Inspection Reports for Old Mill Rehabilitation

1131 Papillion Parkway, OMAHA, NE, 68154

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Deficiencies (last 7 years)

Deficiencies (over 7 years) 5.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

26% worse than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

12 9 6 3 0
-0001
2014
2015
2016
2017
2018
2019

Census

Latest occupancy rate 86% occupied

Based on a September 2018 inspection.

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

Census over time

0 20 40 60 Jun 2014 May 2015 Jul 2017 Aug 2018 Sep 2018
Inspection Report Complaint Investigation Deficiencies: 0 Jun 10, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint at Old Mill Rehabilitation (Omaha TCU) on June 10-11, 2019, regarding failure to identify change in condition, failure to notify care provider of change in condition, and failure to use appropriate interventions to prevent falls with injuries.
Findings
The facility was found to be in compliance with relevant regulatory requirements for all allegations. Staff were knowledgeable about changes in condition, notified care providers appropriately, and implemented interventions to prevent falls and injuries.
Complaint Details
The complaint alleged failure to identify change in condition, failure to notify care provider of change in condition, and failure to use appropriate interventions to prevent falls with injuries. The investigation found the facility compliant with all allegations.
Employees Mentioned
NameTitleContext
Connie VogtProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health
Inspection Report Census: 38 Capacity: 44 Deficiencies: 6 Sep 24, 2018
Visit Reason
The inspection was conducted to assess compliance with state regulations governing licensure of skilled nursing facilities, including resident rights, catheter care, and life safety code compliance.
Findings
The facility was found deficient in protecting resident dignity by not covering a catheter bag, failing to secure catheter tubing properly, allowing dust accumulation on fire sprinklers, failing to conduct fire drills at varied times on all shifts, not testing diesel fuel annually, and not labeling oxygen cylinders as full or empty.
Severity Breakdown
SS=D: 3 SS=F: 3
Deficiencies (6)
DescriptionSeverity
Failed to protect resident dignity by not covering catheter bag while resident was outside the room.SS=D
Failed to ensure catheter tubing was secured with a catheter securement device as per standards of practice.SS=D
Allowed dust and dirt to accumulate on fire sprinklers in multiple smoke compartments.SS=F
Failed to conduct fire drills at varied times on 2 of 2 shifts.SS=F
Failed to have diesel fuel tested annually for quality.SS=F
Failed to label oxygen cylinders as empty or full in oxygen storage room.SS=D
Report Facts
Facility census: 38 Total licensed capacity: 44 Facility census: 37
Employees Mentioned
NameTitleContext
RN ARegistered NurseInterviewed regarding catheter bag not being covered
DONDirector of NursingInterviewed confirming no catheter bag covering policy and catheter securement policy
NA BNurses AidObserved performing catheter care without securing catheter tubing
AdministratorInterviewed confirming findings related to fire sprinkler dust, fire drills, diesel fuel testing, and oxygen cylinder labeling
Inspection Report Complaint Investigation Census: 38 Deficiencies: 3 Aug 7, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Old Mill Rehabilitation (omaha Tcu) on August 7-8, 2018, regarding allegations including failure to answer call notification systems promptly, medication administration errors, meal quality, and grievance handling.
Findings
The facility was found compliant with call light response, meal quality, and grievance handling. However, deficiencies were found related to medication administration errors for two residents and failure to re-evaluate and implement additional interventions for bowel care for one resident.
Complaint Details
The complaint investigation was substantiated with findings of medication administration errors and failure to re-evaluate bowel care interventions. The facility was compliant with call light response, meal quality, and grievance handling.
Severity Breakdown
SS=D: 3
Deficiencies (3)
DescriptionSeverity
Failure to re-evaluate interventions and implement additional interventions for bowel care for one resident.SS=D
Failure to ensure medications were provided in accordance with physician orders for two residents, resulting in a medication error rate greater than 5%.SS=D
Failure to ensure residents are free of significant medication errors, evidenced by a significant medication error for one resident.SS=D
Report Facts
Medication error rate: 7.41 Total census: 38 Number of sampled residents: 6 Number of residents with medication errors: 2
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training Coordinator, Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the complaint investigation letter.
