Inspection Reports for Marquis Place of Elkhorn

This document is related to the renewal of the assisted-living facility license for Marquis Place of Elkhorn, verifying licensure through the indicated renewal date.

The document confirms that Marquis Place of Elkhorn meets statutory requirements as an assisted-living facility and includes details about facility capacity, ownership, and special care endorsements. It also includes a fire marshal certificate of occupancy and Alzheimer's special care unit disclosure.

An unannounced visit was conducted to investigate a complaint at Marquis Place Of Elkhorn from April 30, 2020 to May 5, 2020 by the Department of Health and Human Services Division of Public Health.

The investigation found the facility was in compliance with regulatory requirements regarding prevention of resident elopements, ensuring residents were free from restraints, prevention of skin breakdown, and maintaining effective infection control practices.

The complaint allegations included failure to prevent resident elopements, failure to ensure residents are free from restraints, failure to prevent skin breakdown, and failure to maintain effective infection control practices. All allegations were found to be in compliance with regulations.

An unannounced visit was conducted to investigate a complaint at Marquis Place Of Elkhorn from January 23, 2019 to February 7, 2019, focusing on allegations including call system functionality, toileting assistance, medication administration, resident protection from abuse, and service agreement compliance.

The facility failed to ensure the call system had available functional pendants for 4 residents and failed to ensure the pager in the Memory Care Unit was carried by staff. The facility was found to be in compliance with toileting assistance, medication administration (with one minor medication error below deficiency threshold), protection from abuse, and provision of services as agreed upon in the resident service agreement.

The complaint investigation was substantiated with findings related to non-functional call system pendants and pager issues affecting 4 residents. Other allegations including toileting assistance, medication administration, abuse protection, and service agreement compliance were found to be in compliance.

An unannounced visit was conducted to investigate a complaint and annual survey at Marquis Place Of Elkhorn on October 10-11, 2018, focusing on allegations that the facility failed to ensure residents were not above the level of care provided and failed to provide care according to the resident service agreement.

The facility was found compliant with ensuring residents were not above the level of care provided. However, it failed to provide care according to the resident service agreement, including failure to assist one resident with toileting and failure to notify physicians of high blood sugars for two residents. Additional deficiencies were found related to staff orientation, activities provision, medication administration errors, competency determinations, medication storage, food safety, resident record documentation, and physical plant standards.

The complaint investigation was triggered by allegations that the facility failed to ensure residents were not above the level of care provided and failed to provide care according to the resident service agreement. The investigation found the facility compliant with the first allegation but deficient in the second.

An unannounced visit was conducted to investigate a complaint at Marquis Place Of Elkhorn on July 26, 2017, by representatives of the Department of Health and Human Services Division of Public Health. The investigation focused on allegations including failure to ensure residents meet retention criteria, failure to protect residents from abuse, and failure to resolve complaints/grievances among others.

The facility was found compliant with most allegations including retention criteria, emergency care, service provision, restraint use, complaint follow-up, housekeeping, and protection from residents with adverse behaviors. However, the facility failed to protect residents from abuse due to incomplete registry checks for direct care staff and failed to document falls and implement fall prevention interventions for several residents.

The complaint investigation was substantiated with findings that the facility failed to protect residents from abuse due to incomplete registry checks for direct care staff and failed to properly document and intervene in resident falls. Other allegations were found to be in compliance.

An unannounced visit was conducted to investigate a complaint that the facility fails to protect residents from injury.

The facility failed to protect residents from injury, specifically one resident was not transferred safely due to not bearing weight, violating facility policy and regulation 175 NAC 4-006.11 A. The resident also experienced significant weight loss and insufficient encouragement to eat.

The complaint alleged the facility fails to protect residents from injury. The investigation substantiated this allegation with findings of unsafe transfer practices and inadequate encouragement for food intake for one resident.

An unannounced visit was conducted to investigate a complaint alleging the facility fails to protect residents from abuse.

The facility implemented interventions to protect residents from behaviors of other residents, monitored residents with behaviors, and staff were aware of interventions to decrease aggressive behaviors. Medication changes were made as confirmed by the Director of Nursing and record review. The facility was found in compliance with related regulatory requirements.

