Inspection Reports for Prestige Care Center of Nebraska City
1420 North 10th Street, NEBRASKA CITY, NE, 68410
Back to Facility ProfileDeficiencies (last 11 years)
Deficiencies (over 11 years)
11.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
183% worse than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
24
18
12
6
0
Census
Latest occupancy rate
64% occupied
Based on a June 2018 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Capacity: 64
Deficiencies: 0
Date: Feb 25, 2020
Visit Reason
The document is a Nursing Home Licensure Renewal Application and related certification and occupancy permit documents for Prestige Care Center of Nebraska City, indicating the purpose is to renew the facility's license.
Findings
The documents verify that Prestige Care Center of Nebraska City meets statutory requirements for licensure as a Skilled Nursing Facility with specialized care units including Alzheimer's/Special Care. The facility has a maximum licensed capacity of 64 beds and holds a valid occupancy permit issued on 2019-12-12. No deficiencies or violations are noted in the provided documents.
Report Facts
Number of beds to be relicensed: 64
Maximum occupancy: 64
Bed count: 64
Cost of care - Semi-Private Special Care Unit: 210
Cost of care - Private Special Care Unit: 240
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vail Oleson | Administrator | Named as Administrator on renewal application and contact person |
| Audra Lamprecht | Director of Nursing | Named as Director of Nursing on renewal application |
| Yisroel Meir Kaplan | Member of Nebraska City Operations LLC, ownership entity | |
| Ephram Lahasky | Member of Nebraska City Operations LLC, ownership entity |
Inspection Report
Renewal
Capacity: 64
Deficiencies: 0
Date: May 1, 2019
Visit Reason
The document is related to the renewal of the Skilled Nursing Facility license for Prestige Care Center of Nebraska City due to a change of ownership and facility name change.
Findings
The document includes the licensing issuance and transfer of operations agreement for the facility, confirming the transfer of operations to Nebraska City Operations LLC effective May 1, 2019. It also includes detailed terms of the transfer agreement, ownership information, and facility certifications.
Report Facts
Total licensed beds: 64
Alzheimer's Care Unit capacity: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Kezar | Administrator | Named as the facility administrator in the licensure application. |
| Heath Haines | Director of Nursing | Named as the director of nursing in the licensure application. |
| Ephram (Mordy) Lahasky | Sole Member / Owner | Owner of Nebraska City Operations LLC, the new operator of the facility. |
| Bo Botelho | Interim Director, Division of Public Health | Signed licensing and renewal documents. |
| Amber Kendall | Administrator | Named in licensing letter for the facility. |
| Connie Vogt | RN, BSN, Program Manager | Contact person for licensing questions. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 29, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Nebraska City Care And Rehabilitation Center regarding allegations of failure to follow practitioner's orders for hospice evaluation, failure to ensure non-pharmacological interventions prior to narcotic pain medication, and failure to accurately assess pain prior to administering pain medications.
Complaint Details
The complaint allegations were not substantiated as the facility complied with all practitioner orders and pain management protocols.
Findings
The investigation found no violations related to the allegations; the facility followed practitioner's orders for hospice evaluation, ensured non-pharmacological interventions were attempted before narcotic medication, and accurately assessed pain prior to medication administration.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed the report as Training Coordinator, Office of LTC Facilities - Licensure Unit - Division of Public Health |
Inspection Report
Complaint Investigation
Census: 41
Capacity: 64
Deficiencies: 13
Date: Jun 25, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Nebraska City Care And Rehabilitation Center from June 25, 2018 to June 28, 2018 by the Department of Health and Human Services Division of Public Health.
Complaint Details
The visit was complaint-related and substantiation was based on investigation of allegations including failure to report misappropriation timely, nutritional needs, notification of practitioner, supplies, staffing, communication access, and resident protection from misappropriation.
Findings
The complaint investigation found no citations for allegations related to misappropriation, nutritional needs, notification of practitioner, supplies, staffing, communication access, and resident protection from misappropriation. Deficiencies were cited related to background checks, Medicaid/Medicare coverage notices, facility environment cleanliness, drug regimen monitoring, life safety code violations including fire door issues, hazardous area enclosures, cooking facility staff training, sprinkler system maintenance, corridor door integrity, fire door inspection, electrical receptacle testing, and emergency generator maintenance.
Deficiencies (13)
Failed to ensure a background check was completed for 1 nursing assistant of 5 sampled.
Failed to issue Skilled Nursing Facility Advanced Beneficiary Notice to 3 residents.
Failed to maintain cleanliness and condition of ventilation systems, call cords, light bulbs, and bathroom fixtures in 7 resident rooms.
Failed to ensure lab monitoring was completed for 2 residents.
Failed to maintain a 2-hour fire separation between Nursing Home and Assisted Living occupancies due to a fire door that failed to latch.
Failed to post correct code to unlock magnetically locked egress doors.
Failed to provide smoke resistant enclosure for hazardous areas; multiple doors failed to latch properly.
Failed to train kitchen staff on proper procedures to extinguish grease fires.
Failed to maintain intact ceiling tiles to ensure fire sprinkler system activation.
Failed to ensure corridor doors resist passage of smoke and have proper latching and no holes or gaps.
Failed to implement annual inspection and testing program for fire rated doors by a qualified person.
Failed to test patient bed receptacles annually throughout the facility.
Failed to test diesel fuel annually and perform monthly generator load testing at 30% nameplate rating for at least 30 minutes.
Report Facts
Facility census: 41
Total licensed capacity: 64
Number of residents with missing background check: 1
Residents without SNFABN notice: 3
Resident rooms with environmental deficiencies: 7
Residents with missing lab monitoring: 2
Residents affected by fire door separation issue: 13
Residents affected by sprinkler ceiling tile issue: 24
Facility census for fire safety deficiencies: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jade Harrah | Administrator | Named as facility administrator and involved in interviews and findings |
| Dan Taylor | RN, Training Coordinator | Signed complaint investigation letter |
| Maintenance Staff A | Confirmed fire door latch failure and generator testing issues | |
| Director of Nursing | DON | Confirmed lab monitoring deficiencies and pharmacy consult follow-up |
| Consultant Pharmacist | CP | Recommended lab monitoring for residents |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 26, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to have enough supplies to meet residents' needs.