Michele DeinAdministratorFacility administrator named in the report.
LPN ALicensed Practical NurseInvolved in medication administration errors for Residents 3 and 4.
Director of NursingDirector of NursingInterviewed regarding bowel care and medication errors; confirmed deficiencies.
Inspection Report Complaint Investigation Census: 41 Deficiencies: 6 May 3, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Old Mill Rehabilitation (Omaha TCU) from May 3, 2018 to May 7, 2018 by the Department of Health and Human Services Division of Public Health.
Findings
The facility was found compliant with abuse protection, meal nutrition, misappropriation protection, call system response, housekeeping, and plan of care development. Deficiencies were found related to staff training on insulin pump management, failure to provide care according to physician orders, incomplete medical records, failure to provide bed hold notice upon hospital transfer, failure to notify physician and family of changes in condition, and medication errors related to insulin administration.
Complaint Details
The complaint included allegations of failure to protect residents from abuse, failure to ensure staff training, failure to provide care according to orders, failure to develop care plans, failure to meet nutritional needs, incomplete medical records, failure to protect from misappropriation, delayed call system response, inadequate housekeeping, failure to provide discharge notice, and failure to identify change of condition. The investigation found the facility compliant with abuse protection, misappropriation protection, call system response, housekeeping, and plan of care development but identified deficiencies in staff training, care provision, medical records, discharge notice, and change of condition notification.
Severity Breakdown
SS=D: 6
Deficiencies (6)
DescriptionSeverity
Failed to ensure staff were trained to meet resident needs related to insulin pump management.SS=D
Failed to provide care and services according to practitioner's orders including monitoring intake/output, blood sugars, and insulin administration.SS=D
Failed to ensure resident medical records were complete including documentation of blood sugars, carbohydrates eaten, insulin administered, and intake/output.SS=D
Failed to provide copy of the bed hold notice when residents were transferred to the hospital.SS=D
Failed to notify resident's physician and responsible party of low blood sugars and hospital transfer.SS=D
Failed to ensure resident was free from significant medication error related to insulin administration timing.SS=D
Report Facts
Deficiencies cited: 6 Resident census: 41 Insulin units administered: 18 Blood sugar checks per day: 4
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned the complaint investigation letter.
Registered Nurse FRegistered NurseReported Resident 1 monitored own blood sugar and gave own insulin; lacked formal training on insulin pump management.
Registered Nurse DRegistered NurseReported no training on insulin pump management.
Registered Nurse ERegistered NurseReported no training on insulin pump management.
Licensed Practical Nurse HLicensed Practical NurseAdministered insulin to Resident 5 with timing error.
Social Worker GSocial WorkerReported family notification practices for hospital transfers.
Michele DeinAdministratorFacility administrator receiving the report.
Inspection Report Complaint Investigation Deficiencies: 0 Jan 10, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to ensure building temperatures were within regulatory requirements.
Findings
The facility was found to be in compliance with temperature regulations, with resident rooms observed to have temperatures at or above 73 degrees Fahrenheit and residents reporting acceptable room temperatures. Temporary and permanent heating solutions were in place or planned.
Complaint Details
The complaint alleged that the facility failed to ensure building temperatures were within regulatory requirements. The allegation was not substantiated as the facility met the temperature standards.
Report Facts
Temperature: 73
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned the report and is identified as the Training Coordinator for the Office of LTC Facilities - Licensure Unit
Inspection Report Complaint Investigation Deficiencies: 0 Sep 6, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint that the facility fails to answer call notification systems promptly.
Findings
The facility was found to answer call notification systems promptly, with call light responses usually within 1-3 minutes. Staff had recently received training on call light response times, and the facility was found to be in compliance.
Complaint Details
The complaint alleged that the facility fails to answer call notification systems promptly. The complaint was found to be unsubstantiated as the facility was in compliance.
