Deficiencies (last 10 years)
Deficiencies (over 10 years)
4.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% worse than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
100% occupied
Based on a March 2024 inspection.
Census over time
Inspection Report
Renewal
Census: 43
Capacity: 43
Deficiencies: 0
Mar 5, 2024
Visit Reason
The document is related to the renewal of the nursing home license for Nye Pointe Health & Rehab Center, including submission of the renewal application and verification of licensure status.
Findings
The facility is licensed for 43 beds, all of which are active. The renewal application was completed with no noted deficiencies or violations in the provided documents. The occupancy permit is current and valid.
Report Facts
Number of beds to be relicensed: 43
Total number of beds: 43
Active beds: 43
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patrick Fairbanks | Administrator | Named in the Nursing Home Licensure Renewal Application |
| Shaurice McKee | Director of Nursing | Named in the Nursing Home Licensure Renewal Application |
| Russell Peterson | President | Authorized representative signing the renewal application |
| Jennifer Peterson | Vice President | Authorized representative signing the renewal application |
| Susen Lindner | Deputy State Fire Marshal | Inspected the facility for occupancy permit |
Inspection Report
Renewal
Capacity: 43
Deficiencies: 0
Mar 11, 2022
Visit Reason
The document is a Nursing Home Licensure Renewal Application and related certification and occupancy permit for Nye Pointe Health & Rehab Center, indicating the facility's license renewal and compliance with statutory requirements.
Findings
The documents certify that Nye Pointe Health & Rehab Center meets statutory requirements for skilled nursing facility and nursing facility dual certification, with a licensed capacity of 43 beds. The occupancy permit confirms compliance with fire marshal codes.
Report Facts
Licensed beds: 43
Renewal application date: Mar 11, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patrick Fairbanks | Administrator | Named as Administrator on the Nursing Home Licensure Renewal Application |
| Nicole Watson | Director of Nursing | Named as Director of Nursing on the Nursing Home Licensure Renewal Application |
| Jim Kenney | Deputy State Fire Marshal | Inspected the facility for the occupancy permit |
Inspection Report
Life Safety
Census: 37
Capacity: 43
Deficiencies: 6
Mar 29, 2018
Visit Reason
The facility was surveyed for compliance with life safety code requirements related to fire protection and emergency preparedness.
Findings
The facility was found not in compliance with several life safety code requirements including fire alarm system maintenance, sprinkler system testing and maintenance, fire watch policy completeness, carbon monoxide detector installation near direct vent fireplaces, and emergency generator transfer time documentation.
Severity Breakdown
SS=F: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Fire alarm system initiation devices were not maintained; one heat detector in the dining room failed to operate. | SS=F |
| Fire alarm system out of service policy was incomplete, lacking contact info for State Fire Marshal and notification procedures. | SS=F |
| Sprinkler system failed to have required 3-year air leakage and full trip tests documented; ceiling openings and sprinkler corrosion noted. | SS=F |
| Sprinkler system out of service policy was incomplete, lacking contact info and notification procedures. | SS=F |
| Direct vent gas fireplace in main lobby lacked a supervised carbon monoxide detector. | SS=F |
| Emergency generator transfer time from normal to emergency power was not documented. | SS=F |
Report Facts
Facility census: 37
Total licensed capacity: 43
Fire alarm report date: Mar 19, 2018
Fire alarm system repair completion date: Apr 3, 2018
Sprinkler system maintenance completion date: Apr 16, 2018
Sprinkler system impairment policy completion date: Apr 17, 2018
Carbon monoxide detector installation date: Apr 3, 2018
Emergency generator transfer time documentation completion date: Apr 19, 2018
Inspection Report
Annual Inspection
Census: 40
Capacity: 43
Deficiencies: 5
Jan 24, 2017
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for skilled nursing facilities, including care planning, safety, and life safety code adherence.
Findings
The facility was found deficient in developing comprehensive care plans related to Black Box Warnings for certain medications for residents, ensuring safety by securing sharp objects, maintaining fire safety including proper door latching and sprinkler system maintenance, and proper storage and labeling of oxygen cylinders.
