cleanliness of floor mats.SS=E
Obstruction of resident room door preventing proper closing to contain fire and smoke.SS=E
Failure to maintain smoke door gaps to less than 1/8 inch.SS=E
Telephone equipment room door held open and medical records room door not engaging frame.SS=E
Fire drills not conducted at unexpected times, 3rd shift drills conducted at nurse's station, and failure to activate fire alarm within 24 hours of drill.SS=F
Lack of automatic sprinkler protection in dining room courtyard anti-area.SS=E
Sprinkler heads improperly seated and obstructed by storage items.SS=E
One of six kitchen gas burners not operational.SS=E
Combustible decorations on resident door not flame retardant.SS=E
Oxygen in use sign not posted outside resident room using oxygen.SS=E
Use of 3-way electrical adaptor and power strips for medical equipment and appliances producing heat.SS=E
Report Facts
Sample size: 38 Facility census: 89 Residents affected: 21 Residents affected: 47 Residents affected: 32 Residents affected: 68 Residents affected: 26 Residents affected: 21 Residents affected: 48 Fire drills reviewed: 15 Fire drills conducted at end of month: 13
Employees Mentioned
NameTitleContext
RN GRegistered NurseConfirmed incomplete restraint assessment for Resident 68
NA ANurse AideReported Resident 68 does not release alarmed seatbelt
NA CNurse AideReported no resident choice in bathing schedule
Maintenance SupervisorConfirmed maintenance deficiencies
RN-D MDS CoordinatorRegistered Nurse - MDS CoordinatorConfirmed no fall care plan for Resident 98
DONDirector of NursingConfirmed multiple care plan and medication deficiencies
CPCCare Plan CoordinatorConfirmed no care plan for Resident 42 incontinence
RN JRegistered NurseReported Resident 124 independent with activities
Activity DirectorConfirmed lack of individualized activity goals for Resident 124
Dietary ManagerConfirmed medication and food sanitation issues
LPN HLicensed Practical NurseObserved handling bread with bare hands
Cook KObserved improper handwashing after sink use
NA QNurse AideObserved improper glove use during pericare
HK SHousekeeperObserved improper glove use and walking on fall mats
LPN MLicensed Practical NurseObserved walking on fall mat during feeding
NA ONurse AideObserved walking on fall mat while assisting resident
Maintenance AConfirmed fire safety and sprinkler deficiencies
Kitchen Staff AReported non-working kitchen burner
AdministratorConfirmed fire safety and electrical hazards
Staff Development CoordinatorResponsible for audits and education
Notice Deficiencies: 0 Oct 28, 2011
Visit Reason
Notification of Disciplinary Action and probation placement against Life Care Center Of Omaha due to failure to implement the plan of care, secure toilet seat risers, and ensure safety of transfers for residents.
Findings
The facility was found to have violated licensure regulations related to environmental services and equipment safety, specifically failing to implement the plan of care and ensure resident safety during transfers. The probation period began November 12, 2011, with requirements for submitting a Plan of Correction and ongoing reports.
Report Facts
Probation period length: 90 Days to contest notice: 15 Date of probation termination letter: Feb 17, 2012
Employees Mentioned
NameTitleContext
Joann SchaeferChief Medical Officer, Director, Division of Public HealthSigned the Notice of Disciplinary Action
Linda StenversStaff Assistant II, Office of Long Term Care FacilitiesCertified mailing of the Notice of Disciplinary Action
Eve LewisRNC, Administrator, Office of Long Term Care FacilitiesRecipient of reports and signed letter terminating probation
Sara DelahoydeAdministratorFacility administrator addressed in probation termination letter
Inspection Report Annual Inspection Census: 104 Deficiencies: 3 Oct 17, 2011
Visit Reason
The inspection was conducted as an annual survey to assess compliance with licensure regulations and federal requirements for skilled nursing facilities.
Findings
The facility was found deficient in ensuring resident safety related to accident hazards, medication error rates exceeding 5%, and failure to provide routine dental services. Specific issues included unsecured toilet seat risers leading to resident falls, medication administration errors, and lack of dental care arrangements for residents.
Severity Breakdown
G: 1 D: 2
Deficiencies (3)
DescriptionSeverity
Facility staff failed to implement the plan of care for safety of toilet use, failed to ensure toilet seat risers were secured, and failed to ensure safety of transfers for sampled residents.G
Facility failed to ensure a medication error rate of less than 5%, with a 16.27% error rate observed.D
Facility failed to assist residents in obtaining routine and emergency dental care for 2 residents.D
Report Facts
Census: 104 Medication error rate: 16.27 Medications observed: 43 Medication errors: 7 Residents sampled: 9
Employees Mentioned
NameTitleContext
RN BRegistered NurseNamed in medication error finding related to improper medication administration.
LPN CLicensed Practical NurseNamed in medication error finding related to nasal spray administration.
LPN DLicensed Practical NurseNamed in medication error finding related to nasal spray administration.
Director of NursingDirector of NursingInterviewed regarding deficiencies in resident safety and mechanical lift policy.