Employees Mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS
Inspection Report Complaint Investigation Census: 43 Capacity: 44 Deficiencies: 9 Jul 17, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Old Mill Rehabilitation (Omaha Tcu) on July 17, 2017-July 20, 2017, by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The facility was found compliant with pain management and ensuring residents are free from misappropriation, but failed to complete written investigations within five working days for allegations of abuse and significant injuries. Additional findings included unsafe water temperatures in resident rooms, improper food handling and storage practices, unsecured medications, and fire safety deficiencies including malfunctioning fire doors and incomplete fire alarm and sprinkler system testing and maintenance.
Complaint Details
Complaint allegations included failure to provide appropriate pain management, failure to ensure residents are free from misappropriation, and failure to complete written investigations within five working days. The facility was found compliant with the first two allegations but non-compliant with the third.
Deficiencies (9)
Description
Failed to complete written investigations within five working days for allegations of abuse and significant injuries.
Failed to ensure water temperatures were maintained to prevent potential burns in 9 resident rooms.
Failed to maintain food safety including improper milk temperature, pans soaking overnight, improper ice scoop use, and lack of beard restraint in kitchen staff.
Medications left unsecured on counter and not stored properly after resident discharge.
Fire rated doors in two-hour fire separation failed to close and latch properly.
Fire alarm system lacked complete documentation and had a supervisory alarm indicating dialer delivery failure.
Failed to conduct required 3 year air leakage and full trip tests on fire sprinkler dry system.
Fire alarm and sprinkler fire watch policies did not specify time intervals between fire watch rounds.
Corridor doors failed to latch properly, allowing passage of smoke.
Report Facts
Residents affected by abuse reporting deficiency: 4 Facility census: 43 Total licensed capacity: 44 Rooms with unsafe water temperatures: 9 Milk temperature observed: 70.9 Medication carts unlocked: 1 Fire door latch failures: 2 Fire alarm supervisory alarm: 1
Employees Mentioned
NameTitleContext
Michele DeinAdministratorNamed as facility administrator receiving report and involved in interviews
Eve LewisProgram Manager - Office of LTC Facilities - Licensure UnitSigned complaint investigation letter
Frank O'HaraResident with significant injury not reported to state agency
LPN-ALicensed Practical NurseInterviewed regarding unsecured medications
RN BRegistered NurseObserved leaving medication cart unlocked
Chef CKitchen ChefObserved not wearing beard restraint and improper food handling
Director of NursingDirector of NursingInterviewed regarding abuse reporting and medication storage
Dietary ManagerDietary ManagerInterviewed regarding food safety and ice scoop use
Maintenance ManagerMaintenance ManagerInterviewed regarding water temperature checks
Facility Staff AVerified fire door and fire alarm system deficiencies
AdministratorFacility AdministratorInterviewed regarding fire safety deficiencies and policy clarifications
Inspection Report Complaint Investigation Deficiencies: 0 Dec 21, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint that the facility fails to follow the plan of care when residents have been identified at risk for falls.
Findings
The facility was found to follow the plan of care for residents identified at risk for falls, with interventions in place and revised after falls. Staff interviews confirmed all residents are considered fall risks on admission and placed on interventions until evaluated for safety, resulting in compliance with regulatory guidelines.
Complaint Details
The complaint alleged failure to follow the plan of care for residents at risk for falls. The facility was found compliant with this allegation.
Employees Mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS
Inspection Report Complaint Investigation Deficiencies: 0 Oct 18, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging the facility failed to ensure prompt response to calls for assistance.
Findings
The facility was found to ensure prompt response to calls for assistance, with all call lights answered within 3 minutes, resident interviews showing no concerns, and staff knowledgeable about call light response times. The facility was determined to be in compliance with all related regulatory requirements.
Complaint Details
The complaint alleged failure to ensure prompt response to calls for assistance. The complaint was not substantiated as the facility was found compliant.
Report Facts
Call light response time: 3
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training Coordinator, Licensure Unit, Division of Public Health-DHHSSigned the report and is the author of the findings.