Severity Breakdown
SS=D: 1
SS=E: 2
SS=F: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Failed to develop a comprehensive care plan related to Black Box Warnings for medications for residents 41 and 9. | SS=D |
| Failed to ensure safety by leaving unsecured scissors on an unattended treatment cart, posing a hazard to 9 self-mobile cognitively impaired residents. | SS=E |
| Failed to provide smoke resistant enclosure for hazardous areas; kitchen door and oxygen supply room door did not latch or have self-closing devices, affecting 40 residents. | — |
| Failed to complete required sprinkler system maintenance and testing including 5-year calibration, 3-year full trip and air leakage tests, replacement of dry sprinkler heads after 10 years, and allowed storage within 18 inches of sprinkler heads. | SS=F |
| Failed to label oxygen cylinders as empty or full, creating potential confusion and risk for 5 residents using oxygen. | SS=E |
Report Facts
Facility census: 40
Total licensed capacity: 43
Residents reviewed for medication usage: 5
Residents affected by unsecured scissors hazard: 9
Empty oxygen cylinders observed: 22
Inspection Report
Renewal
Capacity: 43
Deficiencies: 0
Mar 4, 2016
Visit Reason
This document serves as a Nursing Home Licensure Renewal Application and verification that the SNF/NF Dual Certification for Nye Pointe Health & Rehab Center is licensed through the indicated renewal date.
Findings
The facility is licensed as a Skilled Nursing Facility with a total capacity of 43 beds. The renewal application confirms compliance with licensure requirements and includes ownership and accreditation information.
Report Facts
Number of beds to be relicensed: 43
Renewal fees: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mark Hoyle | Administrator | Named in the renewal application |
| Lisa Ferrill | Director of Nursing | Named in the renewal application |
Inspection Report
Census: 39
Deficiencies: 9
Nov 10, 2015
Visit Reason
The inspection was conducted to assess compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities, including medication management and life safety code standards.
Findings
The facility was found deficient in ensuring clinical rationale and documentation for antipsychotic medication use, proper narcotic counts, smoke resistive doors and latching hardware, fire drills conducted quarterly on all shifts with varying times, sprinkler system maintenance and installation, emergency generator annunciator and testing, and electrical junction box covers.
Severity Breakdown
SS=D: 4
SS=E: 3
SS=F: 3
Deficiencies (9)
| Description | Severity |
|---|---|
| Failed to ensure clinical rationale and documentation for use of antipsychotic medication for one resident. | SS=D |
| Failed to complete shift count of all controlled substances affecting one resident. | SS=D |
| Failed to provide smoke resistive doors and positive latching hardware in multiple locations, allowing smoke migration into exit corridors. | SS=E |
| Failed to provide self-closure and latching hardware on hazardous area doors, allowing smoke migration. | SS=E |
| Failed to maintain sprinkler system free of obstructions and ensure proper sprinkler head spacing and type. | SS=D |
| Failed to conduct fire drills quarterly on all shifts with varying times. | SS=F |
| Failed to provide remote annunciator for emergency generator. | SS=F |
| Failed to inspect and test emergency generator weekly and monthly as required. | SS=F |
| Failed to replace missing electrical junction box covers by the nurse station. | SS=E |
Report Facts
Facility census: 39
Deficiencies cited: 9
Narcotic count discrepancy: 1
Fire drills: 0
Sprinkler spacing: 6
Generator load test duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Confirmed lack of documentation related to non-pharmacological interventions and narcotic count expectations | |
| MA A | Medication Aid | Admitted to not properly counting narcotics, only signing off sheets |
| Administration A | Acknowledged deficiencies related to smoke resistive doors, fire drill documentation, sprinkler system issues, emergency generator annunciator, and electrical junction box covers | |
| Maintenance A | Acknowledged missing electrical junction box covers |
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 6
Nov 12, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Nye Pointe Health & Rehab Ctr on November 5, 2014-November 12, 2014, 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 provide necessary services to avoid harm and failed to implement or follow the plan of care, violating Federal and State regulations at F323. The facility did protect residents from misappropriation. The facility also failed to complete Adult Protective Services and Child Protective Services registry checks for one employee prior to allowing work. Additionally, the facility failed to assess, identify, and implement interventions to ensure resident safety related to falls with injury for one resident. The facility also had deficiencies in life safety code compliance including inadequate illumination at exit discharge, incomplete fire drills on each shift, and use of unapproved electrical wiring equipment.
Complaint Details
The complaint alleged the facility failed to provide necessary services to avoid harm, failed to protect residents from misappropriation, and failed to implement or follow the plan of care. The facility was found to have failed to provide necessary services to avoid harm and failed to implement or follow the plan of care, but did protect residents from misappropriation.