Complaint Details
The complaint alleged that the facility failed to have enough supplies to meet residents' needs. The complaint was not substantiated as the facility was found compliant.
Findings
The facility was found to have sufficient supplies and food to meet residents' needs. Observations and interviews with residents and staff confirmed no concerns related to lack of supplies, and the facility was determined to be in compliance with regulatory requirements.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed the report as representative of the Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 5, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint at Nebraska City Care And Rehabilitation Center on October 5, 2017, regarding allegations of ineffective infection control, failure to provide requested services, and failure to identify changes in resident condition.
Complaint Details
The complaint alleged failure to have an effective infection control program, failure to provide services as requested, and failure to identify a change in condition. The investigation found the facility compliant with all these allegations.
Findings
The facility was found to have an effective infection control program, provided services as requested by appropriate parties, and identified changes in resident conditions appropriately. The facility was found to be in compliance with regulatory guidelines for all allegations.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager | Signed the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 64
Deficiencies: 16
Date: Apr 17, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Nebraska City Care And Rehabilitation Center from April 17, 2017 to May 2, 2017.
Complaint Details
The complaint investigation included allegations of failure to protect residents from behaviors, falls, abuse, misappropriation, medication administration, pain management, and safe environment for residents at risk to elope.
Findings
The facility was found compliant with most allegations including protection from abuse, falls, and medication administration. However, deficiencies were found related to failure to provide a safe environment for residents at risk to elope, failure to provide a listing of Medicaid covered/non-covered charges to a resident, failure to provide an activity program meeting resident interests, failure to implement a toileting program for an incontinent resident, failure to monitor and maintain wanderguard devices for residents at risk of elopement, failure to serve correct portion sizes for pureed diets, failure to properly label and store medications and supplies, failure to maintain fire safety and life safety code requirements including fire door latching, fire alarm testing, fire drills, and electrical safety, and failure to prevent oxygen enriched atmosphere hazards.
Deficiencies (16)
Failed to provide a safe environment when residents identified at risk to elope due to non-functioning personal elopement alarms.
Failed to provide a listing of Medicaid covered and non-covered charges to a resident on Medicaid.
Failed to provide an activity program that meets the interests and needs of a resident with cognitive impairment.
Failed to implement a toileting program for a resident incontinent of bladder and bowel.
Failed to monitor and document wanderguard checks for residents at risk of elopement.
Failed to serve correct portion sizes of pureed food to residents.
Failed to properly label, store, and discard expired medications and biological supplies.
Failed to maintain 2-hour fire separation between nursing home and assisted living occupancies due to fire door not latching.
Failed to provide unobstructed means of egress due to magnetic lock door requiring a code that did not unlock the door.
Failed to provide smoke resistant enclosure for hazardous areas due to multiple storage room doors not latching properly.
Failed to provide ready access to manual pull station for kitchen range hood extinguishing system and failed to have required inspections and hydrostatic testing.
Failed to remove lint accumulation inside commercial dryers next to heating elements increasing fire risk.
Failed to ensure electrical wire splices were enclosed in approved junction boxes.
Failed to conduct annual inspection and testing of the fire alarm system.
Failed to conduct required quarterly fire drills on each shift.
Failed to take precautions to prevent creation of oxygen-enriched atmosphere by leaving oxygen concentrator on when no one was present.
Report Facts
Facility census: 43
Total licensed capacity: 64
Deficiency count: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jade Harrah | Administrator | Named as facility administrator in the report |
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the complaint investigation letter |
Notice
Capacity: 64
Deficiencies: 0
Date: Apr 6, 2017
Visit Reason
The document is a renewal application for the nursing home license of Nebraska City Care and Rehabilitation Center, LLC, including certification of continued compliance and related regulatory filings.
Findings
The documents confirm the facility's licensure renewal, ownership structure, occupancy permit with a maximum capacity of 64 beds, and endorsement for Alzheimer's/Special Care Unit services. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 64
Daily rate - Private Room: 198.1
Daily rate - Semi-Private Room: 180.13
Direct Care Nurse Staffing: 3.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jade Harrah | Administrator | Named as the facility administrator in the renewal application and Alzheimer's Special Care Unit Disclosure. |
| Rosemary McCown | Director of Nursing | Named as the Director of Nursing in the renewal application. |
| Joseph Schwartz | Authorized Representative | Authorized representative signing the renewal application and Alzheimer's Special Care Unit Disclosure. |
| Rosie Schwartz | Authorized Representative | Authorized representative signing the renewal application. |
| Brandie Lamberth | Contact for Alzheimer's Special Care Unit | Named as contact person for the Alzheimer's Special Care Unit endorsement application. |
Inspection Report
Complaint Investigation
Census: 40
Deficiencies: 0
Date: Nov 17, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding failure to provide care and treatment to promote healing of pressure sores and failure to identify change in condition.
Complaint Details
The complaint alleged failure to provide care and treatment to promote healing of pressure sores and failure to identify change in condition. Both allegations were found unsubstantiated.
Findings
The facility was found to have provided appropriate care and treatment to promote healing of pressure sores and to have identified changes in condition; therefore, no violations were found related to the allegations.
Report Facts
Facility census: 40
Investigation period: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager | Signed the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS |
Inspection Report
Complaint Investigation
Census: 44
Deficiencies: 2
Date: Nov 1, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to provide care to prevent skin breakdown, administer medications as ordered, notify practitioners of changes in condition, and provide prompt responses to changes in condition.
Complaint Details
The complaint alleged failure to provide care to prevent skin breakdown, failure to administer medications as ordered, failure to notify practitioners of changes in condition, and failure to provide prompt response to changes in condition. The medication administration allegation was substantiated with a 9.37% error rate; other allegations were not substantiated.
Findings
The investigation found no violations related to skin breakdown prevention, notification of practitioners, or prompt response to changes in condition. However, the facility failed to administer medications as ordered, resulting in a medication error rate of 9.37%, which is a violation. Additionally, the facility failed to monitor a resident's mouth condition after teeth extraction.
Deficiencies (2)
Failure to monitor the mouth condition after teeth extraction for one resident.
Failure to ensure medication error rate was less than 5%, with 3 errors out of 32 medications administered (9.37% error rate).