Inspection Report Complaint Investigation Deficiencies: 0 Aug 31, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to change fall interventions after residents were identified at risk for falls and failure to ensure staff followed the plan of care for residents at risk of falls.
Findings
The investigation found that the facility did change fall interventions after residents were identified at risk and ensured staff followed the care plans. Observations, record reviews, and interviews confirmed compliance with regulatory guidelines.
Complaint Details
The complaint alleged the facility failed to change fall interventions after residents were identified at risk for falls and failed to ensure staff followed the plan of care for these residents. Both allegations were found to be unsubstantiated as the facility was in compliance.
Employees Mentioned
NameTitleContext
Eve LewisProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the report and identified as contact for questions
Inspection Report Complaint Investigation Deficiencies: 0 Jul 13, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding housekeeping, respect and dignity towards residents, and bathing according to resident preferences at Old Mill Rehabilitation (omaha Tcu).
Findings
The facility was found to be in compliance with regulatory guidelines for all allegations investigated, including effective housekeeping, treating residents with respect and dignity, and providing bathing according to resident preferences.
Complaint Details
The complaint alleged failure to ensure an effective housekeeping program, failure to treat residents with respect and dignity, and failure to provide bathing according to resident preferences. All allegations were found to be unsubstantiated.
Employees Mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS
Inspection Report Complaint Investigation Census: 40 Deficiencies: 5 May 9, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Old Mill Rehabilitation (omaha Tcu) from May 3, 2016 to May 9, 2016 by the Department of Health and Human Services Division of Public Health.
Findings
The complaint investigation found the facility compliant with respect to resident dignity, grievance resolution, housekeeping, range of motion care, blood sugar management, and therapy equipment sanitation. However, deficiencies were identified related to failure to issue Medicare Advanced Beneficiary Notices for three residents, failure to develop comprehensive care plans for antibiotic use and range of motion equipment, and failure to sanitize glucometers between residents. Life safety code deficiencies were also noted including lack of emergency lighting at the generator and failure to test all fire alarm manual pull stations annually.
Complaint Details
The complaint investigation included allegations regarding respect and dignity, grievance resolution, housekeeping, care to maintain range of motion, blood sugar management, and therapy equipment sanitation. The facility was found compliant on these allegations.
Severity Breakdown
SS=E: 1 SS=D: 2 SS=F: 2
Deficiencies (5)
DescriptionSeverity
Failure to issue Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) of potential liability for Medicare non-coverage for 3 residents.SS=E
Failure to develop comprehensive care plans related to cellulitis and antibiotic use for Resident 242 and range of motion equipment for Resident 237.SS=D
Failure to sanitize glucometer between resident use, risking cross contamination for two residents.SS=D
Failure to provide battery powered emergency lighting at the emergency generator area.SS=F
Failure to test 100% of manual pull stations for the fire alarm system annually.SS=F
Report Facts
Residents reviewed for Medicare non-coverage notice: 3 Facility census: 40 Residents reviewed for care plan deficiencies: 2 Residents observed for glucometer sanitization: 2 Date of survey completion: 2016
Employees Mentioned
NameTitleContext
Eve LewisRNC, Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned complaint investigation letter
David WilliamsonAdministratorFacility administrator during inspection
Care Manager CConfirmed residents were issued expedited appeal notices but not SNFABN
Physical Therapy DirectorConfirmed Resident 237 used CPM machine and care plan deficiencies
Director of NursingConfirmed lack of care plan for CPM machine use
Licensed Practical Nurse AObserved failing to sanitize glucometer between residents
Registered Nurse BReported uncertainty about glucometer sanitization
Maintenance AVerified lack of emergency lighting at generator
Administrator AAcknowledged fire alarm manual pull station testing deficiency
Inspection Report Complaint Investigation Census: 39 Deficiencies: 0 May 12, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Old Mill Rehabilitation (Omaha TCU) on May 12, 2015-May 19, 2015.
Findings
The facility was found to be in compliance with all related regulatory requirements for medication administration, call system response, assistance with transfers and ambulation, abuse prevention, and dietary needs. The facility census was 39.