Severity Breakdown
Level G: 2
Level F: 3
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to provide necessary services to avoid harm and failed to implement or follow the plan of care for residents. | Level G |
| Failed to complete Adult Protective Services and Child Protective Services registry checks for one employee prior to allowing work. | — |
| Failed to assess, identify, and implement interventions to ensure resident safety related to falls with injury for one resident. | Level G |
| Failed to provide illumination at exit discharge so that failure of any single lighting fixture will not leave the area in darkness. | Level F |
| Failed to conduct fire drills quarterly on each shift. | Level F |
| Failed to use electrical wiring and equipment in accordance with National Fire Protection Association standards. | Level F |
Report Facts
Facility census: 39
Facility census: 40
Deficiency count: 2
Deficiency count: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mark Hoyle | Administrator | Named in relation to findings and signature on inspection documents |
| Dan Taylor | RN, Training Coordinator | Signed letter regarding complaint investigation findings |
| Christine Hale | Registered Nurse | Investigator during complaint and annual survey |
| Daniel Woodward | Registered Nurse | Investigator during complaint and annual survey |
| Connie Heavin | Social Worker | Investigator during complaint and annual survey |
| Office Manager B | Interviewed regarding missing registry checks for employee NA A | |
| Director of Nursing | DON | Interviewed regarding fall risk assessment and safety interventions |
| Maintenance A | Interviewed and verified observations related to lighting and fire drills | |
| Environmental Services Director | Responsible for fire drills and monitoring |
Inspection Report
Routine
Census: 41
Deficiencies: 8
Aug 5, 2013
Visit Reason
The inspection was conducted as a routine regulatory survey to assess compliance with state and federal regulations governing skilled nursing facilities, including housekeeping, maintenance, lighting, care planning, medication administration, infection control, and life safety code compliance.
Findings
The facility was found deficient in multiple areas including failure to maintain cleanable surfaces on shower chairs, inadequate lighting levels in activity areas, incomplete care plans for residents with contractures and dental issues, medication administration errors related to insulin timing, infection control lapses with treatment supplies, and life safety code violations including non-functioning exit sign lighting, lack of fire alarm documentation, and use of unapproved electrical equipment.
Severity Breakdown
SS=E: 4
SS=D: 2
SS=F: 2
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to maintain a cleanable surface on the shower chair in the east bath-house due to cracks in the vinyl seat cushion. | SS=E |
| Failed to provide adequate and comfortable lighting levels in the front living room area, measuring only 10 foot candles instead of the required 30. | SS=E |
| Failed to develop comprehensive care plans for two residents related to contractures and dental issues. | SS=D |
| Failed to ensure medication administration was free of significant medication errors for one resident who did not receive insulin according to manufacturer's directions. | SS=D |
| Failed to maintain an infection control program preventing cross contamination of treatment supplies; Betadine bottle was not disinfected before returning to treatment cart. | SS=F |
| Failed to maintain fire exit signs with continuous illumination; exit sign light bulb burned out in dining room. | SS=E |
| Failed to provide documentation from Central Receiving Station verifying operation of fire alarm system and fire drills. | SS=F |
| Failed to use electrical wiring and equipment in accordance with NFPA 70; unapproved surge protector used and electrical panel had missing breaker slot cover. | SS=E |
Report Facts
Facility census: 41
Light level: 10
Light level requirement: 30
Insulin dose: 4
Fire drill documentation missing: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance A | Acknowledged burned out exit sign light bulb and fire alarm documentation issues. | |
| Director of Nursing | Director of Nursing | Acknowledged lack of care plan interventions for contractures and infection control expectations. |
| RN A | Registered Nurse | Observed administering insulin to Resident 41. |
| RN B | Registered Nurse | Observed performing wound care on Resident 3. |
| Social Services Director | Social Services Director | Interviewed regarding care plan deficiencies related to dental issues. |
| NA C | Nurse Assistant | Reported crack in bath chair cushion to administrator. |
Inspection Report
Routine
Census: 34
Deficiencies: 6
May 30, 2012
Visit Reason
The inspection was a routine survey to assess compliance with regulations governing skilled nursing facilities, including care planning, infection control, and life safety code standards.
Findings
The facility was found deficient in revising care plans timely after resident status changes, infection control practices during meal service, and several life safety code violations including unsealed ceiling penetrations, non-functional emergency lighting, improperly mounted fire extinguishers, and issues with the commercial cooking suppression system.
