Inspection Reports for Omaha Supportive Living

514-524 SOUTH 38TH AVENUE, OMAHA, NE, 68105

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

29% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

8 6 4 2 0
2012
2013
2019
2020

Census

Latest occupancy rate 41 residents

Based on a October 2013 inspection.

Census over time

36 39 42 45 48 Aug 2012 Oct 2013

Inspection Report

Renewal
Capacity: 48 Deficiencies: 0 Date: Apr 10, 2020

Visit Reason
This document is a renewal application and license verification for Omaha Supportive Living, an assisted-living facility, to renew its license and confirm compliance with statutory requirements.

Findings
The document confirms that Omaha Supportive Living meets statutory requirements as an assisted-living facility and is licensed for renewal through the indicated expiration date. It includes ownership and facility information, licensing fees, and certification of compliance.

Report Facts
Total licensed beds: 48 Renewal license expiration date: Apr 30, 2021

Employees mentioned
NameTitleContext
Lisa Ann Pinkerton Administrator Named as the administrator and authorized representative signing the renewal application.
Duane Elvins Inspector Named as the inspector on the Nebraska State Fire Marshal Certificate of Occupancy.

Inspection Report

Renewal
Capacity: 48 Deficiencies: 0 Date: Apr 12, 2019

Visit Reason
This document is a licensure renewal application and certificate for Omaha Supportive Living, an assisted-living facility, verifying the facility's license renewal and compliance with statutory requirements.

Findings
The document confirms that Omaha Supportive Living is licensed as an assisted-living facility with a total licensed capacity of 48 beds. It includes ownership information, certification signatures, and a certificate of occupancy issued by the Nebraska State Fire Marshal.

Report Facts
Total licensed beds: 48

Employees mentioned
NameTitleContext
Lisa Pinkerton Administrator Named as the facility administrator and authorized representative on the renewal application.
Duane Eivins Inspector Inspected the facility for the certificate of occupancy issued on March 8, 2019.

Inspection Report

Complaint Investigation
Census: 41 Deficiencies: 7 Date: Oct 7, 2013

Visit Reason
An unannounced visit was conducted to investigate a complaint and perform the annual survey at Omaha Supportive Living from October 3 to October 7, 2013. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

Complaint Details
The complaint alleged failure to provide medications in accordance with the Five Rights and failure to provide prompt emergency services. The investigation found one medication error where a resident took another resident's medication and the error was not reported timely. Emergency services were provided promptly as required, so no violation was found on that allegation.
Findings
The facility failed to document rationale for hiring employees with criminal backgrounds, failed to report a medication error to the licensed health care professional, failed to provide meals based on the Food Guide Pyramid, failed to ensure food safety and proper storage temperatures, failed to maintain building and grounds in good repair, failed to have a disaster evacuation plan, and failed to ensure emergency access to bathrooms and functional exhaust fans. The facility census was 41 residents.

Deficiencies (7)
Failed to document rationale for hiring employees with criminal background checks.
Failed to report a medication error to the licensed health care professional in a timely manner.
Failed to provide meals based on the Food Guide Pyramid and accommodate special diets.
Failed to ensure food safety including proper storage temperatures and sanitary conditions.
Failed to maintain building and grounds in clean manner and good repair.
Failed to have a specific disaster evacuation plan for residents.
Failed to ensure emergency access to bathrooms and functional exhaust fans.
Report Facts
Facility census: 41 Medications observed: 25 Residents affected by medication error: 1 Combination refrigerator/freezers observed: 6 Temperature measurements: 52 Temperature measurements: 50 Temperature measurements: 41 Temperature measurements: 135 Missing light bulbs: 4 Concrete basement floor collapse area: 6

Employees mentioned
NameTitleContext
Deidrea Craig Administrator Named in relation to findings on criminal background checks and facility operations
Kathleen Emanuel Registered Nurse Surveyor involved in inspection and complaint investigation
Kelly Schmidt Registered Nurse Surveyor involved in inspection and complaint investigation
Kay Reeves Nutrition/dietitian Surveyor involved in inspection and complaint investigation
Medication Aide A Named in medication error report and criminal background check findings

Inspection Report

Complaint Investigation
Census: 43 Deficiencies: 5 Date: Aug 2, 2012

Visit Reason
The inspection was conducted following a compliance inspection and complaint investigation at Omaha Supportive Living facility due to multiple allegations including failure to ensure medications are administered by qualified staff, dishwasher not working at appropriate temperature, pest infestation, and other regulatory concerns.

Complaint Details
The complaint investigation included multiple allegations such as failure to ensure medications are administered by appropriate staff, dishwasher not working, pest infestation, failure to maintain environment for health and safety, and failure to provide a home-like environment. Some allegations were substantiated (dishwasher, pest infestation, housekeeping), while others were not (medication administration, involuntary discharge, dish cleanliness, dietary needs).
Findings
The inspection found violations related to the dishwasher not working at the appropriate temperature and failure to maintain a pest-free environment with active bed bug infestations. Other allegations such as medication administration by qualified staff, involuntary discharge notice, dish cleanliness, and dietary needs were found to have no violations. The facility failed to provide housekeeping and maintenance services to keep the buildings safe and clean.