Complaint Details
The complaint allegations included failure to administer medications according to practitioner's orders, failure to ensure call systems are answered promptly, failure to provide assistance with transfer and ambulation per the plan of care, failure to ensure residents are free from abuse, and failure to ensure foods/menus meet dietary needs. All allegations were found to be unsubstantiated with no violations.
Report Facts
Medications observed: 30 Residents interviewed: 26 Staff interviewed: 8 Residents observed for abuse: 3
Employees Mentioned
NameTitleContext
Kelly SchmidtRegistered NurseInvestigator for complaint and annual survey.
Carol NenemanSocial WorkerInvestigator for complaint and annual survey.
Eve LewisProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSAuthor of complaint investigation letter.
Inspection Report Complaint Investigation Census: 44 Deficiencies: 0 Feb 23, 2015
Visit Reason
An unannounced visit was conducted to investigate multiple complaints at Old Mill Rehabilitation on February 23-24, 2015, including allegations related to housekeeping, supervision, staffing levels, call system response, nutrition, medication administration, physical therapy, resident needs, positioning and transfers, and abuse/neglect investigations.
Findings
The facility was found to be in compliance with all regulatory requirements related to the allegations investigated. Observations, record reviews, and interviews confirmed effective housekeeping, adequate supervision, consistent staffing, timely call system response, proper nutrition, correct medication administration, adherence to physical therapy standards, accommodation of resident needs, appropriate positioning and transfer services, and timely submission of abuse/neglect investigations.
Complaint Details
The investigation was complaint-driven, addressing multiple allegations including housekeeping, supervision, staffing, call system response, nutrition, medication administration, physical therapy, resident needs, positioning and transfers, and abuse/neglect investigation submission. All allegations were found to be unsubstantiated with the facility in compliance.
Report Facts
Average call light wait time: 3.3 Facility census: 44 Reportable injury period: 3
Employees Mentioned
NameTitleContext
Lori FrodshamRegistered NurseConducted the complaint investigation visit
Eve LewisRNC, Program ManagerSigned the inspection report as Program Manager - Office of LTC Facilities - Licensure Unit
Inspection Report Life Safety Deficiencies: 8 Jun 2, 2014
Visit Reason
The inspection was conducted to assess compliance with the 2000 Edition of the Life Safety Code of the National Fire Protection Association for a healthcare facility.
Findings
The facility failed to meet several Life Safety Code standards including documentation for interior finish flame spread ratings, smoke resistance of corridor doors, smoke barrier door integrity, hazardous area protections, maintenance of smoke tight ceilings, kitchen hood suppression system acceptance testing, flame resistance documentation for window coverings, and clearance in front of electrical panels. The facility census was zero at the time of inspection.
Severity Breakdown
SS=D: 8
Deficiencies (8)
DescriptionSeverity
Failed to provide documentation for the interior class finish for wall and ceiling materials in corridors.SS=D
Failed to ensure corridor doors resist passage of smoke; multiple doors failed to latch or were blocked.SS=D
Failed to ensure one of three smoke barrier doors resisted passage of smoke.SS=D
Failed to ensure doors to five hazardous rooms resist passage of smoke and failed to provide smoke tight ceiling.SS=D
Failed to maintain smoke tight ceiling in 200 Wing Corridor and Bathing Room.SS=D
Failed to provide documentation of kitchen hood suppression system acceptance test.SS=D
Failed to provide documentation on flame resistance of window coverings throughout facility and resident rooms.SS=D
Failed to maintain 3 foot clearance in front of electrical panel in Electrical room.SS=D
Report Facts
Smoke compartments affected: 4 Facility census: 0 Deficiencies cited: 8
Employees Mentioned
NameTitleContext
David WilliamsonExecutive DirectorNamed in multiple findings and plan of correction monitoring responsibilities
Administrator AConfirmed multiple findings during interviews
Inspection Report Renewal Capacity: 44 Deficiencies: 0 Nov 30, -0001
Visit Reason
This document is a Nursing Home Licensure Renewal Application and related certification and occupancy permit for Old Mill Rehabilitation (Omaha TCU). The purpose is to renew the facility's license and certify compliance with statutory requirements.
