Inspection Reports for Meadowlark Pointe Assisted Living

2300 AVENUE O, COZAD, NE, 69130

Back to Facility Profile

Deficiencies (last 4 years)

Deficiencies (over 4 years) 2.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

33% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

8 6 4 2 0
2011
2014
2016
2019

Census

Latest occupancy rate 27 residents

Based on a May 2016 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

18 24 30 36 42 48 Apr 2011 May 2016

Notice

Capacity: 69 Deficiencies: 0 Date: Apr 15, 2019

Visit Reason
The document acknowledges the increase in the number of licensed beds from 38 to 69 and the addition of Alzheimer's services at the Meadowlark Pointe Assisted Living facility as indicated on the renewal agreement and Memory Care Endorsement.

Findings
This letter confirms the licensing update and service addition without reporting inspection findings or deficiencies.

Report Facts
Licensed beds increase: 31

Employees mentioned
NameTitleContext
Connie VogtProgram ManagerSigned letter acknowledging licensing changes

Inspection Report

Renewal
Capacity: 69 Deficiencies: 0 Date: Apr 8, 2019

Visit Reason
The document is related to the renewal of the assisted living facility license and an increase in licensed beds, including the addition of Alzheimer's services.

Findings
The facility was approved for an increase in licensed beds from 38 to 69 and for Alzheimer's memory care endorsement. The facility meets statutory requirements and fire safety codes as of the inspection date.

Report Facts
Licensed beds: 69 Alzheimer's beds: 16 Bed increase: 31 Monthly fee: 6000 Deposit fee: 1500 Occupant load: 69

Employees mentioned
NameTitleContext
Brianne SniderAdministratorNamed as facility administrator and contact for licensing and Alzheimer's endorsement
Michael HoeftDeputy State Fire MarshalConducted fire safety inspection and approved occupancy permit
Connie VogtProgram Manager, Office of LTC FacilitiesSigned letter acknowledging bed increase and Alzheimer's services endorsement

Inspection Report

Routine
Census: 27 Deficiencies: 7 Date: May 16, 2016

Visit Reason
Routine compliance inspection of Meadowlark Pointe Assisted Living to assess adherence to state regulations including staff orientation, medication administration, medication storage, food safety, and resident care.

Findings
The facility failed to complete timely orientation for direct care staff, did not have RN oversight of medication policies and training, allowed an unlicensed medication aide to administer medications, failed to evaluate a resident's ability to self-administer medications, did not ensure secure medication storage, and had inadequate hand hygiene and food safety practices placing residents at risk.

Deficiencies (7)
Failed to complete initial orientation regarding Resident Rights, Resident Service Agreement, Emergency Procedures, and Abuse, Neglect, and Misappropriation within 2 weeks of employment for 3 out of 6 sampled staff members.
Failed to provide for an RN to review medication administration policies and oversee training of medication aides.
Failed to evaluate Resident 112 for ability to self-administer medications prior to allowing self-administration.
Failed to ensure Resident 100, Resident 110, and Resident 101 stored medications in a secure location.
Medication aide MA-C administered medications with an expired license.
Failed to perform proper hand hygiene between residents during medication administration, affecting 4 residents.
Failed to maintain food safety and proper hand hygiene in the kitchen, risking food-borne illness.
Report Facts
Residents present: 27 Staff sampled for orientation: 6 Staff failed orientation: 3 Medications prescribed: 13 Medication aides reviewed: 6 Residents affected by hand hygiene deficiency: 4

Employees mentioned
NameTitleContext
Ronda GuntherRegistered NurseSurveyor conducting the inspection
MA-CMedication AideFailed orientation and administered medications with expired license
MA-DMedication AideFailed orientation
MA-EMedication AideFailed orientation
LPN-ALicensed Practical NurseObserved failing to perform proper hand hygiene during medication administration
MA-BMedication AideObserved failing to perform hand hygiene after applying cream
Cook-FObserved improper glove use and hand hygiene in kitchen
AdministratorInterviewed and confirmed multiple deficiencies

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jul 31, 2014

Visit Reason
An unannounced visit was conducted to investigate a complaint at Meadowlark Pointe Assisted Living on July 31, 2014, regarding allegations of failure to evaluate residents for elopement risk, provide treatment for bowel and bladder elimination, ensure residents do not exceed the level of care, and ensure residents are free from abuse.

Complaint Details
The complaint investigated four allegations: failure to evaluate residents for elopement risk, failure to provide treatment for bowel and bladder elimination, failure to ensure residents do not exceed the level of care, and failure to ensure residents are free from abuse. All allegations were found to be unsubstantiated and the facility was in compliance.
Findings
The facility was found to be in compliance with all related regulatory requirements after investigation, interviews, and record reviews for each allegation.

