Inspection Reports for Oxbow Living Center

1617 BILLS DRIVE, ASHLAND, NE, 68003

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 0.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

93% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2014
2017
2018
2025

Inspection Report

Renewal
Capacity: 129 Deficiencies: 0 Date: Mar 28, 2025

Visit Reason
The document is a renewal application and license renewal for Oxbow Living Center, an assisted-living facility, verifying that the facility is licensed through the indicated renewal date.

Findings
The documents confirm the renewal of the assisted-living facility license for Oxbow Living Center, including Alzheimer's special care unit endorsement and memory care endorsement. The facility meets statutory requirements and has a maximum licensed capacity of 129 beds, with 14 beds designated for Alzheimer's care.

Report Facts
Total licensed beds: 129 Alzheimer's unit beds: 14

Employees mentioned
NameTitleContext
Kerry DierksAdministratorNamed as facility administrator on renewal application and Alzheimer's endorsement application (pages 2 and 12).
Jason LangeAuthorized RepresentativeSigned renewal application and Alzheimer's endorsement application as authorized representative (pages 2 and 16).
MaryLynne BoldenAuthorized RepresentativeNamed as authorized representative on renewal application (page 2).

Inspection Report

Renewal
Capacity: 129 Deficiencies: 0 Date: Mar 22, 2018

Visit Reason
This document is a licensure renewal application and related documentation for Oxbow Living Center, an assisted living facility, verifying the facility's license renewal and compliance with state regulations.

Findings
The documentation confirms that Oxbow Living Center is licensed as an assisted living facility with a total capacity of 129 beds. It includes detailed information about the facility's Alzheimer's Special Care Unit and Memory Care Endorsement, staffing patterns, training, physical environment, resident care criteria, and family support programs.

Report Facts
Total licensed capacity: 129 Maximum endorsed capacity: 114 Staffing ratio: 5 Staffing ratio upper bound: 7 License renewal date: 2018

Employees mentioned
NameTitleContext
Kerry DierksAdministratorNamed as facility administrator in licensure renewal application
MaryLynne BoldenAuthorized RepresentativeSigned the Alzheimer's Special Care Unit Disclosure and Memory Care Endorsement application
Clint RossmanDeputy State Fire MarshalInspected the facility for occupancy permit

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Aug 2, 2017

Visit Reason
An unannounced visit was conducted to investigate a complaint at Oxbow Living Center on August 2, 2017, regarding allegations of failure to follow the Five Rights for medication administration, failure to ensure residents meet retention criteria, and failure to ensure staff are not performing complex nursing tasks.

Complaint Details
The complaint allegations were not substantiated as the facility was determined to be in compliance with regulatory requirements in all areas investigated.
Findings
The facility was found to be in compliance with all related regulatory requirements: medication administration followed the Five Rights, residents met retention criteria appropriate for assisted living, and staff were not performing complex nursing tasks as these were provided by outside agencies.

Employees mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS
Ina CarrollAdministratorNamed as facility administrator in the report

Notice

Capacity: 129 Deficiencies: 0 Date: May 18, 2017

Visit Reason
The document acknowledges the increase in the number of licensed beds at the assisted-living facility as requested by the facility in prior correspondence.

Findings
The letter confirms the licensed bed capacity increase from 75 to 129 beds effective May 18, 2017.

Report Facts
Licensed bed capacity increase: 54

Employees mentioned
NameTitleContext
Eve LewisProgram ManagerSigned letter acknowledging bed capacity increase

Inspection Report

Complaint Investigation
Census: 49 Deficiencies: 1 Date: Nov 18, 2014

Visit Reason
An unannounced visit was conducted to investigate a complaint and perform the annual survey at Oxbow Living Center on November 18, 2014. 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 the facility failed to protect residents from misappropriation and failed to ensure resident property was free from misappropriation. The facility was found to have appropriate procedures and no violations related to misappropriation.
Findings
The facility was found to protect residents from misappropriation with no violations related to the complaint. However, a deficiency was found related to food service where dietary staff failed to ensure proper hand washing and glove use, potentially affecting 49 residents.