Report Facts
Medication errors: 3
Resident census: 44
Teeth removed: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | RNC, Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the complaint investigation letter. |
| Director of Nursing (DON) | Interviewed regarding monitoring expectations for Resident 1's mouth after teeth extraction. | |
| Certified Medication Assistant (CMA) A | Observed administering medications and interviewed about medication administration practices. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 16, 2016
Visit Reason
An unannounced visit was conducted to investigate a Complaint Survey at Golden Livingcenter - Nebraska City on March 16, 2016, triggered by an allegation that the facility fails to ensure residents are safe from residents with behaviors.
Complaint Details
The complaint alleged the facility failed to ensure residents are safe from residents with behaviors. The allegation was not substantiated as the facility was found compliant.
Findings
The facility was found to ensure residents are safe from residents with behaviors. Investigations of resident to resident altercations were completed, interventions were care planned and implemented to prevent reoccurrence, and the facility was determined to be in compliance with related regulatory requirements.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager | Signed the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS |
Notice
Deficiencies: 0
Date: Jan 25, 2016
Visit Reason
The notice serves to inform Golden Livingcenter - Nebraska City of disciplinary action placing their license on probation for 90 days starting February 9, 2016, due to violations found related to care and treatment, resident rights, infection control, and other regulatory provisions.
Findings
The facility failed to obtain treatment orders and evaluate nutritional requirements for pressure ulcers, violating multiple regulations including care and treatment, resident rights, infection control, and environmental hazards. The probation requires submission of a Plan of Correction and periodic reports on residents with pressure sores.
Report Facts
Probation period length: 90
Date of CMS-2567 Report: Jan 25, 2016
Response timeframe: 10
Finalization period: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | RNC, Program Manager | Contact for submission of reports and responses related to the disciplinary action |
| Courtney N. Phillips | Chief Executive Officer | Signed the Notice of Disciplinary Action |
| Becky Wisell | Administrator | Listed in the Licensure Unit, Department of Health and Human Services |
| Linda Stenvers | Staff Assistant II | Certified mailing of the Notice of Disciplinary Action |
Inspection Report
Annual Inspection
Census: 45
Deficiencies: 16
Date: Jan 11, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Golden Livingcenter - Nebraska City from January 4, 2016 to January 11, 2016 by representatives of the Department of Health and Human Services Division of Public Health.
Complaint Details
The visit was complaint-related and included investigation of multiple allegations such as failure to ensure grooming, water temperature, bladder elimination care, pest control, housekeeping, timely submission of investigations, abuse prevention, misappropriation protection, oxygen administration, behavior management, staff training, dignity and respect, and notification of administration changes. Some allegations were substantiated with deficiencies cited.
Findings
The facility was found to be in compliance with many care and safety standards, but deficiencies were identified including failure to notify physicians timely, incomplete behavioral interventions, failure to provide choice in bathing frequency, failure to notify residents of room changes, failure to obtain ordered lab tests, failure to secure hazardous chemicals, and fire safety code violations.
Deficiencies (16)
Failed to notify physician of a new wound and failed to follow-up on a fax for pressure ulcer treatment for residents.
Failed to ensure resident's soda pop was secured, leading to misappropriation concerns.
Failed to report potential neglect and submit investigations within 5 working days for several residents; failed to complete APS/CPS checks for a new hire.
Failed to provide choice related to bathing frequency for three residents.
Failed to notify resident of room and roommate changes.
Failed to obtain ordered lab tests, failed to identify and implement specific behavioral interventions for residents.
Failed to obtain treatment orders and evaluate nutritional requirements for pressure ulcer treatment for a resident.
Failed to secure potentially hazardous chemicals and failed to ensure side rails were secure for two residents.
Failed to have an infection control program that showed tracking, trending and evaluation of infections in the facility.
Failed to install closures on doors for hazardous areas to separate them from other spaces.
Failed to maintain doors in the path of egress so exit hardware would release with not more than 15 pounds of pressure and failed to provide required signage for delayed egress door.
Failed to conduct fire drills at different times under varied conditions.
Failed to provide placard for Class K fire extinguisher stating fire protection system must be activated prior to use; fire extinguishers installed too high.
Failed to obtain inspection of commercial cooking equipment fire extinguishing system every 6 months and failed to ensure hood and exhaust system seams and joints were sealed and grease tight.
Failed to segregate empty oxygen cylinders from full ones in storage area.
Failed to provide protection of live electrical wiring and secure connection for main disconnect breaker in electrical panel.
Report Facts
Deficiencies cited: 16
Resident census: 45
Fire drill times: 2
Fire extinguisher height: 73
Inspection Report
Renewal
Capacity: 64
Deficiencies: 0
Date: Jan 7, 2016
Visit Reason
The document is a Nursing Home Licensure Renewal Application for Golden LivingCenter - Nebraska City, indicating the facility is applying for renewal of its skilled nursing facility license.
Findings
The document certifies that Golden LivingCenter - Nebraska City meets statutory requirements for licensure renewal as a skilled nursing facility with specified services including physical therapy, occupational therapy, speech therapy, and Alzheimer's/special care.
Report Facts
Number of beds to be relicensed: 64
Renewal fees: 1550
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Julianne Williams | Administrator | Named as administrator on the renewal application |
| Heather White | Director of Nursing | Named as director of nursing on the renewal application |
| Holly Rasmussen-Jones | Authorized Representative | Signed the renewal application as authorized representative |
| Ann Truitt | Authorized Representative | Signed the renewal application as authorized representative |
Inspection Report
Complaint Investigation
Census: 61
Deficiencies: 9
Date: Sep 9, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint at Golden Livingcenter - Nebraska City on September 9-10, 2015, focusing on a Special Focus Dementia Survey.
Complaint Details
The complaint investigation focused on a Special Focus Dementia Survey at Golden Livingcenter - Nebraska City, triggered by allegations related to dementia care.
Findings
The survey found multiple deficiencies including failure to promote residents' dignity during dining, inadequate activity programming, lack of medically related social services, incomplete care plans, failure to provide necessary care and services for highest well-being, improper use and monitoring of antipsychotic medications, unsafe medication administration practices, and ineffective quality assurance oversight.
Deficiencies (9)
Failure to promote residents' dignity in dining, including placing clothing protectors without permission and improper meal tray passing.