The complaint alleged failure to protect residents from abuse. The facility was found in compliance with related regulatory requirements.

An unannounced visit was conducted to investigate a complaint regarding Marquis Place Of Elkhorn related to staff credentials for medication administration, notification of responsible parties of condition changes, staffing sufficiency, equipment maintenance, service provision, injury prevention, food temperature compliance, and bathing per resident service agreement.

The facility was found deficient in ensuring medication aides completed competencies for additional medication routes and failed to maintain food temperatures on the steam table in the Memory Care Unit, violating regulations. Other allegations including notification of responsible parties, staffing sufficiency, service provision, injury prevention, and bathing were found to be in compliance.

Complaint investigation triggered by allegations including improper staff credentials for medication administration, failure to notify responsible parties of condition changes, insufficient staffing, failure to maintain essential equipment, failure to provide agreed services, failure to implement injury prevention interventions, failure to serve food at required temperatures, and failure to bathe residents per service agreement. Some allegations were substantiated (medication aide competencies and food temperature), others were found in compliance.

The document is a licensure renewal application and certification for Marquis Place of Elkhorn, an assisted-living facility, verifying the facility's license renewal and compliance with statutory requirements.

The document confirms that Marquis Place of Elkhorn meets statutory requirements as an assisted-living facility and is licensed for 69 beds. It includes ownership, business organization details, and certification by the Nebraska Department of Health and Human Services.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to protect residents from residents with adverse behaviors and failure to give appropriate notice of involuntary discharge.

The facility was found to be in compliance with regulatory requirements. There were three incidents of adverse behaviors by two residents, who were discharged. The facility provided appropriate notice of involuntary discharge for one resident and did not provide a 30-day notice for the other due to safety risks, both actions deemed compliant.

The complaint alleged failure to protect residents from residents with adverse behaviors and failure to give appropriate notice of involuntary discharge. The allegations were found to be unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to monitor and evaluate interventions to prevent resident elopements.

The facility did monitor and evaluate interventions to prevent resident elopement, and there was no violation related to this issue at the time of the survey. Several residents at risk for elopement were identified and interventions were placed and revised accordingly.

The complaint alleged failure to monitor and evaluate interventions to prevent resident elopements. The investigation found no violation and the complaint was not substantiated.

An unannounced visit was conducted to investigate a complaint and perform an annual survey at Marquis Place Of Elkhorn on October 10, 2013.

The facility was found to be in compliance with multiple allegations including keeping pets out of the dining room, addressing residents' complaints, handling dining items in a sanitary manner, maintaining a clean environment, protecting residents from abuse, reporting allegations of abuse, providing assistance as outlined in service agreements, addressing complaints/grievances, assuring privacy and confidentiality of resident records, ensuring sufficient staffing, and preventing skin breakdown. However, the facility did not store, prepare, and protect food in a safe and sanitary manner, with multiple unclean areas observed in the kitchen.

The complaint investigation included allegations that the facility failed to keep pets out of the dining room, failed to address residents' complaints, failed to handle dining items in a sanitary manner, failed to maintain a clean environment, failed to protect residents from abuse, failed to immediately report allegations of abuse, failed to provide assistance as outlined in service agreements, failed to address complaints/grievances, failed to assure privacy and confidentiality of resident records, failed to ensure sufficient staffing, and failed to provide care to prevent skin breakdown. All allegations except the food safety issue were found to have no violations.

The inspection was conducted as a complaint investigation following allegations that the facility failed to protect residents from abuse and failed to inform families when residents exhibited adverse behaviors.

The facility failed to protect cognitively impaired residents from repeated incidents of sexual abuse and failed to notify families about adverse behaviors. The investigation found multiple incidents involving two residents engaging in inappropriate sexual behavior, with inadequate staff intervention and communication with families.

The complaint investigation was substantiated with findings that the facility failed to protect residents from sexual abuse and failed to notify families about adverse behaviors. The facility was found in violation of regulations 175 NAC 4-006.04(22) Resident Rights and 175 NAC 4-006.07B1 Restrictions on Eligibility Criteria.