Deficiencies (1)
Facility failed to ensure hand washing and gloving was performed by dietary staff to prevent cross contamination and potential food borne illness.
Report Facts
Facility census: 49

Employees mentioned
NameTitleContext
Kathleen PhilippiRegistered NurseSurveyor conducting the inspection and complaint investigation
Victoria SmithRegistered NurseSurveyor conducting the inspection and complaint investigation
Eve LewisProgram ManagerOffice of Long Term Care Facilities, signed correspondence
Dietary ManagerInterviewed regarding dietary staff hand washing and glove use; conducted in-service training

Notice

Capacity: 129 Deficiencies: 0 Date: APP2020

Visit Reason
The document serves as a renewal application for the assisted-living facility license for Oxbow Living Center, including verification of licensure, occupancy permit, and memory care endorsement renewal.

Findings
The documents confirm that Oxbow Living Center is licensed as an assisted-living facility with a total licensed capacity of 129 beds, including 14 beds for Alzheimer's/Special Care Unit. The facility has an approved occupancy permit and has applied for renewal of the memory care endorsement.

Report Facts
Total licensed beds: 129 Alzheimer's/Special Care Unit beds: 14 Occupancy permit maximum beds: 129 Renewal license expiration date: 2021

Employees mentioned
NameTitleContext
Kerry DierksAdministratorNamed as facility administrator in renewal application and memory care endorsement application.
Jason LangeAuthorized RepresentativeSigned renewal application and memory care endorsement application as authorized representative.
MaryLynne BoldenAuthorized RepresentativeNamed as contact and signed renewal application and memory care endorsement application as authorized representative.
Clint RossmanDeputy State Fire MarshalInspected facility and approved occupancy permit.

Document

Capacity: 129 Deficiencies: 0 Date: APP2021

Visit Reason
The document serves to verify licensure and renewal of the assisted living facility license for Oxbow Living Center, including occupancy permits and special care unit endorsement.

Findings
The documents confirm that Oxbow Living Center meets statutory requirements for licensure as an assisted living facility with a licensed capacity of 129 beds and a special endorsement for Alzheimer's memory care with 14 beds. The occupancy permit was issued on 2020-08-20.

Report Facts
Total licensed beds: 129 Special care unit beds: 14 Occupancy permit beds: 129 License expiration date: Apr 30, 2022 License expiration date: No specific inspection or report date found; renewal card expiration date used as reference.

Employees mentioned
NameTitleContext
Kerry DierksAdministratorNamed as facility administrator on renewal application and Alzheimer's endorsement application.
Jason LangeContact nameNamed as contact on renewal application and Alzheimer's endorsement application.
MaryLynne BoldenNamed as part of ownership group MJ Senior Housing, LLC.

Notice

Capacity: 129 Deficiencies: 0 Date: APP2022

Visit Reason
The documents serve to verify the renewal of the assisted-living facility license and provide occupancy permit information.

Findings
The documents confirm that Oxbow Living Center meets statutory requirements for an assisted-living facility license renewal and provide details on facility capacity and services.

Report Facts
Total licensed capacity: 129 Maximum endorsed capacity: 14 Renewal license fees: 1950

Employees mentioned
NameTitleContext
Kerry DierksAdministratorNamed as facility administrator on renewal application and Alzheimer's endorsement application.
MaryLynne BoldenAuthorized RepresentativeSigned renewal application as authorized representative.
Jason LangeAuthorized RepresentativeSigned renewal application and listed as contact name for legal owning entity.
Gary J. Anthone, MDChief Medical Officer, Director, Division of Public HealthSigned license renewal card.
Monica EllisDeputy State Fire MarshalInspected facility for occupancy permit.

Notice

Capacity: 129 Deficiencies: 0 Date: APP2023

Visit Reason
The documents serve to verify the renewal of the assisted-living facility license and provide occupancy permit information, including licensing fees and facility capacity.

Findings
The documents confirm that Oxbow Living Center meets statutory requirements as an assisted-living facility with a licensed capacity of 129 beds and a maximum endorsed capacity of 14 beds for the Alzheimer's Memory Care unit. No inspection findings or deficiencies are reported.