Severity Breakdown
SS=D: 2
SS=E: 4
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to review and revise the care plan for one resident as changes in interventions were made related to the resident's status. | SS=D |
| Failed to ensure cross contamination did not occur during meal time for residents, including failure to perform hand hygiene between tasks. | SS=E |
| Failed to provide separation of hazardous areas from other compartments by allowing unsealed penetrations in the ceilings. | SS=E |
| Failed to provide emergency lighting of 1½ hour duration in the kitchen. | SS=D |
| Failed to ensure a fire extinguisher was mounted at a height of five feet from the floor to the top of the extinguisher. | SS=E |
| Failed to maintain the commercial cooking suppression system and exhaust system in accordance with NFPA 96. | SS=E |
Report Facts
Facility census: 34
Deficiency count: 6
Fire extinguisher height: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance A | Confirmed emergency lights failed to operate, fire extinguisher findings, and commercial cooking suppression system issues. | |
| Director of Nursing | Director of Nursing | Interviewed regarding care plan revisions and infection control practices. |
Inspection Report
Routine
Census: 38
Deficiencies: 8
May 19, 2011
Visit Reason
The inspection was a routine survey to assess compliance with regulatory requirements including housekeeping, maintenance, drug storage, and life safety code standards.
Findings
The facility was found deficient in maintaining a sanitary environment with broken tiles, damaged door frames, stained toilets, and unsealed floors. Expired insulin was administered to two residents. Life safety code violations included inadequate hazardous area separation, improper exit access, insufficient illumination of egress paths, obstructed means of egress, and use of unapproved electrical surge protectors.
Severity Breakdown
SS=E: 4
SS=D: 4
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to maintain sanitary environment including broken bathroom tiles, damaged door frames, stained toilets, and unsealed floors. | SS=E |
| Expired insulin administered to two residents. | SS=D |
| Failed to provide separation of a hazardous area from 1 out of 5 smoke compartments. | SS=D |
| Exit access was not readily accessible at all times for 3 out of 6 exits. | SS=E |
| Failed to provide illumination from the exit discharge to a public way. | SS=E |
| One of two emergency lighting bulbs in the dining area was burned out. | SS=D |
| Means of egress was obstructed by laundry and trash carts in service corridor. | SS=D |
| Use of unapproved surge protector multi strip in the dining area. | SS=D |
Report Facts
Facility census: 38
Residents sampled: 10
Non-sampled residents: 1
Expired insulin administration dates: 4
Broken ceramic tiles: 4
Number of smoke compartments: 5
Number of exits: 6
Notice
Capacity: 43
Deficiencies: 0
APP2019
Visit Reason
This document serves to verify the renewal of the SNF/NF dual certification license for Nye Pointe Health & Rehab Center and includes the occupancy permit issued by the Nebraska State Fire Marshal.
Findings
The facility is licensed for 43 beds with Medicare and Medicaid certification. The occupancy permit confirms compliance with fire marshal codes as of the issuance date.
Report Facts
Number of beds: 43
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| D. Kirk Sweeney | Administrator | Named on the renewal application. |
| Yasmine Kaiser | Director of Nursing | Named on the renewal application. |
| Alan Viox | Deputy State Fire Marshal | Inspected the facility for the occupancy permit. |
Notice
Capacity: 43
Deficiencies: 0
APP2020
Visit Reason
The document serves as a renewal application and certification for the nursing home license of Nye Pointe Health & Rehab Center, including verification of licensure and occupancy permit.
Findings
The documents confirm that Nye Pointe Health & Rehab Center is licensed as a Skilled Nursing Facility with a total licensed capacity of 43 beds, and holds a valid occupancy permit issued by the Nebraska State Fire Marshal.
Report Facts
Licensed beds: 43
Renewal license fee: 1750
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Crista Fischer | Director of Nursing | Named on Nursing Home Licensure Renewal Application |
| D. Kirk Sweeney | Administrator | Named on Nursing Home Licensure Renewal Application |
| Gary J. Anthone, MD | Chief Medical Officer, Director, Division of Public Health | Signed certification on license renewal card |
| Russell V. Peterson | Authorized representative signing renewal application | |
| Jennifer Peterson | Authorized representative signing renewal application |
Notice
Capacity: 43
Deficiencies: 0
APP2021
Visit Reason
This document serves as a renewal application and verification of licensure for Nye Pointe Health & Rehab Center, including certification of statutory requirements and occupancy permit issuance.
Findings
The documents confirm that Nye Pointe Health & Rehab Center meets statutory requirements for licensure renewal and fire safety occupancy permit with a maximum capacity of 43 beds.