Assistant Director of NursingAssistant Director of NursingInterviewed regarding mechanical lift policy and staff education.
Social Worker ASocial WorkerInterviewed regarding lack of dental services for residents.
Social Worker ESocial WorkerInterviewed regarding dental services offered to residents.
Inspection Report Plan of Correction Census: 98 Deficiencies: 11 Dec 7, 2010
Visit Reason
The document is a Plan of Correction submitted by Life Care Center of Omaha in response to a survey conducted on 2010-12-07, addressing deficiencies cited related to resident care, safety, and facility conditions.
Findings
The facility was found deficient in multiple areas including failure to notify physicians of changes in resident conditions, improper use of physical restraints, inadequate housekeeping and maintenance, failure to monitor dialysis shunt sites, insufficient infection control practices, and failure to maintain adequate hydration for residents. The plan outlines corrective actions to address these issues and prevent recurrence.
Deficiencies (11)
Description
Failure to notify physician of changes in resident condition related to depression and potential self-harm.
Failure to ensure physical restraints were the least restrictive and lacked complete physician orders.
Failure to ensure reasonable accommodation of resident needs related to seating in dining room.
Failure to maintain housekeeping and maintenance services to ensure cleanliness and condition of resident rooms and common areas.
Failure to develop and revise comprehensive care plans timely related to residents at risk for self-harm.
Failure to provide services meeting professional standards related to fluid management and repositioning.
Failure to provide care and services to attain or maintain highest practicable physical, mental, and psychosocial well-being.
Failure to monitor and document condition of dialysis shunt site and provide in-service training.
Failure to ensure resident environment free of accident hazards and provide adequate supervision and assistance devices.
Failure to establish and maintain an infection control program including cleaning of glucometer and competency testing of staff.
Failure to provide sufficient fluid intake to maintain hydration for residents.
Report Facts
Facility census: 98 Sample size for dialysis monitoring: 20 Fluid intake amounts: 1500 Fluid intake amounts: 2545 Fluid intake amounts: 680 Fluid intake amounts: 480 Fluid intake amounts: 500 Fluid intake amounts: 110 Fluid intake amounts: 700 Fluid intake amounts: 560 Fluid intake amounts: 360 Fluid intake amounts: 480 Fluid intake amounts: 360
Employees Mentioned
NameTitleContext
Director of NursingDirector of NursingInterviewed regarding notification of physician and restraint policies
Nurse ConsultantNurse ConsultantInterviewed regarding fluid intake policy and resident hydration
PTA FPhysical Therapy AssistantInterviewed regarding wound care and cleaning of irrigator tip
Licensed Practical Nurse LPN ELicensed Practical NurseObserved performing blood sugar checks and glucometer cleaning
Nursing Assistant NA BNursing AssistantInterviewed regarding resident assistance with water pitcher
Social Service Staff GSocial Service StaffInterviewed regarding monitoring of resident behavior and suicide precautions
Inspection Report Renewal Capacity: 128 Deficiencies: 0 APP2018
Visit Reason
The document is a Nursing Home Licensure Renewal Application for Life Care Center of Omaha, submitted to renew the facility's license.
Findings
The document includes the renewal application, ownership information, facility floor plan, and Nebraska State Fire Marshal Certificate of Occupancy, confirming compliance with renewal requirements.
Report Facts
Total licensed beds: 128 License renewal fee: 1950
Employees Mentioned
NameTitleContext
Peter StygarAdministratorNamed in the renewal application
Kristin YeutterDirector of NursingNamed in the renewal application
Teresa L. ThigpenAssistant Licensure CoordinatorSigned the cover letter submitting the renewal application
Document Capacity: 128 Deficiencies: 0 APP2019
Visit Reason
This document serves as a renewal application for the nursing home license of Life Care Center of Omaha and includes ownership information and a fire marshal occupancy permit.
Findings
The documents confirm the facility's licensed capacity as 128 beds and provide detailed ownership and corporate officer information. The occupancy permit was issued on 2018-03-14.
Report Facts
Licensed capacity: 128 Renewal fees: 1950
Document Capacity: 128 Deficiencies: 0 APP2020
Visit Reason
The document set is related to the renewal of the nursing home license for Life Care Center of Omaha, including submission of renewal application and verification of licensed capacity.
Findings
No inspection findings or deficiencies are reported in these documents; they primarily provide licensing, ownership, and occupancy information.
Report Facts
Total licensed beds: 128
Employees Mentioned
NameTitleContext
Peter StygarAdministratorNamed as administrator on the Nursing Home Licensure Renewal Application.
Kristen YeutterDirector of NursingNamed as Director of Nursing on the Nursing Home Licensure Renewal Application.
Gary J. Anthone, MDChief Medical Officer, Director, Division of Public HealthSigned the license renewal verification.
Susen LindnerDeputy State Fire MarshalInspected the facility for the occupancy permit.
Cindy S. CrossVice President/SecretaryAuthorized representative signing ownership documents.
