Inspection Reports for Parsons House Assisted Living and Memory Care
14325 EAGLE RUN DRIVE MEMORY CARE ENDORSE, OMAHA, NE, 68164
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
45% better than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
144 residents
Based on a January 2019 inspection.
Census over time
Inspection Report
Renewal
Capacity: 180
Deficiencies: 0
Apr 9, 2019
Visit Reason
This document is a renewal licensure application and certification for Parsons House on Eagle Run, an assisted-living facility, verifying licensure through the indicated expiration date.
Findings
The facility is licensed as an assisted-living facility with a maximum capacity of 180 beds. The renewal application includes detailed ownership information, certification of compliance, and an Alzheimer's Memory Care Endorsement with disclosure of care philosophy, staffing, environment, and resident activities.
Report Facts
Maximum Occupancy: 180
Monthly Fee: 6195
Monthly Fee: 7595
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Collette Mieres | Administrator | Named as facility administrator in renewal application and Alzheimer's Memory Care Endorsement. |
| Andrew Reeves | Manager | Named as manager and contact for legal owning entity Gen3 Holdings LLC. |
| Kimberly C. Reeves | Named as voting member of ownership entity Gen3 Holdings LLC. |
Inspection Report
Complaint Investigation
Census: 144
Deficiencies: 2
Jan 31, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging the facility failed to ensure residents are free from abuse.
Findings
The allegation of abuse was not substantiated; residents and staff interviews revealed no concerns. However, deficiencies were cited for failure to complete nurse aide registry checks on new hires and failure to ensure a medication aide met the 40-hour certification requirement.
Complaint Details
The complaint alleged the facility failed to ensure residents are free from abuse. The allegation was not substantiated after investigation.
Deficiencies (2)
| Description |
|---|
| Failure to complete nurse aide registry checks on new hires. |
| Failure to ensure medication aide had met the requirements for certification as a medication aide 40 hour. |
Report Facts
Census: 144
Number of direct care staff missing nurse aide registry checks: 4
Number of medication aides sampled: 2
Number of medication aides not meeting 40-hour certification: 1
Days to complete medication aide training: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed the complaint investigation report. |
| Collette Mieres | Administrator | Facility administrator addressed in the report. |
| Employee Relations Specialist | Reported on nurse aide registry checks and responsible for corrective actions. | |
| Director of Health Care | Confirmed medication aide passed medications at the facility and responsible for competency testing oversight. |
Notice
Capacity: 180
Deficiencies: 0
Mar 1, 2018
Visit Reason
This document package serves as a licensure renewal for Parsons House On Eagle Run Assisted Living Facility, including renewal application, ownership details, fire marshal occupancy certificate, and Memory Care Endorsement application.
Findings
The documents confirm the facility's licensure renewal through April 30, 2019, with a total licensed capacity of 180 beds. The facility includes special care units for Alzheimer's and dementia with detailed care philosophies, admission criteria, staffing patterns, and physical environment descriptions. No deficiencies or inspection findings are reported.
Report Facts
Total licensed capacity: 180
Monthly fee: 6195
Monthly fee: 7595
Staff training hours: 4
Memory care unit capacities: 14
Memory care unit capacity: 18
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Collette Mieres | Administrator, Executive Director, LPN, CDP, ALA | Named as facility administrator and signatory on renewal and Memory Care Endorsement application. |
| Andrew Reeves | Manager, Contact for Ownership Entity | Named as manager and contact for Gen3 Holdings LLC, the legal owning entity. |
| Kimberly C. Reeves | Voting Member | Named as voting member of Gen3 Holdings LLC. |
| Andrew K Reeves | Voting Member | Named as voting member of Gen3 Holdings LLC. |
| David Mausbach | Inspector | Inspected the facility for the Nebraska State Fire Marshal Certificate of Occupancy. |
Inspection Report
Complaint Investigation
Census: 149
Deficiencies: 1
May 15, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint survey regarding the facility's failure to protect residents from injury.
Findings
The facility failed to protect residents from potential injury due to accessible hot water dispensers in memory care unit kitchens, which posed a hazard. The facility had a burn injury investigation and was found in violation of safety regulations.
