Inspection Reports for Midwest Covenant Home

This document is a Nursing Home Licensure Renewal Application and related certification and occupancy permit for Midwest Covenant Home, indicating renewal of the facility's license and certification.

The documents certify that Midwest Covenant Home meets statutory requirements for licensure renewal, with no deficiencies or violations noted in the materials provided.

This document serves as a renewal application and verification for the Skilled Nursing Facility license of Midwest Covenant Home, confirming licensure through the renewal date.

The document confirms that Midwest Covenant Home meets statutory requirements for licensure renewal as a Skilled Nursing Facility with a licensed capacity of 51 beds.

An offsite investigation was conducted to investigate a complaint alleging that the facility fails to follow infection control guidelines for illnesses.

The facility followed CMS protocol for COVID-19 prevention and infection control guidelines. Staff had completed education related to COVID-19 and infection control, and the facility was found to be in compliance with relevant regulatory requirements.

The complaint alleged failure to follow infection control guidelines for illnesses. The facility was found to be in compliance, indicating the complaint was not substantiated.

The letter serves to amend the Health Insurance Benefits Agreement to update the certified bed assignments and counts effective July 1, 2019 and January 1, 2020, as requested by the facility.

The document details changes in the certified bed locations and confirms a total of 52 Medicare certified beds for the facility as of the specified dates.

The document is a nursing home licensure renewal application and certification for Midwest Covenant Home, verifying the facility's license renewal and compliance with statutory requirements.

The report confirms that Midwest Covenant Home meets statutory requirements for SNF/NF dual certification and includes a fire marshal occupancy permit approving a maximum occupancy of 58 beds.

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

The investigation found that the facility failed to provide adequate supervision and interventions to prevent falls and injuries for 2 of 3 sampled residents, resulting in multiple falls and injuries. The facility was cited for violating state and federal regulations related to accident prevention and supervision.

The complaint alleged the facility failed to put interventions into place to prevent injuries. The investigation substantiated this allegation with findings of inadequate supervision and fall prevention measures.

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

The investigation included observations, record reviews, and interviews with staff and residents. It was found that fall interventions were appropriately included in residents' care plans and revised after falls. The facility was found to be in compliance with regulatory requirements and no citation was issued.

The complaint alleged that the facility failed to use appropriate interventions to prevent injuries. The allegation was investigated and found to be unsubstantiated with no citations issued.

The document is a Nursing Home Licensure Renewal Application and certification verifying that Midwest Covenant Home meets statutory requirements for SNF/NF dual certification, with a license renewal expiration date of 3/31/2019.

The documents confirm the facility's licensure renewal status and certification compliance with Medicare and Medicaid. No deficiencies or inspection findings are reported.

An unannounced visit was conducted to investigate a complaint and annual survey at Midwest Covenant Home from October 4, 2017 to October 11, 2017 by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with the allegations related to protecting residents from adverse behaviors, injury prevention, and providing a safe environment for residents at risk for elopement. However, multiple life safety code deficiencies were identified including fire door maintenance, delayed egress signage visibility, hazardous area door latching, fire alarm system labeling and lockout, sprinkler head clearance obstruction, incomplete fire watch policy, missing oxygen in use signage, uncovered electrical junction boxes, and improper use of power cords.

The visit was complaint-related to allegations that the facility failed to protect residents from residents with adverse behaviors, failed to put interventions in place to prevent injuries, and failed to provide a safe environment for residents at risk for elopement. The facility was found to be in compliance with these allegations.

An unannounced visit was conducted to investigate a complaint at Midwest Covenant Home on February 9, 2017, regarding alleged failures to evaluate causal factors for falls, protect residents from residents with adverse behaviors, and complete written investigations within five working days.

The investigation found no violations related to the allegations. The facility evaluated causal factors for falls, protected residents from adverse behaviors, and completed written investigations within five working days as required.

The complaint alleged that the facility failed to evaluate causal factors for falls, failed to protect residents from residents with adverse behaviors, and failed to complete written investigations within five working days. All allegations were found to be unsubstantiated.

Annual inspection of Midwest Covenant Home, a skilled nursing facility, to assess compliance with state and federal regulations including resident rights, safety, medication administration, and facility conditions.

The facility was found deficient in multiple areas including resident rights related to use of personal safety alarms, failure to notify primary care providers of significant changes, abuse investigation procedures, medication error rates exceeding 5%, food sanitation practices, and life safety code violations such as door hardware and fire drill deficiencies.

An unannounced visit was conducted to investigate a complaint at Midwest Covenant Home on March 30-31, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found no violations related to the allegations concerning operational food equipment, meal quality, timely submission of investigations, resident abuse protection, dignity and respect of residents, reporting of abuse allegations, and sufficient staffing. No concerns were identified in any area reviewed.