Failure to provide an ongoing activity program meeting residents' interests and needs, including lack of scheduled times and inadequate activity areas.
Failure to provide medically related social services to maintain residents' highest practicable psychosocial well-being.
Failure to develop comprehensive care plans for residents, including plans for activities and behaviors.
Failure to provide necessary care and services to maintain highest practicable physical and psychosocial well-being, including lack of counseling and food availability.
Failure to ensure drug regimen is free from unnecessary drugs, including inadequate monitoring, indication, and dose reduction of antipsychotic medications.
Failure to safely administer medication per facility policy, including unsecured medication packets and lack of administration time labeling.
Failure to maintain drug records, label and store drugs and biologicals properly, including unsecured medications and lack of tamper-evident packaging.
Failure of Quality Assessment and Assurance committee to identify and correct quality deficiencies related to dignity, activities, social services, care plans, medication management, and other areas.
Report Facts
Residents affected by dignity deficiency: 15
Residents in Alzheimer's Care Unit: 20
Facility census: 61
Residents reviewed for antipsychotic medication use: 27
Residents affected by antipsychotic medication deficiencies: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Doug Williams | Administrator | Facility administrator receiving the complaint investigation letter. |
| Susette Mace | Registered Nurse | State surveyor conducting the complaint investigation. |
| Margaret Layne | Registered Nurse | State surveyor conducting the complaint investigation. |
| Eve Lewis | Program Manager | Signed the complaint investigation letter. |
| Employee B | Staff interviewed regarding resident behaviors and interventions. | |
| Licensed Nurse F | Observed administering medications and involved in medication handling deficiencies. | |
| Pharmacy Representative H | Interviewed regarding medication dispensing system and packaging. | |
| Director of Nursing | Interviewed multiple times regarding care plans, medication monitoring, and facility deficiencies. | |
| ACU Unit Director | Interviewed regarding activity programming, social services, and resident dignity. | |
| Social Service Designee | Interviewed regarding social service documentation and care plans. | |
| Physician Assistant | Interviewed regarding diagnosis and medication orders. | |
| Registered Nurse D | Interviewed regarding food availability and resident hunger complaint. | |
| Corporate Representative K | Interviewed regarding medication packaging system. | |
| Administrator | Interviewed as QAPI committee representative regarding committee deficiencies. |
Inspection Report
Annual Inspection
Census: 59
Deficiencies: 2
Date: Apr 30, 2015
Visit Reason
The inspection was conducted as an annual survey to assess compliance with Nebraska Administrative Code regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.
Findings
The facility was found deficient in notifying a resident's family of a significant change in condition and room move, and in evaluating and addressing a decline in bladder continence status for two residents. The facility failed to notify Resident 3's family of a room change due to bed bugs and failed to implement interventions for Resident 2's decline in continence.
Deficiencies (2)
Failure to notify Resident 3's family of a change in condition and room move related to bed bugs.
Failure to evaluate and address decline in bladder continence status for Resident 2.
Report Facts
Census: 59
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed confirming failure to evaluate decline in bladder continence |
Notice
Deficiencies: 0
Date: Jan 2, 2015
Visit Reason
The document serves as a Notice of Disciplinary Action against Golden Livingcenter - Nebraska City for violations related to licensure regulations, specifically requiring probation and submission of a Plan of Correction and reports on residents with accidents.
Findings
The facility was placed on probation for 180 days due to violations related to accidents under licensure regulation 175 NAC 12-006.09D7. The probation requires submission of a Plan of Correction detailing assessment methods, staff guidance, documentation, and evaluation processes, as well as periodic reports on residents with accidents.
Report Facts
Probation period length: 180
Plan of Correction report due date: 2015
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph M. Acierno | Acting Chief Executive Officer, Chief Medical Officer, Director, Division of Public Health | Signed the Notice of Disciplinary Action |
| Becky Wisell | Administrator, Licensure Unit | Signed the Notice of Disciplinary Action |
| Linda Stenvers | Staff Assistant II, Office of Long Term Care Facilities | Certified mailing of the Notice of Disciplinary Action |
| Eve Lewis | RNC, Program Manager, Office of Long Term Care Facilities | Recipient of required responses and author of letter terminating probation on August 5, 2015 |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 64
Deficiencies: 21
Date: Dec 11, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Golden Livingcenter - Nebraska City on December 1, 2014-December 11, 2014.
Complaint Details
Complaint investigation revealed multiple allegations including failure to resolve grievances, abuse prevention, housekeeping, bathing preferences, skin care, fall prevention, medication administration, and food safety. Some allegations were substantiated with deficiencies cited.
Findings
The facility was found deficient in multiple areas including failure to resolve grievances promptly, incomplete sexual offender registry checks for new hires, failure to evaluate bathing preferences, inadequate individualized activities, failure to follow up on clothing preferences, unsafe water temperatures, poor housekeeping and maintenance, incomplete dental assessments, failure to monitor skin conditions, inadequate fall prevention interventions, unsecured chemicals and medications, medication administration issues, unnecessary psychotropic medication use, insufficient nursing staff for activities, food safety violations, failure to assist residents with dental care, outdated medical supplies, and deficient quality assurance processes.
Deficiencies (21)
Facility staff failed to follow up with resolution of grievances for 2 residents.
Facility failed to ensure sexual offender registry checks on 3 of 4 new hires.
Facility failed to evaluate bathing choices for 4 residents.
Facility failed to provide individualized activities for two residents.
Facility Social Services failed to follow up on clothing preference for one resident.
Facility failed to monitor water temperatures for bathing and handwashing in secured unit and failed to adjust hot water temperature on skilled side to prevent scald.
Facility failed to maintain residents environment in clean and good repair related to vents not operating, peeling caulking, damaged doors, rusted vents, odors, and other maintenance issues.
Facility failed to assess dental status of one resident.
Facility failed to evaluate and monitor open skin areas on one resident's legs.
Facility failed to implement and re-evaluate fall prevention interventions for 3 residents and failed to secure medications and chemicals on secured unit.
Facility failed to ensure medications were not left unattended in secured unit dining area.
Facility failed to follow up on clinical rationale for psychotropic medications for one resident.
Facility failed to provide sufficient nursing staff to provide individualized activities and failed to ensure staff was not shared between ALF and nursing facility.