Findings
The documents certify that Old Mill Rehabilitation meets statutory requirements for SNF/NF dual certification and includes an occupancy permit with a maximum capacity of 44 beds. No deficiencies or violations are noted in these documents.
Report Facts
Number of beds to be relicensed: 44 Renewal Licensure Fee: 1550 Maximum Occupancy: 44
Employees Mentioned
NameTitleContext
Michele DeinAdministratorNamed on Nursing Home Licensure Renewal Application
Jeffery TaplettDirector of NursingNamed on Nursing Home Licensure Renewal Application
James AdamsonAuthorized RepresentativeSigned Nursing Home Licensure Renewal Application
Gary WalkerAuthorized RepresentativeSigned Nursing Home Licensure Renewal Application
Susen LindnerDeputy State Fire MarshalInspected and approved Nebraska State Fire Marshal Occupancy Permit
Notice Capacity: 44 Deficiencies: 0 APP2016
Visit Reason
This document serves as a licensure renewal application for Old Mill Rehabilitation (Omaha TCU) skilled nursing facility, verifying the facility's license renewal and occupancy permit status.
Findings
The document confirms the facility meets statutory requirements for licensure renewal, with a licensed capacity of 44 beds and current accreditation status. It includes an occupancy permit issued by the Nebraska State Fire Marshal and ownership information.
Report Facts
Licensed beds: 44 License expiration date: 2016
Employees Mentioned
NameTitleContext
Trudy MullinsDirector of NursingNamed in licensure renewal application
David WilliamsonAdministratorNamed in licensure renewal application
Anna HaynesManagerAuthorized representative signing renewal application
Notice Capacity: 44 Deficiencies: 0 APP2017
Visit Reason
This document serves to verify the renewal of the SNF/NF dual certification license for Old Mill Rehabilitation (Omaha TCU) and includes the occupancy permit issued by the Nebraska State Fire Marshal.
Findings
The facility is licensed as a skilled nursing facility with 44 beds, providing physical therapy, occupational therapy, and speech therapy services. The occupancy permit was issued on 2016-05-10, confirming compliance with fire safety codes.
Report Facts
Total licensed beds: 44 Occupancy permit date: May 10, 2016
Employees Mentioned
NameTitleContext
Richard CartneyAdministratorNamed in the nursing home licensure renewal application.
Nicole MooreDirector of NursingNamed in the nursing home licensure renewal application.
Inspection Report Renewal Capacity: 44 Deficiencies: 0 APP2018
Visit Reason
This document is a Nursing Home Licensure Renewal Application and related licensing verification for Old Mill Rehabilitation (Omaha TCU), indicating the facility's license renewal and certification status.
Findings
The documents confirm that Old Mill Rehabilitation (Omaha TCU) meets statutory requirements for SNF/NF dual certification and is licensed through the renewal date. The facility is licensed for 44 beds and provides specialized care including physical therapy, occupational therapy, and speech therapy.
Report Facts
Total licensed beds: 44 Renewal expiration date: Mar 31, 2019
Employees Mentioned
NameTitleContext
Michele DeinAdministratorNamed in the Nursing Home Licensure Renewal Application
Nicole MooreDirector of NursingNamed in the Nursing Home Licensure Renewal Application
James AdamsonAuthorized RepresentativeSigned the renewal application as authorized representative
Bruce HeywoodAuthorized RepresentativeSigned the renewal application as authorized representative
Notice Capacity: 44 Deficiencies: 0 APP2019
Visit Reason
This document serves as a license renewal application for Old Mill Rehabilitation (Omaha TCU) and includes verification of the facility's SNF/NF dual certification license renewal and occupancy permit.
Findings
The documents confirm the facility's license renewal status, ownership details, and fire marshal occupancy permit approval for 44 beds.