Joan E. ThurmondAssistant SecretaryAuthorized representative signing ownership documents.
Notice Capacity: 128 Deficiencies: 0 APP2021
Visit Reason
This document serves as a Nursing Home Licensure Renewal Application for Life Care Center of Omaha, including verification of licensure status and occupancy permit details.
Findings
The documents confirm the facility's licensure renewal status, ownership information, and occupancy permit with a maximum capacity of 128 beds.
Report Facts
Total licensed capacity: 128 Renewal Licensure Fees: 1550 Renewal Licensure Fees: 1750 Renewal Licensure Fees: 1950 Occupancy permit date issued: 2020
Document Capacity: 128 Deficiencies: 0 APP2022
Visit Reason
The document set is related to the renewal of the nursing home license for Life Care Center of Omaha, including submission of renewal application and supporting ownership documentation.
Findings
No inspection findings or deficiencies are reported in these documents. The documents certify licensure renewal and occupancy permit compliance.
Report Facts
Total licensed beds: 128 Renewal license fees: 1550
Employees Mentioned
NameTitleContext
Peter StygerAdministratorNamed on nursing home licensure renewal application
Kristen YeutterDirector of NursingNamed on nursing home licensure renewal application
Gary J. Anhlone, MDChief Medical Officer, Director, Division of Public HealthNamed on licensure certificate
Doug HohbeinDeputy State Fire MarshalNamed on temporary occupancy permit inspection
Notice Capacity: 128 Deficiencies: 0 APP2023
Visit Reason
This document serves as a renewal application for the nursing home license of Life Care Center of Omaha and includes certification of licensure and occupancy permit details.
Findings
The documents confirm that Life Care Center of Omaha is licensed as a Skilled Nursing Facility with a total licensed capacity of 128 beds, and includes ownership and corporate structure information along with occupancy permit details.
Report Facts
Total licensed beds: 128 Renewal Licensure Fee: 1750
Employees Mentioned
NameTitleContext
Peter StygarAdministratorNamed in the Nursing Home Licensure Renewal Application.
Kristen YeutterDirector of NursingNamed in the Nursing Home Licensure Renewal Application.
Cindy S. CrossVice PresidentAuthorized representative signing the renewal application.
Joan E. ThurmondAssistant SecretaryAuthorized representative signing the renewal application.
Document Capacity: 128 Deficiencies: 0 APP2024
Visit Reason
The document set is related to the renewal of the nursing home license for Life Care Center of Omaha, including submission of renewal application and supporting ownership documentation.
Findings
No inspection findings or deficiencies are reported in this document set. It includes administrative and licensing information only.
Report Facts
Total licensed beds: 128 Renewal license fee: 1950 Occupancy permit date: Jun 22, 2023
Employees Mentioned
NameTitleContext
Peter StygarAdministratorNamed on the Nursing Home Licensure Renewal Application.
Eileen RaineDirector of NursingNamed on the Nursing Home Licensure Renewal Application.
Cindy S. CrossVice PresidentNamed as authorized representative signing the renewal application and as corporate officer.
Joan E. ThurmondAssistant SecretaryNamed as authorized representative signing the renewal application and as corporate officer.
Document Capacity: 128 Deficiencies: 0 APP2025
Visit Reason
The document set serves as a nursing home licensure renewal application and related licensing documentation for Life Care Center of Omaha, including renewal of the SNF/NF dual certification and occupancy permit.
Findings
No inspection findings or deficiencies are reported in these documents. The materials focus on licensing renewal, ownership structure, and occupancy certification.
Report Facts
Total licensed beds: 128
Employees Mentioned
NameTitleContext
Mary Ann SmithDirector of NursingNamed on the Nursing Home Licensure Renewal Application
Peter StygarAdministratorNamed on the Nursing Home Licensure Renewal Application
Cindy S. CrossVice PresidentAuthorized representative signing the renewal application
Joan E. ThurmondAssistant SecretaryAuthorized representative signing the renewal application
Notice Deficiencies: 0 DAN100715
Visit Reason
The document serves as a Notice of Disciplinary Action against Life Care Center Of Omaha for violations of licensure regulations, placing the facility on probation for 90 days starting November 13, 2015, with requirements to submit plans of correction and reports on residents with pressure ulcers and accidents.
Findings
The facility was found in violation of regulations related to resident care, including failure to evaluate skin conditions, nutritional requirements, and implement interventions to prevent pressure ulcers and hot liquid burns. A modification later removed the violation related to Resident Rights.
Report Facts
Probation period length: 90 Report due date: 2015 Notice date: 2015
Employees Mentioned
NameTitleContext
Courtney N. PhillipsChief Executive OfficerSigned the Notice of Disciplinary Action and Modification
Becky WisellAdministratorSigned the Notice of Disciplinary Action and Modification
Linda StenversStaff Assistant IICertified mailing of the Notice of Disciplinary Action and Modification
Eve LewisProgram ManagerRecipient of required reports and signed letter terminating probation
Sara DelahoydeAdministratorRecipient of letter terminating probation

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