Facility failed to ensure potentially hazardous food temperatures were maintained and failed to wear hair restraints during food service in secured unit.
Facility failed to ensure one resident was seen by a dentist when indicated.
Facility failed to ensure outdated saline, lab tubes and IV equipment were not available for use.
Facility administration failed to maintain a system to prevent non-compliance with regulations related to hot water temperatures, maintenance of resident environment, and accident prevention interventions.
Facility failed to have all exits marked by approved exit signs.
Facility failed to have smoke compartment doors that close completely and form a smoke resisting barrier.
Facility failed to have all hazardous areas separated from remainder of building by fire rated construction or automatic fire extinguishing system.
Facility failed to have all electrical wiring and components in good working order with exposed wires in maintenance and Alzheimer's wings.
Report Facts
Facility census: 50
Licensed capacity: 64
Deficiency count: 20
Residents affected by grievance deficiency: 2
Residents affected by bathing preference deficiency: 4
Residents affected by fall prevention deficiency: 3
Residents in secured unit: 18
Nursing assistants missing training: 4
Licensed nurses missing licensure verification: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nichole Burger | Administrator | Interviewed regarding grievance resolution and facility operations |
| Eve Lewis | Program Manager | Signed report cover letter |
| Gerald Nevins | Registered Nurse Surveyor | Conducted complaint and annual survey |
| Khristy Long | Registered Nurse Surveyor | Conducted complaint and annual survey |
| Ron Chase | Registered Nurse Surveyor | Conducted complaint and annual survey |
| LPN G | Licensed Practical Nurse | Interviewed regarding medication administration and activities |
| LPN E | Licensed Practical Nurse | Interviewed regarding outdated supplies and quality assurance |
| LPN F | Licensed Practical Nurse | Interviewed regarding quality assurance and staffing |
| NA K | Nursing Assistant | Interviewed regarding staffing and activities |
| NA P | Nursing Assistant | Interviewed regarding staffing and call light coverage |
| Director of Nursing | Director of Nursing | Interviewed regarding multiple deficiencies and corrective actions |
| Maintenance Director | Maintenance Director | Interviewed regarding water temperatures, maintenance issues, and fire safety |
| Dietary Aid H | Dietary Aid | Observed and interviewed regarding food temperature and hair restraint use |
| Activity Assistant B | Activity Assistant | Interviewed regarding activities program |
| Social Worker C | Social Worker | Interviewed regarding activities program |
| Administrator | Facility Administrator | Interviewed regarding emergency plans and quality assurance |
| Licensed Nursing Personnel | Licensed Nurse | Personnel files reviewed for licensure verification |
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 1
Date: Jun 3, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint survey at Golden Livingcenter - Nebraska City on June 3, 2014, regarding multiple allegations including failure to provide supplemental oxygen within standards of practice, failure to promote healing of pressure sores, failure to change fall interventions, failure to document adverse events, failure to ensure residents are not chemically restrained, and other care-related concerns.
Complaint Details
The complaint investigation included allegations that the facility failed to provide supplemental oxygen within standards of practice, failed to promote healing of pressure sores, failed to change fall interventions, failed to document adverse events, failed to ensure residents are not chemically restrained, failed to have sufficient staff, failed to implement or follow the plan of care, failed to send discharge summaries, failed to allow residents to make discharge choices, failed to provide care according to practitioner's orders, failed to have appropriate equipment, failed to identify and notify changes in condition, failed to ensure residents do not have access to dangerous equipment, and failed to have appropriate reasons for involuntary discharge. All allegations except chemical restraint were found to have no violations.
Findings
The facility was found to be in compliance with all allegations except for failure to ensure residents are not chemically restrained. The facility failed to provide non-pharmacological interventions prior to administering anti-anxiety medication for Resident 6, which is a violation of federal regulations. All other allegations were found to have no violations after review of records, observations, and staff interviews.
Deficiencies (1)
Facility failed to provide non-pharmacological approaches prior to administering anti-anxiety medication for Resident 6.
Report Facts
Facility census: 50
Lorazepam administrations: 13
Lorazepam administrations: 9
Lorazepam administrations: 3
Lorazepam administrations: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nichole Burger | Administrator | Named as recipient of the report letter |
| Amie Clausen | Nursing Home Administrator | Conducted the complaint investigation |
| Victoria Smith | Registered Nurse | Conducted the complaint investigation |
| Eve Lewis | Program Manager | Signed the closing letter for the complaint investigation |
| Director of Nursing | Interviewed regarding documentation and non-pharmacological interventions for Resident 6 |
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 0
Date: Feb 12, 2014
Visit Reason
An unannounced visit was conducted to investigate multiple complaints regarding discharge planning, staffing sufficiency, care and treatment according to practitioner orders, availability of supplies, bladder elimination care, fall interventions, housekeeping, medication administration, injury protection, changing soiled clothing/briefs, and nutrition/fluid adequacy at Golden Livingcenter - Nebraska City.
Complaint Details
The visit was complaint-related, investigating multiple allegations including failure in discharge planning, staffing, care and treatment, supplies, bladder elimination, fall interventions, housekeeping, medication administration, injury protection, changing soiled clothing/briefs, and nutrition/fluid. All allegations were found to have no violations.
Findings
The investigation found no violations related to any of the allegations. The facility provided appropriate discharge planning, maintained sufficient staffing, administered care and medications as ordered, ensured availability of supplies, provided bladder elimination care, changed fall interventions as needed, maintained adequate housekeeping, protected residents from injury, changed soiled clothing/briefs as needed, and ensured adequate nutrition and fluid for residents.
Report Facts
Residents reviewed: 3
Medication pass observed: 17
Residents observed during medication pass: 2
Residents receiving as needed medications reviewed: 3
Total census: 65
Total census: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen Philippi | Registered Nurse | Conducted the complaint investigation |
| Eve Lewis | Program Manager | Signed the report as Program Manager, Office of Long Term Care Facilities |
Inspection Report
Annual Inspection
Census: 50
Deficiencies: 16
Date: Nov 7, 2013
Visit Reason
Annual inspection of Golden Livingcenter - Nebraska City to assess compliance with state and federal regulations including dignity and respect of residents, housekeeping, life safety code, and fire safety standards.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity, housekeeping and maintenance issues, life safety code violations such as doors not latching properly, fire safety code violations including inadequate fire drills and fire alarm testing, improper storage of oxygen tanks, uncovered electrical junction box, and improper placement of alcohol-based hand rub dispensers.