Complaint Details
The complaint investigation was substantiated, finding the facility failed to protect residents from injury due to accessible hot water dispensers in memory care cottages.
Deficiencies (1)
| Description |
|---|
| Facility failed to maintain a safe environment related to accessibility of hot water in memory care units, with hot water temperatures measured between 147.5 and 180 degrees Fahrenheit accessible to residents. |
Report Facts
Resident census: 149
Memory care residents: 39
Self-mobile, cognitively impaired residents: 31
Hot water temperature: 147.5
Hot water temperature: 180
Hot water temperature: 157
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the complaint investigation letter |
| Kay Reeves | Nutrition/dietitian Surveyor | Conducted the onsite inspection |
| Collette Mieres | Administrator | Confirmed hot water hazard and responsible for corrective actions |
Notice
Capacity: 180
Deficiencies: 0
Apr 27, 2017
Visit Reason
This document serves to verify the licensure renewal of Parsons House On Eagle Run as an Assisted Living Facility and includes the application for Alzheimer's Special Care Unit Disclosure and Memory Care Endorsement.
Findings
The facility is licensed with a total capacity of 180 beds and has met statutory requirements for renewal. The Memory Care Endorsement application details the facility's philosophy, staffing, physical environment, and care criteria for residents with Alzheimer's or related dementia.
Report Facts
Total licensed beds: 180
Memory care unit capacities: 14
Memory care unit capacities: 14
Memory care unit capacities: 18
Monthly fee: 6195
Monthly fee: 6595
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Penny Bowden | Administrator | Named as facility administrator in licensure renewal and Memory Care Endorsement application |
| Andrew Reeves | Manager | Named as manager and contact for legal owning entity Gen3 Holdings LLC |
Notice
Deficiencies: 3
Feb 22, 2017
Visit Reason
The notice was issued to inform Parsons House On Eagle Run Assisted-Living Facility of disciplinary action including probation and a daily fine due to violations related to resident care and failure to implement interventions to prevent sexual behaviors.
Findings
The facility was found in violation of licensure regulations pertaining to resident care, specifically failing to identify and implement interventions to prevent sexual behaviors. The disciplinary action includes probation for 90 days starting March 9, 2017, and a $10 per day fine beginning February 7, 2017, until compliance is demonstrated.
Complaint Details
The disciplinary action was based on a complaint investigation report dated February 22, 2017, which evidenced the facility's failure to identify and implement interventions to prevent sexual behaviors.
Deficiencies (3)
| Description |
|---|
| Failure to identify and implement interventions to prevent sexual behaviors. |
| Violation of licensure regulation 175 NAC 4-006.11A related to Resident Care. |
| Violation of 175 NAC 4-006.12A related to Resident Records. |
Report Facts
Probation period: 90
Daily fine amount: 10
Fine payment: 980
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | RNC, Program Manager | Contact for submission of reports and correspondence related to the disciplinary action |
| Thomas L. Williams | MD, Chief Medical Officer, Director, Division of Public Health | Signed the Notice of Disciplinary Action |
| Becky Wisell | Administrator, Licensure Unit | Signed correspondence acknowledging receipt and payment |
Inspection Report
Complaint Investigation
Census: 151
Deficiencies: 2
Feb 2, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to protect residents from abuse and to ensure residents' privacy.
Findings
The facility failed to protect residents from abuse by one resident exhibiting inappropriate sexual behaviors toward other residents, which were not properly documented. However, the facility was found to be in compliance with privacy regulations.
Complaint Details
The complaint investigation found substantiated evidence that the facility failed to protect residents from abuse by one resident who was inappropriately touching other residents. The facility also failed to document these unusual events properly. The facility was compliant with privacy requirements.
Deficiencies (2)
| Description |
|---|
| Failure to protect residents from abuse related to one resident exhibiting inappropriate sexual behaviors toward other residents. |
| Failure to document unusual events related to inappropriate resident behaviors. |
Report Facts
Census: 151
Survey dates: Investigation conducted from February 2, 2017 to February 7, 2017
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Penny Bowden | Administrator | Reported on Resident 1's inappropriate touching behaviors and family notifications |
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the letter regarding the complaint investigation |
| Kay Reeves | Nutrition/dietitian Surveyor | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 19, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint at Parsons House On Eagle Run from January 19, 2017 to January 23, 2017 by representatives of the Department of Health and Human Services Division of Public Health.