Report Facts
Total licensed beds: 43
Renewal license expiration date: 2021
Occupancy permit issue date: Feb 11, 2021
Renewal license fees: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| D. Kirk Sweeney | Administrator | Named on the renewal application. |
| Crista Fischer | Director of Nursing | Named on the renewal application. |
| Jim Kenney | Deputy State Fire Marshal | Inspected the facility for occupancy permit. |
Notice
Capacity: 43
Deficiencies: 0
APP2023
Visit Reason
This document serves as a renewal license verification and application for Nye Pointe Health & Rehab Center, confirming licensure through the indicated renewal date and providing related facility and ownership information.
Findings
The document confirms the facility meets statutory requirements for licensure renewal, includes ownership and administrator details, and provides occupancy permit information with a maximum capacity of 43 beds.
Report Facts
Total licensed beds: 43
Renewal license expiration date: Mar 31, 2024
Renewal license fees: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patrick Fairbanks | Administrator | Named in Nursing Home Licensure Renewal Application |
| Joseph Pluth | Director of Nursing | Named in Nursing Home Licensure Renewal Application |
| Russell Peterson | President | Authorized representative signing renewal application |
| Jennifer Peterson | Vice President | Authorized representative signing renewal application |
Notice
Capacity: 43
Deficiencies: 0
APP2024
Visit Reason
The documents serve to verify the renewal of the SNF/NF dual certification license for Nye Pointe Health & Rehab Center and include the nursing home licensure renewal application, occupancy permit, and related administrative information.
Findings
The documents confirm that Nye Pointe Health & Rehab Center meets statutory requirements for licensure renewal, with a licensed capacity of 43 beds, and includes certification of occupancy by the State Fire Marshal.
Report Facts
Licensed capacity: 43
Renewal license fees: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patrick Fairbanks | Administrator | Named in Nursing Home Licensure Renewal Application |
| Mica Holland | Director of Nursing | Named in Nursing Home Licensure Renewal Application |
| Russell Peterson | President | Authorized representative signing renewal application |
| Jennifer Peterson | VP | Authorized representative signing renewal application |
| Ty Hernes | Deputy State Fire Marshal | Inspected and approved occupancy permit |
Notice
Deficiencies: 0
DAN111214
Visit Reason
This Notice of Disciplinary Action was issued to impose probation on Nye Pointe Health & Rehab Center for 90 days beginning December 10, 2014, due to violations related to failure to assess causal factors and implement interventions to prevent falls.
Findings
The facility failed to assess causal factors, identify interventions, and implement interventions to help prevent falls, resulting in disciplinary action and probation.
Report Facts
Probation period: 90
Notice date: 2014
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph M. Acierno | Chief Medical Officer, Director, Division of Public Health | Signed the Notice of Disciplinary Action |
| Becky Wisell | Administrator, Licensure Unit | Signed the Notice of Disciplinary Action |
| Eve Lewis | RNC, Program Manager | Contact for submission of reports and responses |
| Linda Stenvers | Staff Assistant II | Certified mailing of the Notice |
Notice
Capacity: 43
Deficiencies: 0
APP2017
Visit Reason
This document serves as a renewal application for the nursing home license of Nye Pointe Health & Rehab Center and includes verification of licensure and occupancy permit information.
Findings
The documents confirm that Nye Pointe Health & Rehab Center is licensed as a Skilled Nursing Facility with a total licensed capacity of 43 beds and holds a valid occupancy permit issued by the Nebraska State Fire Marshal.
Report Facts
Total licensed beds: 43
Renewal fees: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mark Hoyle | Administrator | Named on the Nursing Home Licensure Renewal Application. |
| Crystal Andrews | Director of Nursing | Named on the Nursing Home Licensure Renewal Application. |
Notice
Capacity: 43
Deficiencies: 0
APP2018
Visit Reason
This document serves as a licensure renewal application and verification for Nye Pointe Health & Rehab Center's Skilled Nursing Facility license, including renewal fee information and occupancy permit details.
Findings
The documents confirm the facility's licensure renewal status, ownership information, and occupancy permit with a maximum capacity of 43 beds. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 43
Renewal fees: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daniel Sweeney | Administrator | Named on Nursing Home Licensure Renewal Application. |
| Crystal Andrews | Director of Nursing | Named on Nursing Home Licensure Renewal Application. |
Report
Aug 21, 2025
File
health-inspection_2025-08-21.pdf
Report
Jul 23, 2024
File
health-inspection_2024-07-23.pdf
Report
Aug 15, 2023
File
health-inspection_2023-08-15.pdf
Report
Feb 16, 2023
File
complaint-inspection_2023-02-16.pdf
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