Report Facts
Number of beds to be relicensed: 44 Maximum occupancy: 44
Employees Mentioned
NameTitleContext
Michele DeinAdministratorNamed in license renewal application
Nicole MooreDirector of NursingNamed in license renewal application
James AdamsonManaging MemberNamed in ownership information
Bruce HeywoodOwnerNamed in ownership information
Kyle WoodgateDeputy State Fire MarshalInspected and approved occupancy permit
Notice Capacity: 44 Deficiencies: 0 APP2020
Visit Reason
This document serves as a certification that Old Mill Rehabilitation (Omaha TCU) is licensed through the renewal date indicated, and includes the Nursing Home Licensure Renewal Application and occupancy permit.
Findings
The documents confirm the facility meets statutory requirements for licensure renewal, with no deficiencies or inspection findings reported.
Report Facts
Total licensed beds: 44 Renewal license fees: 1550
Employees Mentioned
NameTitleContext
Michele DeinAdministratorNamed on the Nursing Home Licensure Renewal Application.
Nicole MooreDirector of NursingNamed on the Nursing Home Licensure Renewal Application.
James AdamsonAuthorized RepresentativeSigned the Nursing Home Licensure Renewal Application.
Bruce HeywoodAuthorized RepresentativeSigned the Nursing Home Licensure Renewal Application.
Jim KenneyDeputy State Fire MarshalInspected and approved the occupancy permit.
Notice Capacity: 44 Deficiencies: 0 APP2021
Visit Reason
This document serves as a licensure renewal application and verification for Old Mill Rehabilitation (Omaha TCU), confirming the facility's license status and renewal through the specified date.
Findings
The documents confirm that Old Mill Rehabilitation (Omaha TCU) meets statutory requirements for licensure renewal, including certification for Medicare and Medicaid, and holds an occupancy permit for 44 beds.
Report Facts
Total licensed beds: 44 Renewal license expiration date: Expires 03/31/2022 as shown on renewal card.
Employees Mentioned
NameTitleContext
Michele DeinAdministratorNamed on licensure renewal application.
Carol WaitDirector of NursingNamed on licensure renewal application.
Bruce HaywoodAuthorized RepresentativeSigned licensure renewal application.
James AdamsonAuthorized RepresentativeSigned licensure renewal application.
Document Capacity: 44 Deficiencies: 0 APP2022
Visit Reason
The document set serves to verify licensure renewal and certification status for Old Mill Rehabilitation (Omaha TCU), including submission of a Nursing Home Licensure Renewal Application and occupancy permit details.
Findings
No inspection findings or deficiencies are reported in these documents. They primarily confirm licensure renewal, facility capacity, and certification status.
Report Facts
Total licensed beds: 44 Renewal license expiration date: 2022 Renewal license fees: 1550
Notice Capacity: 44 Deficiencies: 0 APP2023
Visit Reason
This document serves as a licensure renewal application and certification for Old Mill Rehabilitation (Omaha TCU), verifying the facility's SNF/NF dual certification and license renewal through the indicated expiration date.
Findings
The documents confirm the facility's licensure renewal status, certification of services offered, and occupancy permit with a maximum capacity of 44 beds. No inspection findings or deficiencies are reported.
Report Facts
Total licensed capacity: 44 Renewal expiration date: Mar 31, 2024
Employees Mentioned
NameTitleContext
Michele DelinAdministratorNamed on the Nursing Home Licensure Renewal Application.
Judy Sagvoid RNDirector of NursingNamed on the Nursing Home Licensure Renewal Application.
James AdamsonAuthorized RepresentativeSigned the Nursing Home Licensure Renewal Application.
Gary WalkerAuthorized RepresentativeSigned the Nursing Home Licensure Renewal Application.
Susen LindnerDeputy State Fire MarshalInspected and approved the Nebraska State Fire Marshal Occupancy Permit.
Notice Capacity: 44 Deficiencies: 0 APP2025
Visit Reason
This document serves as a renewal application for the nursing home license of Old Mill Rehabilitation and includes related licensing and occupancy permit information.
Findings
The documents confirm the facility's licensure renewal status, ownership information, and occupancy permit with a maximum capacity of 44 beds. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 44 Renewal licensure fee: 1550

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