Employees mentioned
NameTitleContext
Betty SmithRegistered NurseConducted the complaint investigation visit
Eve LewisProgram ManagerSigned the report letter

Inspection Report

Routine
Census: 25 Capacity: 38 Deficiencies: 4 Date: Apr 12, 2011

Visit Reason
The inspection was a compliance inspection conducted to assess Meadowlark Pointe Assisted Living's adherence to licensure regulations, including staff training, medication administration, and food safety.

Findings
The facility was found noncompliant in several areas including lack of evidence of direct care staff training on Resident Service Agreements, incomplete assessments for self-administration of medication, insufficient written directions for medication aides, and failure to maintain a sanitary kitchen environment.

Deficiencies (4)
Failed to have evidence that direct care staff received training on Resident Service Agreements for 2 of 7 Medication Aides.
Failed to provide evidence that assessments were completed for 2 of 4 sampled residents regarding self-administration of oxygen.
Failed to provide specific written directions to medication aides for PRN medications for 3 of 4 sampled residents.
Failed to maintain a sanitary environment in the kitchen, including white and golden debris on the large mixer, dishwasher, stove, ovens, and storage areas.
Report Facts
Facility census: 25 Licensed beds: 38 Sample size: 4 Medication Aides lacking training: 2 Residents lacking assessment: 2 Residents lacking written medication directions: 3

Employees mentioned
NameTitleContext
Betty SmithRegistered NurseSurveyor who conducted the inspection
Cindy SchneiderAdministratorFacility Administrator named in findings and responsible for compliance

Document

Capacity: 69 Deficiencies: 0 Date: APP2020

Visit Reason
The document serves as a renewal application for the assisted-living facility license and includes verification of licensure, occupancy permit, and Alzheimer's Memory Care endorsement application.

Findings
No inspection findings or deficiencies are reported; the documents primarily confirm licensure status, facility capacity, and special care endorsements.

Report Facts
Total licensed capacity: 69 Alzheimer's beds capacity: 16 Staffing per shift: 12 Cost/Fees of care: 6000 Deposit: 1500

Employees mentioned
NameTitleContext
Brianne SniderAdministratorNamed as administrator and contact person in the renewal and Alzheimer's Memory Care Endorsement applications

Notice

Capacity: 69 Deficiencies: 0 Date: APP2021

Visit Reason
This document serves as a renewal license verification and application for Meadowlark Pointe Assisted Living, confirming licensure and providing facility and ownership information.

Findings
The document certifies that Meadowlark Pointe Assisted Living meets statutory requirements as an assisted-living facility and includes renewal application details, occupancy permit, floor plans, and Alzheimer's special care unit endorsement.

Report Facts
Total licensed beds: 69 Alzheimer's beds capacity: 16 Staffing numbers: 12 Staff present: 2 Cost of care: 6300 Deposit amount: 1500

Employees mentioned
NameTitleContext
Brianne SniderAdministratorNamed as facility administrator and authorized representative on renewal application and Alzheimer's endorsement

Notice

Capacity: 69 Deficiencies: 0 Date: APP2022

Visit Reason
This document serves as a renewal application and verification of licensure for Meadowlark Pointe Assisted Living, including occupancy permit and Alzheimer's special care endorsement.

Findings
The documents confirm that Meadowlark Pointe Assisted Living meets statutory requirements for licensure renewal, with a licensed capacity of 69 beds and 16 Alzheimer's special care beds. The occupancy permit was issued on 2021-08-11.

Report Facts
Total licensed beds: 69 Alzheimer's special care beds: 16 Occupancy permit date: Aug 11, 2021

Employees mentioned
NameTitleContext
Brianne SniderAdministratorNamed as administrator and authorized representative on licensure and endorsement applications.
Michael HoeftDeputy State Fire MarshalInspected the facility and approved the occupancy permit.

Notice

Capacity: 69 Deficiencies: 0 Date: APP2023

Visit Reason
The document serves to verify the renewal of the assisted-living facility license for Meadowlark Pointe and includes the renewal application, occupancy permit, and Alzheimer's special care unit endorsement application.

Findings
The documents confirm that Meadowlark Pointe Assisted Living meets statutory requirements for licensure, has a maximum capacity of 69 beds, and includes a special care unit with 16 Alzheimer's beds. The occupancy permit was issued on 2022-08-15.