The complaint allegations included failure to have operational food equipment, failure to ensure meals are attractive and palatable, failure to submit investigations within 5 working days, failure to protect residents from abuse, failure to treat residents with dignity and respect, failure to report allegations of abuse, and failure to ensure sufficient staffing. All allegations were found to be unsubstantiated with no violations.

Annual inspection of Midwest Covenant Home to assess compliance with health and safety regulations including fire safety, dietary services, and facility maintenance.

The inspection identified multiple deficiencies including failure to provide proper food portions and menu adherence, fire safety code violations such as malfunctioning fire doors, lack of fire retardant materials, inadequate emergency lighting and exit signage, improper sprinkler maintenance, electrical hazards, and insufficient staff training on fire procedures and extinguisher use.

An unannounced visit was conducted to investigate a complaint and annual survey at Midwest Covenant Home from July 21, 2014 to July 28, 2014, triggered by an allegation that the facility fails to change fall interventions on the plan of care after residents have been identified at risk for falls.

No violations were found related to fall interventions; the facility did change fall interventions on the plan of care for residents identified at risk for falls. The facility census was 47. The report also includes findings of deficiencies in housekeeping and maintenance services, infection control, life safety code violations, and electrical safety issues.

The complaint alleged that the facility fails to change fall interventions on the plan of care after residents have been identified at risk for falls. The investigation found no violation related to this allegation.

Routine inspection of Midwest Covenant Home to assess compliance with licensure regulations and life safety codes.

The facility was found deficient in notifying physicians of resident condition changes, food safety practices related to sneeze guard use, and multiple life safety code violations including exit signage, smoke partitions, sprinkler system maintenance, and use of flammable decorations.

The inspection was conducted as a routine survey to assess compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.

The facility was found deficient in ensuring a resident's right to be free from physical restraints and in ensuring nurse aides demonstrated competency in care techniques, resulting in resident injuries. Specifically, one resident was improperly restricted to their room following altercations, and another resident suffered bilateral femur fractures due to improper use of a mechanical lift by a nurse aide.

Annual inspection survey conducted to assess compliance with federal and state regulations including dignity and respect of residents, prevention of urinary tract infections, accident hazards, and life safety code standards.

The facility was found deficient in maintaining residents' dignity during dining, individualizing toileting plans to prevent urinary tract infections, ensuring accident hazards related to wheelchair foot pedals were addressed, and compliance with life safety code standards including fire safety and kitchen hood system accessibility.

The inspection was conducted as an annual survey to assess compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.

The facility was found deficient in housekeeping and maintenance services related to damaged door moldings in multiple resident rooms, failure to reassess bladder function and initiate individualized toileting plans after catheter removal for one resident, and failure to ensure insulin was not administered past its expiration date for one resident.

This document serves to verify the renewal of the SNF/NF dual certification license for Midwest Covenant Home and includes the occupancy permit issued by the Nebraska State Fire Marshal.

The facility is licensed for 58 beds and meets statutory requirements for SNF/NF dual certification. The occupancy permit confirms compliance with fire safety codes as of 9/2/2015.

This document serves to verify the license renewal status of Midwest Covenant Home's SNF/NF dual certification and includes the nursing home licensure renewal application.

The document confirms that Midwest Covenant Home is licensed through the indicated renewal date and provides details on the renewal application, ownership, accreditation, and facility capacity.

This document serves as a licensure renewal application and verification of the nursing home's license renewal status, including occupancy permit and bed capacity information.

The documents confirm that Midwest Covenant Home meets statutory requirements for licensure renewal as a Skilled Nursing Facility/Nursing Facility dual certification, with a licensed capacity of 58 beds and 52 beds to be relicensed. No inspection findings or deficiencies are reported.

The documents pertain to the renewal of the nursing home license for Midwest Covenant Home and related administrative information.

No inspection findings or deficiencies are reported. The documents verify licensure renewal, facility capacity, and administrative details.

This document serves as a licensure renewal application for Midwest Covenant Home, verifying the facility's SNF/NF dual certification and renewal of its license.

The documents confirm the facility meets statutory requirements for licensure renewal and includes an occupancy permit with a maximum capacity of 51 beds.

This document package includes a license renewal certification and application for Midwest Covenant Home, verifying licensure through the indicated renewal date and providing administrative details related to the facility's licensure status.

No inspection findings or deficiencies are reported; the documents primarily confirm licensure renewal and occupancy permit status.

This Notice of Disciplinary Action was issued due to violations of the Nebraska Health Care Facility Licensure Act, specifically for failure to assure competent staff were caring for residents, resulting in disciplinary action and a fine.

The Department of Health and Human Services determined that the facility violated provisions of the Health Care Facility Licensure Act and engaged in conduct detrimental to the health or safety of residents, evidenced by failure to assure competent staff.