Deficiencies (16)
Facility failed to maintain two residents' dignity during dining and ensure one resident was dressed in clean clothing in good repair.
Facility failed to allow one resident to make a choice in the type of shoes he wore.
Facility failed to maintain floors and walls in residents' bathrooms and failed to clean wheelchairs as scheduled in 10 rooms.
Doors protecting corridor openings failed to latch properly, allowing passage of smoke.
Smoke separation doors leading into 100 Hall near Nurses Station failed to resist passage of smoke.
Hazardous areas not maintained with smoke tight separations; doors failed to latch properly.
Delayed egress signage and code for magnetically locked doors in ACU wing not posted.
Fire drills not conducted once per quarter and once per shift; fire alarm system not activated during drills.
Smoke detectors not inspected 100% annually; sensitivity testing not conducted as required.
Portable fire extinguishers not inspected monthly and obstructed by medication cart.
Means of egress obstructed by beds, chairs, dressers, plants, boxes, and other items in North 300 Hall.
Recycle barrel over 32 gallons stored in front lobby not in a room protected with self-closing device.
Oxygen storage in Resident Room 109 exceeded approved quantities with spare tanks stored in room.
Boiler inspection certificates expired.
Uncovered electrical junction box in Mechanical Room.
Alcohol Based Hand Rub dispensers installed adjacent to electrical outlets in multiple resident rooms.
Report Facts
Facility census: 50
Rooms with unclean wheelchairs: 10
Fire drills missing: 3
Smoke detectors inspected: 30
Smoke detectors inspected: 79
Smoke detectors inspected: 42
Smoke detectors inspected: 55
Fire extinguisher capacity: 32
Residents affected by smoke door deficiency: 15
Residents affected by hazardous area door deficiency: 33
Residents affected by delayed egress signage deficiency: 15
Residents affected by uncovered junction box: 15
Residents affected by alcohol-based hand rub placement: 33
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Don Fritz | Approved multiple plans of correction | |
| Maintenance A | Confirmed multiple facility deficiencies including door latching, fire alarm testing, oxygen storage, electrical junction box, and ABHR placement | |
| Administrator A | Confirmed signage deficiencies and corridor obstructions | |
| Nursing Assistant A | Named in dignity and respect deficiency related to dining service | |
| Nursing Assistant B | Named in dignity and respect deficiency related to dining service | |
| Nursing Assistant C | Named in dignity and respect deficiency related to dining service | |
| Director Of Nursing | DON | Acknowledged staff discussion and clothing cleanliness issues |
| Assistant Director of Nursing | ADON | Interviewed regarding shoe options for resident |
| Social Service Designee | SSD | Interviewed regarding shoe options for resident |
| Nursing Staff R | Stated medication cart placement in front of fire extinguisher |
Inspection Report
Routine
Census: 56
Deficiencies: 12
Date: Jul 26, 2012
Visit Reason
Routine inspection survey conducted to assess compliance with licensure regulations and life safety code standards.
Findings
The facility was found deficient in multiple areas including failure to provide adequate personal hygiene assistance to residents, inadequate documentation of admission criteria, fire safety code violations such as improper flame spread rating on corridor finishes, smoke barrier door deficiencies, lack of fire extinguisher service tags, missing oxygen use signage, improper electrical outlet use, and failure to conduct fire drills on all shifts as required.
Deficiencies (12)
Failure to provide residents needing assistance with personal hygiene including shaving and cleaning of eyeglasses and soiled clothing/blanket.
Failure to ensure each individual admitted had written approval of a recommendation for admittance by a medical practitioner with required history and physical examination.
Interior finish for corridors and exit ways did not have flame spread rating of Class A or Class B.
Smoke separation doors at the Dining Room were not capable of resisting passage of smoke due to a hole in the door.
Hazardous area doors failed to close and latch properly, including Oxygen Storage room, Central Supply room, Time-clock room, Boiler room, and Medical Equipment storage room.
Failure to post access code for locked ACU courtyard gate.
Fire drills were not held at unexpected times under varying conditions on all shifts quarterly as required.
Fire extinguishers lacked verification of service collars indicating required servicing.
Facility failed to provide metal containers with self-closing covers or ashtrays in smoking areas.
Oxygen-enriched atmosphere risk due to unattended oxygen concentrator running in an empty resident room.
Failure to post 'oxygen in use' signage on resident room where oxygen was used.
Use of 4-plex and 6-plex electrical adaptors in resident rooms and restorative room not in compliance with electrical code.
Report Facts
Facility census: 56
Residents affected by flame spread deficiency: 10
Residents affected by smoke door deficiency: 38
Residents affected by hazardous area door deficiencies: 38
Residents affected by locked gate code deficiency: 18
Residents affected by oxygen signage deficiency: 20
Residents affected by oxygen-enriched atmosphere risk: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance A | Confirmed multiple fire safety deficiencies and lack of smoking area ashtrays | |
| Registered Nurse A | RN | Interviewed regarding resident hygiene deficiencies |
| Nurse Aide G | Nurse Aide | Interviewed regarding shaving assistance for resident |
| Administrator | Confirmed oxygen concentrator was running unattended |
Inspection Report
Routine
Census: 60
Deficiencies: 3
Date: Apr 12, 2012
Visit Reason
Routine inspection conducted to assess compliance with professional standards, infection control, and facility maintenance regulations.
Findings
The facility failed to follow physician orders for medication administration for two residents, and failed to maintain infection control standards including proper cleaning of a cracked whirlpool tub and inadequate cleaning of a body fluid spill. The facility took corrective actions including removing the whirlpool tub from use and re-educating staff.
Deficiencies (3)
Failure to follow physician orders for medication administration for two residents related to IV antibiotics and antibiotic nasal cream and swab.
Failure to maintain infection control by ensuring the whirlpool tub was free of cracks and properly cleaned.
Failure to properly clean and disinfect a body fluid spill according to facility policy.