Report Facts
Total licensed beds: 69 Alzheimer's special care beds: 16 Occupancy permit date: Aug 15, 2022 Renewal license fees: 950

Employees mentioned
NameTitleContext
Julie SkalaAdministratorNamed as facility administrator and contact on renewal application and Alzheimer's endorsement application
Robert DyerCEONamed as CEO on Board of Directors list and authorized representative on renewal application

Notice

Capacity: 69 Deficiencies: 0 Date: APP2024

Visit Reason
The document package serves to verify the licensure renewal of Meadowlark Pointe Assisted Living facility and includes the renewal application, occupancy permit, and Alzheimer's special care endorsement application.

Findings
The documents confirm that Meadowlark Pointe Assisted Living meets statutory requirements for licensure renewal, with a licensed capacity of 69 beds and an Alzheimer's special care unit with 16 beds. The Nebraska State Fire Marshal issued an occupancy permit for 69 beds on 2023-08-16.

Report Facts
Total licensed beds: 69 Alzheimer's unit beds: 16 Occupancy permit beds: 69 Renewal license expiration date: Apr 30, 2025 Monthly care cost: 7120 One-time move-in fee: 2000

Employees mentioned
NameTitleContext
Julie SkalaAdministratorNamed as administrator on renewal application and Alzheimer's endorsement application (pages 2 and 9).
Bill WilkinsonAuthorized Representative / Board MemberListed on Board of Directors page and signed renewal application as authorized representative (pages 3 and 2).
Linda BenjaminAuthorized RepresentativeSigned renewal application as authorized representative (page 2).
Michael HoeftDeputy State Fire MarshalInspected facility and approved occupancy permit (page 4).

Notice

Capacity: 38 Deficiencies: 0 Date: APP2016

Visit Reason
This document serves as a licensure renewal application and verification for Meadowlark Pointe Assisted Living, confirming the facility meets statutory requirements and is licensed through the indicated renewal date.

Findings
The documents confirm the facility's licensure renewal, ownership, and occupancy permit with a maximum capacity of 38 beds. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 38 Renewal expiration date: Apr 30, 2017 Occupancy permit date issued: Mar 18, 2015

Employees mentioned
NameTitleContext
Cindy SchneiderAdministratorNamed as facility administrator on licensure renewal application.

Notice

Capacity: 38 Deficiencies: 0 Date: APP2017

Visit Reason
This document serves as a licensure renewal application and verification that Meadowlark Pointe Assisted Living meets statutory requirements as an assisted-living facility.

Findings
The documents confirm the facility's licensure renewal status, ownership information, and occupancy permit with a maximum capacity of 38 beds. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 38 Renewal fees: 1650

Employees mentioned
NameTitleContext
Cindy SchneiderAdministratorNamed on renewal application.
Jessica BeisnerAuthorized RepresentativeSigned renewal application and listed as Board of Directors member.
Matt BurkholderAuthorized RepresentativeSigned renewal application and listed as Board of Directors member.
Mike HoeftDeputy State Fire MarshalInspected facility for occupancy permit.

Notice

Capacity: 38 Deficiencies: 0 Date: APP2018

Visit Reason
This document serves as a licensure renewal application and verification for Meadowlark Pointe Assisted Living, confirming the facility meets statutory requirements and is licensed through the indicated renewal date.

Findings
The documents confirm the facility's licensure status, renewal fees, ownership information, and maximum occupancy of 38 beds. There are no inspection findings or deficiencies reported.

Report Facts
Total licensed beds: 38 Renewal fees: 1950

Employees mentioned
NameTitleContext
Cindy SchneiderAdministratorNamed on the licensure renewal application.
Mike HoeftDeputy State Fire MarshalInspected the facility for the occupancy permit.

Notice

Capacity: 69 Deficiencies: 0 Date: APP2025

Visit Reason
This document serves as a renewal application for the assisted-living facility license of Meadowlark Pointe Assisted Living, including related certifications and occupancy permits.

Findings
The documents confirm that Meadowlark Pointe Assisted Living meets statutory requirements as an assisted-living facility, with a licensed capacity of 69 beds and a special Alzheimer's Memory Care endorsement for 16 beds. The renewal application and occupancy permit are current and valid.

Report Facts
Total licensed beds: 69 Alzheimer's special care beds: 16 Cost/Fees of care: 7690 Deposit amount: 2000

Employees mentioned
NameTitleContext
Amber CochraneAdministratorNamed as facility administrator and contact person in renewal application and Alzheimer's Special Care Unit Disclosure.
Michael HoeftDeputy State Fire MarshalInspected the facility for occupancy permit.

Viewing

Loading inspection reports...