Findings
The facility was found to be in compliance with all related regulatory requirements across multiple allegations including care to prevent skin breakdown, providing a safe environment, ensuring meals are attractive and palatable, meeting retention criteria, maintaining cleanliness and grooming, sufficient staffing, preventing pressure sores and dehydration, following Food Code, protecting skin integrity, and preventing resident injury.
Complaint Details
The complaint investigation included allegations that the facility failed to provide care and treatment to prevent skin breakdown, failed to provide a safe environment, failed to ensure meals were attractive and palatable, failed to ensure residents met retention criteria, failed to ensure cleanliness and grooming, failed to ensure sufficient staffing, failed to prevent pressure sores, failed to ensure sufficient fluids to prevent dehydration, failed to follow Food Code to prevent illness, failed to provide interventions to protect skin integrity, and failed to protect residents from injury. All allegations were found to be unsubstantiated as the facility was determined to be in compliance.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator, Licensure Unit, Division of Public Health-DHHS | Signed the report and identified as the Training Coordinator responsible for the Licensure Unit. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 16, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging the facility failed to protect residents from abuse.
Findings
The facility was found to protect residents from abuse with no concerns observed during care provision or staff interactions. Interviews with family members and staff confirmed no abuse had been witnessed or reported, and the facility was in compliance with regulatory requirements.
Complaint Details
The complaint alleged the facility failed to protect residents from abuse. The investigation found no evidence of abuse, and the facility was determined to be in compliance with all related regulatory requirements.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager | Signed the complaint investigation report |
Inspection Report
Renewal
Capacity: 180
Deficiencies: 0
Mar 2, 2016
Visit Reason
The document is related to the renewal of the assisted living facility license for Parsons House On Eagle Run, including approval for the Memory Care Endorsement.
Findings
The facility meets statutory requirements as an assisted living facility with a Memory Care Endorsement. The renewal application and supporting documents confirm compliance with licensing and endorsement requirements.
Report Facts
Total licensed capacity: 180
Memory care unit beds: 47
Renewal fees: 1950
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Penny Bowden | Administrator | Named as facility administrator in multiple documents including renewal application and correspondence. |
| Eve Lewis | Program Manager | Signed letter acknowledging Memory Care Endorsement approval. |
| Andy Reeves | Manager | Listed as manager of the legal owning entity Gen3 Holdings LLC. |
| David Mausbach | Inspector | Inspected the facility for fire marshal certificate of occupancy. |
| Kimberly C. Reeves | Voting Member | Listed as voting member of the ownership entity Gen3 Holdings LLC. |
Inspection Report
Complaint Investigation
Census: 149
Deficiencies: 0
Sep 2, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint at Parsons House On Eagle Run on September 2, 2014, involving review of resident records, observation of care, and interviews with residents, family members, and staff.
Findings
The facility was found to be in compliance with all related regulatory requirements for the allegations investigated, including provision of services as outlined in resident agreements, freedom from abuse, acting on resident grievances, access to communication, provision of therapeutic diets, medication administration, and personal hygiene.
Complaint Details
The complaint alleged the facility failed to provide services as outlined in resident service agreements, ensure residents were free from abuse, act upon resident grievances, ensure access to communication, provide therapeutic diets, provide medications as ordered, and ensure clean and groomed hair, skin, teeth, and nails. All allegations were found to be unsubstantiated with the facility in compliance.
Report Facts
Facility census: 149
Residents interviewed: 3
Residents observed for medication administration: 6
Employee files reviewed: 5
Resident records reviewed for medication: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Schmidt | Registered Nurse | Conducted the investigation visit |
| Eve Lewis | Program Manager | Signed the report as Program Manager, Office of Long Term Care Facilities |
Inspection Report
Complaint Investigation
Census: 147
Deficiencies: 0
Apr 8, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint at Parsons House On Eagle Run on April 8, 2014, regarding allegations of sexual abuse and failure to protect residents from abuse.