Report Facts
Total licensed capacity: 129 Maximum endorsed capacity: 14 Renewal licensure fee: 1650

Employees mentioned
NameTitleContext
Kerry DierksAdministratorNamed as facility administrator on renewal application and Alzheimer's Memory Care Disclosure (pages 2 and 12).
Jason LangeAuthorized RepresentativeSigned renewal application and Alzheimer's Memory Care Disclosure (pages 2 and 16).
MaryLynne BoldenAuthorized RepresentativeNamed on renewal application (page 2).

Notice

Capacity: 129 Deficiencies: 0 Date: APP2024

Visit Reason
This document serves as a renewal application and verification of licensure for Oxbow Living Center, an assisted-living facility, including occupancy permit and Alzheimer's special care endorsement.

Findings
The documents confirm the facility's licensure status, renewal of license, occupancy permit with a maximum capacity of 129 beds, and endorsement for Alzheimer's and memory care services. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 129 Alzheimer's special care beds: 14 Occupancy permit date: 2023

Employees mentioned
NameTitleContext
Kerry DierksAdministratorNamed as facility administrator on renewal application and Alzheimer's special care endorsement application.
Jason LangeAuthorized RepresentativeSigned renewal application and Alzheimer's special care endorsement application as authorized representative.
MaryLynne BoldenAuthorized RepresentativeSigned renewal application as authorized representative.
Monica EllisDeputy State Fire MarshalInspected facility and approved occupancy permit.

Notice

Capacity: 75 Deficiencies: 0 Date: APP2016

Visit Reason
The document serves as a licensure renewal application and verification for the Oxbow Living Center, an assisted-living facility, including renewal fees and occupancy permit information.

Findings
The documents confirm the facility meets statutory requirements for licensure as an assisted-living facility with a total licensed capacity of 75 beds. It includes ownership information, renewal application details, and a fire marshal occupancy permit.

Report Facts
Total licensed capacity: 75 Renewal fees: 950 Renewal fees: 1450 Renewal fees: 1650 Renewal fees: 1950

Employees mentioned
NameTitleContext
Ina CarrollAdministrator, R.N.Named as facility administrator on renewal application.
Jason LangeAuthorized RepresentativeSigned renewal application as authorized representative.
MaryLynne BoldenAuthorized RepresentativeSigned renewal application as authorized representative.
Matt RuhrerDeputy State Fire MarshalApproved the occupancy permit.

Notice

Capacity: 75 Deficiencies: 0 Date: APP2017

Visit Reason
This document serves as a licensure renewal application and verification for Oxbow Living Center, an assisted living facility, including renewal of license and Alzheimer’s special care unit endorsement.

Findings
The documents confirm the facility’s licensure renewal, ownership information, occupancy permit for 75 beds, and detailed disclosure of Alzheimer’s special care unit services, staffing, training, environment, and resident care philosophy.

Report Facts
Total licensed capacity: 75 Maximum endorsed capacity: 114 Staffing ratio: 5 Staffing ratio: 7 Room rates: 4800 Room rates: 5400 Room rates: 5200 Room rates: 5800

Employees mentioned
NameTitleContext
Ina CarrollAdministratorNamed as facility administrator in renewal application.
MaryLynne BoldenAuthorized RepresentativeNamed as authorized representative and contact for ownership entity in renewal and Alzheimer’s special care unit disclosure applications.

Notice

Capacity: 129 Deficiencies: 0 Date: APP2019

Visit Reason
The document serves as a licensure renewal application and certification for the assisted-living facility Oxbow Living Center, verifying licensure status and renewal through the indicated expiration date.

Findings
The documents confirm that Oxbow Living Center is licensed as an assisted-living facility with a maximum capacity of 129 beds, including a 14-bed Alzheimer’s Special Care Unit. The facility meets statutory requirements and holds an occupancy permit issued by the Nebraska State Fire Marshal.

Report Facts
Total licensed beds: 129 Maximum endorsed capacity: 14 Renewal expiration date: Apr 30, 2020 Occupancy permit beds: 129

Employees mentioned
NameTitleContext
Kerry DierksAdministratorNamed as facility administrator on renewal application and Alzheimer's unit endorsement application.
MaryLynne BoldenContact and Authorized RepresentativeContact name and authorized representative signing renewal and Alzheimer's unit endorsement applications.
Bo BotelhoInterim CEO, Interim Director of Public HealthNamed on licensure certification document.

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