Report Facts
Facility census: 60
Sample size: 10
Date of resident admission: Mar 14, 2012
Date of medication order: Apr 3, 2012
Date of observation: Apr 11, 2012
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding medication administration errors and infection control findings | |
| Assistant Director of Nursing | Interviewed regarding lack of nasal swabs for Resident 9 | |
| Licensed Practical Nurse | Present during observation of whirlpool tub | |
| Administrator | Informed about whirlpool tub condition and removal from use | |
| Nurse Consultant | Informed about whirlpool tub condition and removal from use | |
| NA U | Nursing Assistant | Observed cleaning body fluid spill |
| NA R | Nursing Assistant | Interviewed about whirlpool tub cleaning procedure |
Inspection Report
Routine
Census: 58
Deficiencies: 17
Date: Sep 1, 2011
Visit Reason
Routine inspection of Golden Livingcenter - Nebraska City to assess compliance with state and federal regulations including housekeeping, life safety, fire safety, and emergency preparedness.
Findings
The facility was found deficient in maintaining odor-free environment in the Alzheimer's Care Unit, life safety code compliance including door closures and fire safety equipment, fire drill frequency, fire alarm and sprinkler system maintenance, electrical safety, smoking area safety, kitchen hood suppression training, means of egress, and emergency generator testing.
Deficiencies (17)
Facility failed to maintain an odor free environment on the Alzheimer's Care Unit back corridor with lingering urine odor and sticky kitchen floor.
ACU Bathhouse door and resident room doors 214 and 218 failed to close properly, obstructing smoke resistance.
Failed to provide latching devices on hazardous area doors and maintain proper door gaps in ACU wing.
ACU courtyard gate failed to open with required force and access code was not visible.
Fire drills were not conducted under varied conditions on all shifts quarterly as required.
Fire alarm system testing failed to verify 100% smoke detector testing and accurate smoke detector count.
Sprinkler system failed to provide complete coverage in all areas; sprinkler heads obstructed or damaged.
Fire extinguishers were not inspected monthly and some were obstructed.
Smoking areas lacked metal containers with self-closing covers for ash disposal.
Kitchen staff lacked training on manual release and fire procedure for kitchen hood suppression system.
Means of egress obstructed by lawn chairs in ACU courtyard.
Decorations in ACU corridor were not flame retardant.
Electrical outlet in oxygen storage room was installed below required height.
Oxygen use signage missing on Resident Room 110.
Emergency generator testing and documentation were incomplete and did not meet NFPA requirements.
Electrical wiring and equipment issues including open junction boxes, broken cover plates, unauthorized electrical adaptors, and exposed wiring.
Alcohol Based Hand Rub dispensers installed improperly above ignition sources.
Report Facts
Residents affected: 58
Residents affected: 19
Residents affected: 37
Residents affected: 18
Residents affected: 39
Residents affected: 20
Fire drills missed: 9
Fire drills conducted: 7
Fire extinguishers not inspected: 17
Smoke detectors: 97
Smoke detectors: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance A | Confirmed fire drill schedule, generator testing deficiencies, smoking area container absence, courtyard gate issues, and electrical safety findings | |
| Dietary Manager | Confirmed kitchen hood suppression training deficiencies | |
| Administrator | Confirmed multiple findings including door obstructions, fire drill deficiencies, fire alarm testing, sprinkler system issues, electrical safety, oxygen signage, courtyard gate, and generator testing |
Inspection Report
Plan of Correction
Census: 57
Deficiencies: 3
Date: Aug 9, 2010
Visit Reason
The inspection was conducted to identify deficiencies related to food preparation, temperature control, sanitation, and pest control at Golden Livingcenter - Nebraska City.
Findings
The facility failed to serve food at proper temperatures affecting 56 of 57 residents, had inadequate food procurement and sanitary practices, and failed to maintain an effective pest control program with flies observed in food preparation areas and resident rooms.
Deficiencies (3)
Facility failed to serve and provide food at temperatures that were palatable for residents at the time of serving.
Facility failed to maintain food at a temperature to prevent the growth of bacteria.
Facility failed to maintain an effective pest control program; flies were observed in the kitchen and resident rooms.
Report Facts
Residents affected by food temperature deficiency: 56
Facility census: 57
Number of wall mounted flying insect control systems: 9
Number of residents affected by pest control deficiency: 56
Number of resident rooms affected by pest control deficiency: 6
Document
Capacity: 64
Deficiencies: 0
Date: APP2015
Visit Reason
The document serves as a licensure renewal application for the nursing home facility Golden LivingCenter - Nebraska City, including verification of licensure, occupancy permit, ownership details, and program descriptions.
Findings
The document confirms the facility's licensure renewal status, occupancy permit for 64 beds, ownership structure, and provides detailed information about the Alzheimer's Care Unit philosophy, placement criteria, environment, resident activities, family involvement, and cost of care.
Report Facts
Total licensed beds: 64
Alzheimer's Care Unit semi-private rate: 5584
Alzheimer's Care Unit private rate: 6142
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nichole Burger | Administrator | Named in licensure renewal application |
| Heather White | Director of Nursing | Named in licensure renewal application |
| Julianne Williams | Director and President | Named as Director and Executive Officer in Officers and Directors Report |
| Ann Truitt | Assistant Secretary | Named in Officers and Directors Report and as authorized representative on renewal application |
| Holly Rasmussen-Jones | Secretary | Named in Officers and Directors Report and as authorized representative on renewal application |
Document
Capacity: 64
Deficiencies: 0
Date: APP2018
Visit Reason
The document serves as a licensure renewal application and certification for Nebraska City Care and Rehabilitation Center, LLC, verifying the facility's licensed status and capacity, and includes information related to Alzheimer's Special Care Unit endorsement and occupancy permit.