Findings
The facility was found to ensure residents were free from sexual abuse and protected from abuse. Investigations included review of records, staff interviews, and observation. Staff were educated on abuse policies and resident doors were secured.
Complaint Details
The complaint alleged the facility failed to ensure residents were free from sexual abuse and failed to protect residents from abuse. The allegations were investigated and followed up on, with findings that the facility did protect residents.
Report Facts
Facility census: 147
Employee files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Schmidt | Registered Nurse | Representative conducting the investigation |
| Carol Neneman | Social Worker | Representative conducting the investigation |
| Eve Lewis | Program Manager | Signed correspondence as Program Manager of Office of Long Term Care Facilities |
Inspection Report
Complaint Investigation
Census: 146
Deficiencies: 6
Dec 19, 2011
Visit Reason
The inspection was conducted as a compliance inspection and complaint investigation at Parsons House On Eagle Run to determine compliance with licensure regulations for Assisted-Living Facilities.
Findings
The facility was found to have multiple violations related to administration, housekeeping, maintenance, food safety, resident record documentation, and infection control. The violations did not create imminent danger or serious harm but required a plan of correction.
Complaint Details
The complaint allegations included failure to put interventions in place for residents identified as fall risk, failure to ensure residents do not require complex nursing, failure to provide care according to practitioner's orders, and failure to follow family directions on discharge planning. The facility was found compliant with these allegations.
Deficiencies (6)
| Description |
|---|
| Failing to update a Resident Service Agreement and document blood pressures; ensuring residents needing supervision did not elope; safety of residents; kitchen cleanliness; food temperatures; hand washing times; housekeeping and maintenance problems; failure to implement a preventative maintenance program. |
| Failure to document blood pressure for two residents and ensure accuracy of documentation for two residents. |
| Failure to maintain potentially hazardous food temperatures above 135 degrees Fahrenheit. |
| Failure to implement a preventative maintenance program to ensure equipment and furnishings are safe and functional. |
| Failure to provide housekeeping and maintenance services necessary to maintain the environment. |
| Failure to protect residents from potential cross-contamination due to handwashing practices and non-use of protective barriers. |
Report Facts
Census: 146
Survey sample size: 17
Plan of correction completion date: 2012
Food temperature requirement: 135
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Penny Schweitzer | Executive Director | Named in plan of correction letter and responsible for ongoing compliance. |
| Eve Lewis | RN-C, Administrator | Signed the cover letter for the inspection report. |
| Karlene Greenleaf | Registered Nurse | Surveyor who conducted the inspection. |
| Ron Chase | Registered Nurse | Surveyor who conducted the inspection. |
| Carol Neneman | Social Worker | Surveyor who conducted the inspection. |
| Kay Reeves | Nutrition/dietitian | Surveyor who conducted the inspection. |
| Mary Feit | RN, Nurse Consultant | Presented infection control in-service on January 17, 2012. |
| Kathy Cannon | RN | Presented nursing staff in-service on documentation on January 20, 2012. |
Notice
Capacity: 180
Deficiencies: 0
APP2020
Visit Reason
This document serves to verify that Parsons House on Eagle Run is licensed as an assisted-living facility through the expiration date indicated on the renewal card and provides renewal application and ownership information.
Findings
The document confirms licensure status, ownership details, facility capacity, and includes floor plans and certification of occupancy. It does not report inspection findings or deficiencies.
Report Facts
Total licensed beds: 180
Maximum occupancy: 180
Alzheimer's beds capacity: 46
Monthly fee range: 6195
Monthly fee range: 7595
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Wunderlich | Administrator | Named as facility administrator on renewal application and Alzheimer's Disclosure Form (pages 2 and 14). |
| Andrew K Reeves | Authorized Representative | Signed renewal application as authorized representative (page 2). |
| Kimberly C Reeves | Authorized Representative | Signed renewal application as authorized representative (page 2). |
Notice
Capacity: 180
Deficiencies: 0
APP2021
Visit Reason
This document set serves to verify the licensure renewal of Parsons House on Eagle Run as an assisted-living facility and includes related licensure and occupancy certificates, ownership information, and facility floor plans.