The inspection was conducted following a complaint investigation at Marquis Place Of Elkhorn Llc to determine compliance with licensure regulations for Assisted-Living Facilities, specifically related to medication administration and other care concerns.

The facility was found non-compliant with medication administration regulations, failing to provide medications according to healthcare practitioner orders and the Five Rights of medication administration for one resident. Other allegations related to staffing, resident rights, and care provision were found to be in compliance.

The complaint investigation was substantiated for failure to provide medications in accordance with the Five Rights and healthcare practitioner orders. Other allegations including failure to report medication errors, provide services as agreed, ensure staff provide complex nursing care, discharge residents with unstable medical conditions, prevent cross-contamination, follow resident wishes, assess residents appropriately, administer medications properly, maintain adequate supplies and staff, and protect residents from involuntary discharge were found not substantiated.

This document serves as a licensure renewal application and Memory Care Endorsement application for Marquis Place of Elkhorn, an assisted living facility, to verify compliance with state regulations and renewal of licensing.

The documents provide detailed information about the facility's ownership, capacity, care criteria for assisted living and special care units, staffing patterns, staff training requirements, physical environment, resident activities, family support programs, and cost of care. No inspection findings or deficiencies are reported.

The document set includes a licensure renewal application and certification for Marquis Place Of Elkhorn Assisted Living Facility, renewal of license ALF220, and related disclosures and endorsements for Alzheimer's Special Care Unit and memory care.

The documents certify that Marquis Place Of Elkhorn meets statutory requirements for assisted living licensure through April 30, 2019, with a total licensed capacity of 69 beds. The Alzheimer's Special Care Unit disclosure outlines admission, discharge criteria, staffing, training, and care philosophy for memory care residents.

The documents serve to verify licensure renewal, certify occupancy limits, and provide Alzheimer's Memory Care Endorsement information for Marquis Place of Elkhorn assisted-living facility.

The documents confirm the facility's licensure renewal through April 30, 2020, a maximum licensed capacity of 69 beds, and detailed disclosure information regarding Alzheimer's and memory care services, staffing, training, and care plans.

The document serves as a renewal application and verification of licensure for Marquis Place of Elkhorn Assisted-Living Facility, including Alzheimer's Special Care Unit and Memory Care Endorsement.

The documents confirm the facility meets statutory requirements for licensure renewal, provide detailed disclosure about the Alzheimer's Special Care Unit, memory care services, staffing patterns, and facility ownership. A fire marshal certificate of occupancy dated April 23, 2020, is included, confirming maximum occupancy of 69 beds.

This document package serves as a renewal application and verification of licensure for Marquis Place of Elkhorn, an assisted-living facility, including certification of occupancy and endorsement for Alzheimer's Memory Care.

The documents confirm that Marquis Place of Elkhorn meets statutory requirements for assisted-living licensure, has a maximum licensed capacity of 69 beds, and holds a certificate of occupancy issued on April 15, 2021. The Alzheimer's Memory Care Endorsement renewal is also included.

The document set is related to the renewal of the assisted-living facility license for Marquis Place of Elkhorn, including renewal application and certification of compliance with licensing requirements.

No inspection findings or deficiencies are reported in these documents. The materials focus on licensing renewal, ownership information, facility capacity, and special care unit endorsement.

The documents serve to verify and renew the assisted-living facility license for Marquis Place of Elkhorn, including renewal of the Alzheimer's Memory Care Endorsement and confirmation of facility capacity and ownership information.

No inspection findings or deficiencies are reported; the documents primarily confirm licensure status, renewal fees, ownership, and facility capacity.

The document serves as a renewal application and verification of licensure for Marquis Place of Elkhorn, an assisted-living facility, including renewal of Alzheimer's Memory Care Endorsement and confirmation of facility capacity and ownership.

The document confirms that Marquis Place of Elkhorn meets statutory requirements as an assisted-living facility with a licensed capacity of 69 beds, includes a fire marshal certificate of occupancy, and details ownership, officers, and special care unit endorsement information.