Findings
The documents confirm the facility's licensure renewal, ownership, capacity of 64 beds, and compliance with state requirements for special care units. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 64
Direct Care Nurse Staffing: 3.5
Daily rate for Alzheimer's Care Unit - Private Room: 198.1
Daily rate for Alzheimer's Care Unit - Semi-Private Room: 180.13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jade Harrah | Administrator | Named as facility administrator in licensure renewal application and Alzheimer's Special Care Unit Disclosure. |
| Heath Haynes | Director of Nursing | Named as Director of Nursing in licensure renewal application. |
| Joseph Schwartz | Authorized Representative | Signed licensure renewal application and Alzheimer's Special Care Unit Disclosure as authorized representative. |
| Rosie Schwartz | Authorized Representative | Signed licensure renewal application as authorized representative. |
| Brandie Lamberth | Contact | Contact name listed in Alzheimer's Special Care Unit Disclosure application. |
Notice
Capacity: 64
Deficiencies: 0
Date: APP2021
Visit Reason
This document serves as a renewal application for the nursing home license of Prestige Care Center of Nebraska City, including certification for Alzheimer's/Special Care Unit and other licensing details.
Findings
The documents confirm the facility's licensure status, ownership information, special care services offered, and include an occupancy permit and floor plan. No inspection findings or deficiencies are reported.
Report Facts
Licensed beds: 64
Maximum capacity for Alzheimer's beds: 22
Occupancy permit beds: 24
Daily rate: 236
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chasity Coover | Administrator | Named as facility administrator in the renewal application and Alzheimer's unit disclosure. |
| Megan Cornelison | Director of Nursing | Named as Director of Nursing in the renewal application. |
| Yisroel Meir Kaplan | Authorized Representative | Signed the renewal application and Alzheimer's unit disclosure as authorized representative. |
| Ephram Lahasky | Authorized Representative | Signed the renewal application as authorized representative. |
| Ty Hernes | Deputy State Fire Marshal | Inspected the facility and approved the occupancy permit. |
Document
Capacity: 64
Deficiencies: 0
Date: APP2022
Visit Reason
The documents serve to renew the nursing home license for Prestige Care Center of Nebraska City and to disclose information related to the Alzheimer's Special Care Unit and memory care endorsement.
Findings
No inspection findings or deficiencies are reported. The documents primarily provide administrative and licensing information, including facility capacity, ownership, and care program descriptions.
Report Facts
Total licensed beds: 64
Alzheimer's Special Care Unit beds: 22
Daily rate: 236
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chasity Joanne Coover | Administrator | Named as the facility administrator on the renewal application and Alzheimer's Special Care Unit Disclosure. |
| Nicole Cox | Director of Nursing | Named as Director of Nursing on the renewal application. |
| Yisroel Meir Kaplan | Authorized Representative | Signed the renewal application and Alzheimer's Special Care Unit Disclosure as authorized representative. |
| Ephram Lahasky | Named as a member of ownership and signed the renewal application. |
Document
Capacity: 64
Deficiencies: 0
Date: APP2023
Visit Reason
The document set is related to the renewal of the nursing home license for Prestige Care Center of Nebraska City and includes ownership details and occupancy permit information.
Findings
No inspection findings or deficiencies are reported in these documents. They primarily serve to verify licensure renewal, ownership, and occupancy capacity.
Report Facts
Total licensed beds: 64
Occupancy permit date: Jun 6, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joanne Engel | Administrator | Named on the Nursing Home Licensure Renewal Application. |
| Cindy Shannon | Director of Nursing | Named on the Nursing Home Licensure Renewal Application. |
| Corey Fuchs | Chief Financial Officer | Listed as an officer in the ownership/control document. |
| Chastity Coover | Regional Director of Operations | Listed as a director in the ownership/control document. |
Notice
Capacity: 64
Deficiencies: 0
Date: APP2024
Visit Reason
The documents serve to verify and renew the Skilled Nursing Facility/Nursing Facility dual certification license for Prestige Care Center of Nebraska City and to provide related licensing and occupancy information.
Findings
No inspection findings are reported. The documents include licensing renewal application details, ownership information, occupancy permit with maximum capacity, and Alzheimer's special care unit endorsement application.
Report Facts
Total licensed beds: 64
Maximum capacity for Alzheimer's beds: 22
Renewal license fees: 1550
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeanne Engel | Administrator | Named on the Nursing Home Licensure Renewal Application and Alzheimer's Special Care Unit application. |
| Cindy Shannon | Director of Nursing | Named on the Nursing Home Licensure Renewal Application. |
| Yisroel Meir Kaplan | Authorized Representative | Signed the Nursing Home Licensure Renewal Application and Alzheimer's Special Care Unit application. |
| Chasity Joanne Coover | Authorized Representative, Regional Director of Operations | Named on the Nursing Home Licensure Renewal Application and ownership/control documents. |
| Corey Fuchs | Chief Financial Officer | Listed as officer in ownership/control documents. |
Document
Capacity: 64
Deficiencies: 0
Date: APP2025
Visit Reason
The document is a Nursing Home Licensure Renewal Application for Prestige Care Center of Nebraska City, including certification and licensing information, ownership details, and facility capacity.
Findings
The document certifies that Prestige Care Center of Nebraska City meets statutory requirements for licensure renewal, with a licensed capacity of 64 beds and includes details on services offered and ownership.
Report Facts
Total licensed beds: 64
Maximum capacity for Alzheimer's beds: 22
Renewal licensure fees: 1550
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeanne Engel | Administrator | Named as Administrator on the Nursing Home Licensure Renewal Application and Alzheimer's Special Care Unit Disclosure. |
| Dawn Collins | Director of Nursing | Named as Director of Nursing on the Nursing Home Licensure Renewal Application. |
| Yisroel Kaplan | Named as indirect owner (95%) and contact person on the Alzheimer's Special Care Unit Disclosure and ownership information. | |
| Batsheva Cherns | Named as indirect owner (5%) and managerial control in ownership information. | |
| Chasity Coover | Managing employee | Named as managing employee in ownership information. |
Notice
Deficiencies: 0
Date: DAN091724
Visit Reason
This Notice of Disciplinary Action was issued to impose probation on the facility's license for 90 days beginning October 2, 2024, due to violations related to failure to ensure practitioner's orders were implemented for medications, lab testing, and obtaining weights.
Findings
The facility failed to ensure practitioner’s orders were implemented related to ordered medications, ordered laboratory testing, and obtaining weights, as evidenced by the CMS-2567 Report dated September 10, 2024.
Report Facts
Probation period: 90
Date of CMS-2567 Report: Sep 10, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Timothy Tesmer | Chief Medical Officer | Signed the Notice of Disciplinary Action |
| Dan Taylor | RN, Administrator | Listed as Health Facilities Licensure Unit contact |
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