Findings
No inspection findings or deficiencies are reported; the documents primarily confirm licensure status, ownership, facility capacity, and provide floor plans and Alzheimer's special care unit disclosures.
Report Facts
Total licensed beds: 180
Maximum occupancy: 180
Maximum capacity for Alzheimer's beds: 43
Monthly fee range: 6195
Monthly fee range: 7595
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nolan Clare | Administrator | Named as facility administrator on renewal application and Alzheimer's unit disclosure (pages 2 and 15). |
| Andrew Reeves | Manager / Contact | Named as facility manager and contact person on ownership letter and renewal application (pages 3 and 15). |
| Kimberly Reeves | Named as voting member in ownership information (page 3). |
Notice
Capacity: 180
Deficiencies: 0
APP2022
Visit Reason
This document set serves to verify the licensure renewal of Parsons House on Eagle Run as an assisted-living facility and includes the renewal application, ownership information, fire marshal certificate of occupancy, floor plans, and Alzheimer's special care unit disclosure.
Findings
No inspection findings or deficiencies are reported. The documents confirm licensure status, renewal application details, ownership, facility capacity, and special care unit endorsement.
Report Facts
Total licensed capacity: 180
Number of beds for Alzheimer's Memory Care: 47
Renewal licensure fee: 1650
Monthly care fee range: 6395
Monthly care fee range: 7895
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Herzberg | Administrator | Named as facility administrator in renewal application and Alzheimer's special care unit disclosure. |
| Andrew Reeves | Authorized Representative | Signed renewal application and Alzheimer's special care unit disclosure as owner and authorized representative. |
| Kimberly C. Reeves | Authorized Representative | Named as authorized representative on renewal application. |
Notice
Capacity: 180
Deficiencies: 0
APP2023
Visit Reason
This document serves to verify the assisted-living facility license renewal for Parsons House on Eagle Run and includes the renewal application for licensure.
Findings
The document confirms that Parsons House on Eagle Run meets statutory requirements as an assisted-living facility and is licensed through April 30, 2024. It includes detailed facility information, ownership, and licensing fees.
Report Facts
Total licensed beds: 180
Alzheimer's beds capacity: 47
Monthly fee range: 6630
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Herzberg | Administrator | Named as facility administrator and signed the Alzheimer's special care unit disclosure. |
| Andrew K. Reeves | Authorized Representative | Authorized representative who signed the renewal application. |
| Kim Reeves | Authorized Representative | Authorized representative who signed the renewal application. |
Notice
Deficiencies: 0
APP2024
Visit Reason
This document serves as a license renewal verification and licensure confirmation for Parsons House on Eagle Run, an assisted living facility. It includes renewal application details, floor plans, bed census listings, and Alzheimer's special care unit endorsement application.
Findings
The document contains no inspection findings or deficiencies. It provides administrative and licensing information, including facility capacity, ownership, and bed census data across multiple floors and cottages.
Report Facts
Total number of beds to be relicensed: 180
Maximum occupancy: 180
Number of beds in Alzheimer's special care unit: 180
Total number of apartments: 154
Total number of beds: 429
Active beds: 156
Inactive beds: 273
Document
Capacity: 180
Deficiencies: 0
APP2025
Visit Reason
The documents serve to verify licensure, renewal of the assisted-living facility license, certification of occupancy by the fire marshal, and application for Alzheimer's special care unit endorsement and memory care.
Findings
The documents confirm that Parsons House Assisted Living and Memory Care meets statutory requirements for licensure, has a maximum licensed capacity of 180 beds, and includes detailed facility floor plans and Alzheimer's care unit disclosures.
Report Facts
Total licensed capacity: 180
Maximum occupancy: 180
Renewal application date: 2025
Fire marshal inspection date: 2025
Alzheimer's special care unit renewal date: 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Herzberg | Administrator | Named as facility administrator on renewal application and Alzheimer's special care unit disclosure. |
| Andrew Reeves | Authorized Representative | Signed renewal application and listed as contact name on Alzheimer's special care unit disclosure. |
| Kim Reeves | Authorized Representative | Signed renewal application. |
| Donald Davis | Fire Marshal Inspector | Inspected facility for Certificate of Occupancy. |
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