Inspection Reports for Old Cheney Rehabilitation

The document is related to the renewal of the nursing home license for Old Cheney Rehabilitation, verifying that the facility is licensed through the indicated renewal date.

The documents confirm that Old Cheney Rehabilitation meets statutory requirements for SNF/NF dual certification and holds a valid occupancy permit for 47 beds. No deficiencies or violations are noted.

The document is a Nursing Home Licensure Renewal Application for Old Cheney Rehabilitation to renew its license for continued operation.

The document certifies that Old Cheney Rehabilitation meets statutory requirements for licensure renewal as a skilled nursing facility with a licensed capacity of 47 beds.

An unannounced visit was conducted to investigate a complaint at Old Cheney Rehabilitation on July 22-23, 2019, regarding allegations of failure to use appropriate interventions to prevent falls with injuries, failure to complete written investigations within five working days, and failure to put interventions in place to prevent injuries.

The facility was found to be in compliance with the relevant regulations for all allegations. Staff implemented appropriate interventions to prevent falls and injuries, completed written investigations within five working days, and demonstrated knowledge of investigation and reporting requirements.

The complaint alleged failure to use appropriate interventions to prevent falls with injuries, failure to complete written investigations within five working days, and failure to put interventions in place to prevent injuries. The investigation found the facility in compliance with all these allegations.

An unannounced visit was conducted to investigate a complaint at Old Cheney Rehabilitation on May 7, 2019.

The facility did identify change of condition, therefore, there was no violation related to this issue after review of nurses notes and staff interviews.

The allegation was that the facility fails to identify change in condition. The complaint was not substantiated as the facility did identify change of condition.

An unannounced visit was conducted to investigate a complaint and annual survey at Old Cheney Rehabilitation from December 26, 2018 to January 3, 2019. The investigation included review of resident records, observation of care, and interviews with residents, family, and staff.

The facility was found to be in compliance with most allegations including admission accuracy, freedom from misappropriation, food form, mobility assistance, abuse protection, investigation submission, infection control, grievance handling, and staff training. However, the facility failed to develop a baseline care plan within 48 hours of admission for 5 residents and failed to develop a comprehensive care plan for Resident #24 to address dialysis needs.

The complaint investigation addressed multiple allegations including inaccurate admission information, misappropriation, food form, mobility assistance, abuse protection, timely submission of investigations, infection control, grievance handling, staff training, plan of care development, and practitioner notification. The facility was found compliant in all areas except plan of care development.

Notification of facility acceptance to participate under the Medicare Health Insurance Benefits Program and information about ongoing unannounced surveys and compliance requirements.

The letter states that the facility has been accepted for Medicare participation contingent on compliance with Civil Rights requirements and outlines the process for surveys, deficiency notifications, and plans of correction.

The inspection was conducted to assess compliance with the 2012 Edition of the Life Safety Code and related Medicare/Medicaid participation requirements.

The facility was found not in compliance with several Life Safety Code requirements including corridor width obstructions, headroom clearance, means of egress obstructions, hazardous area door latching, sprinkler system policy deficiencies, corridor door smoke resistance, smoke barrier integrity, fire extinguisher training, fire safety plan completeness, emergency generator testing documentation, and oxygen cylinder storage labeling.

Issuance and renewal of Skilled Nursing Facility License #NH0028 for Old Cheney Rehabilitation, including confirmation of compliance with zoning and fire marshal occupancy requirements.

The facility met all statutory requirements for licensure as a Skilled Nursing Facility with a licensed capacity of 47 beds. Zoning approval was granted for the facility as a non-residential healthcare facility with no violations. The Nebraska State Fire Marshal approved an occupancy permit for 47 beds. Ownership and controlling interest disclosures were provided as required.

This document is a statement of deficiencies and plan of correction related to regulatory compliance for Old Cheney Rehabilitation facility.

The facility is in compliance with the regulations at Title 175, Chapter 12: Skilled Nursing Facilities, Nursing Facilities, and Intermediate Care Facilities.

This document serves as a licensure renewal application and verification for Old Cheney Rehabilitation Nursing Home, confirming the renewal of the SNF/NF dual certification and related occupancy permits.

The documents confirm that Old Cheney Rehabilitation is licensed as a Skilled Nursing Facility with a total licensed capacity of 47 beds. The renewal application and occupancy permits are valid through specified expiration dates.

This document serves to verify that Old Cheney Rehabilitation's SNF/NF dual certification license is renewed through the date indicated on the renewal card and includes the occupancy permit issued for the facility.

The documents confirm that the facility meets statutory requirements for licensure renewal and has an occupancy permit issued by the Nebraska State Fire Marshal with a maximum occupancy of 47 beds.

This document package serves as a renewal application for the nursing home license of Old Cheney Rehabilitation, including verification of licensure status and occupancy permit.

The documents confirm that Old Cheney Rehabilitation meets statutory requirements for SNF/NF dual certification, with a licensed capacity of 47 beds and an occupancy permit issued by the Nebraska State Fire Marshal.

This document package serves as a nursing home licensure renewal application and includes certification of statutory requirements and a temporary occupancy permit for Old Cheney Rehabilitation.

The documents confirm that Old Cheney Rehabilitation meets statutory requirements for SNF/NF dual certification and holds a temporary occupancy permit with a maximum occupancy of 47 beds.

The document serves as a renewal application for the nursing home license of Old Cheney Rehabilitation and includes verification of licensure and occupancy permit information.

The documents confirm that Old Cheney Rehabilitation meets statutory requirements for licensure renewal and has a maximum occupancy of 47 beds as per the Nebraska State Fire Marshal occupancy permit.

This document serves as a licensure renewal application and verification for Old Cheney Rehabilitation, including occupancy permit and licensing details.

The documents confirm the facility's licensure renewal status, ownership information, and maximum occupancy of 47 beds as per the Nebraska State Fire Marshal occupancy permit.