Deficiencies (5)
Dishwasher is not working at the appropriate temperature.
Facility failed to maintain a pest free environment with active bed bug infestations.
Facility failed to provide for a registered nurse to review medication administration policies and procedures annually.
Facility failed to implement the Resident Service Agreement due to a resident smoking in his room.
Facility failed to provide housekeeping and maintenance services to keep buildings safe, clean, and comfortable.
Report Facts
Facility census: 43 Sample size for medication policies review: 7 Bed bugs infestation duration: 1.5

Employees mentioned
NameTitleContext
Anna Harrison Registered Nurse Surveyor who completed the inspection
Lisa Pinkerton Administrator Facility administrator interviewed and named in findings
Eve Lewis RN-C, Administrator Office of Long Term Care Facilities, signed cover letter

Notice

Capacity: 48 Deficiencies: 0 Date: APP2016

Visit Reason
This document set serves as the licensure renewal application and certification for Omaha Supportive Living, an assisted-living facility, including renewal fees, ownership information, and occupancy certification.

Findings
The documents certify that Omaha Supportive Living meets statutory requirements as an assisted-living facility with a licensed capacity of 48 beds. The renewal application includes ownership and administrator information, and the Nebraska State Fire Marshal certificate confirms the maximum occupancy of 48 beds.

Report Facts
Total licensed beds: 48 Maximum occupancy: 48

Employees mentioned
NameTitleContext
Renee Besancon Administrator Named as the new administrator of Omaha Supportive Living in a letter dated April 11, 2016.

Notice

Capacity: 48 Deficiencies: 0 Date: APP2018

Visit Reason
This document serves as a licensure renewal application and verification for the assisted-living facility Omaha Supportive Living, confirming the facility's license renewal and capacity.

Findings
The documents confirm the facility's licensure renewal through April 30, 2019, with a total licensed capacity of 48 beds. The Nebraska State Fire Marshal Certificate of Occupancy also confirms a maximum occupancy of 48 persons/beds.

Report Facts
Total licensed capacity: 48

Employees mentioned
NameTitleContext
Lisa Pinkerton Administrator Named as the facility administrator in the licensure renewal application.
Dan Cosgrove Inspector Inspected the facility for the Nebraska State Fire Marshal Certificate of Occupancy.

Notice

Capacity: 48 Deficiencies: 0 Date: APP2021

Visit Reason
This document serves as a renewal application and certification for the assisted-living facility Omaha Supportive Living, verifying licensure and occupancy compliance.

Findings
The documents confirm that Omaha Supportive Living meets statutory requirements as an assisted-living facility with a licensed capacity of 48 beds. Fire safety certification and occupancy limits are documented.

Report Facts
Total licensed beds: 48 Maximum occupancy: 48

Employees mentioned
NameTitleContext
Lisa Pinkerton Administrator Named as administrator on the renewal application (page 2) and authorized representative signing the renewal application.
Gary J. Amihone, MD Chief Medical Officer, Director, Division of Public Health Named on the licensure certificate as certifying official (page 1).

Document

Capacity: 48 Deficiencies: 0 Date: APP2022

Visit Reason
The documents pertain to the renewal of the assisted-living facility license for Omaha Supportive Living, including submission of renewal application and verification of licensure status.

Findings
No inspection findings or deficiencies are reported. The documents certify that the facility meets statutory requirements for licensure and provide details on ownership, capacity, and fire safety certification.

Report Facts
Total licensed beds: 48 Maximum occupancy: 48 Bed counts: 45 Bed counts: 7 Bed counts: 7 Bed counts: 8 Bed counts: 7 Bed counts: 1

Employees mentioned
NameTitleContext
Lisa A Pinkerton Administrator Named as administrator and 100% owner of Prosperity Properties, Inc., the owner of the facility (page 2 and 3).

Document

Capacity: 48 Deficiencies: 0 Date: APP2023

Visit Reason
The documents pertain to the renewal of the assisted-living facility license for Omaha Supportive Living, including submission of renewal application, verification of ownership, and fire marshal certificate of occupancy.

Findings
No inspection findings or deficiencies are reported in these documents. They primarily verify licensure status, ownership, facility capacity, and fire safety approval.

Report Facts
Total licensed beds: 48 Maximum occupancy: 48

Employees mentioned
NameTitleContext
Lisa Pinkerton Administrator Named as administrator and authorized representative on the renewal application (page 2).
Mike Schmitz Inspector Named as inspector on the Nebraska State Fire Marshal Certificate of Occupancy (page 4).

Notice

Capacity: 48 Deficiencies: 0 Date: APP2024

Visit Reason
This document serves to verify the assisted-living facility's license renewal and includes the renewal application form.

Findings
The document confirms that Omaha Supportive Living meets statutory requirements as an assisted-living facility and is licensed through the renewal date indicated. It includes ownership and facility information, renewal fees, and a fire marshal certificate of occupancy.

Report Facts
Total licensed beds: 48 Maximum occupancy: 48

Employees mentioned
NameTitleContext
Sarah Wilson Administrator Named on the renewal application form (page 2).
Lisa Ann Pinkerton Owner Listed as 100% owner of Prosperity Properties, Inc., the ownership entity (page 3).

Notice

Capacity: 48 Deficiencies: 0 Date: APP2025

Visit Reason
This document serves as a renewal application and verification of licensure for Omaha Supportive Living, an assisted-living facility, including renewal fees and certification of occupancy.

Findings
The documents confirm that Omaha Supportive Living meets statutory requirements as an assisted-living facility with a licensed capacity of 48 beds. The renewal application is completed with ownership and facility details, and the fire marshal certificate confirms the maximum occupancy.

Report Facts
Total licensed beds: 48 Renewal license expiration date: Expires 2026-04-30 as shown on renewal card. Renewal license fees: 950 Renewal license fees: 1450 Renewal license fees: 1650 Renewal license fees: 1950

Employees mentioned
NameTitleContext
Oliver MBA Administrator Named on renewal application as facility administrator.
Kyle Walling Named as inspector on Nebraska State Fire Marshal Certificate of Occupancy.

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