Inspection Reports for River City Nursing and Rehabilitation

The notice serves as disciplinary action against Emerald Nursing & Rehabilitation Mercy for violations related to medication errors and failure to comply with licensure regulations, based on the CMS-2567 survey dated July 28, 2025.

The facility was found to have failed to ensure medications were provided in accordance with physician's orders for two sampled residents, resulting in probation and requirements for a Plan of Correction and ongoing reporting of medication errors.

The documents relate to the issuance of a new Skilled Nursing Facility license due to a change of ownership for Emerald Nursing & Rehabilitation Mercy, including verification of licensure and occupancy permit.

The documents confirm that the facility meets statutory requirements for licensure, with a licensed capacity of 155 beds, and provide official approval for operation under new ownership.

The notice serves to inform the facility of disciplinary action placing the license on probation for 90 days starting December 11, 2024, due to violations related to failure to conduct neurological assessments after unwitnessed falls and falls with head injuries.

The facility failed to conduct neurological assessments after unwitnessed falls and falls with head injuries, violating licensure regulations. The CMS-2567 Report dated November 14, 2024, documents these violations.

The document is a Nursing Home Licensure Renewal Application and related certification and occupancy permit for River City Nursing and Rehabilitation, indicating the facility's license renewal process.

The documents certify that River City Nursing and Rehabilitation meets statutory requirements for licensure renewal as a Skilled Nursing Facility with various therapy services and confirm the facility's licensed capacity and occupancy permit.

The document serves to verify the license renewal status of River City Nursing and Rehabilitation and includes the renewal application and occupancy permit for the facility.

The documents confirm the facility's licensure renewal, ownership details, and maximum occupancy capacity of 174 beds, with no inspection findings or deficiencies reported.

An unannounced visit was conducted to investigate a complaint at River City Nursing And Rehabilitation on February 11-12, 2020, by the Department of Health and Human Services Division of Public Health. The investigation focused on allegations related to bowel elimination care, medication administration, staffing sufficiency, pain management, wound care, and related services.

The investigation found that the facility was in compliance with all relevant regulatory requirements for each allegation, including bowel elimination care, medication administration following the five rights, sufficient staffing, pain management, wound care, and bladder elimination services. No violations were identified at the time of the survey.

The complaint included seven allegations: failure to provide care and treatment for bowel elimination; failure to follow the Five Rights for medication administration; insufficient staffing; failure to assist with pain management; failure to provide medications according to the five rights; failure to provide wound care as ordered; and failure to provide care and services for bowel and/or bladder elimination. All allegations were found to be unsubstantiated with no violations.

An unannounced visit was conducted to investigate a complaint that the facility failed to immediately request emergency assistance affecting all residents in the building.

The facility staff did immediately request emergency assistance. Record reviews and interviews confirmed that the facility was in compliance with relevant regulatory requirements.

The complaint alleged failure to immediately request emergency assistance affecting all residents. The complaint was found to be unsubstantiated as the facility staff did request immediate assistance.

An unannounced visit was conducted to investigate a complaint at River City Nursing And Rehabilitation on October 24, 2018, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found the facility was in compliance with regulatory requirements for communication to receiving health care institutions, bowel elimination care, medication administration, plan of care implementation, and infection control to prevent spread of pests. No violations were identified.

The complaint included allegations of failure to communicate appropriate information to receiving health care institutions, failure to provide care for bowel elimination, failure to administer medications as ordered, failure to follow the plan of care, and failure to follow infection control guidelines to prevent spread of pests. All allegations were found to be unsubstantiated.

An unannounced visit was conducted to investigate a complaint and annual survey at Nebraska Skilled Nursing & Rehab on September 17-25, 2018, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found deficient in multiple areas including staffing sufficiency, identification of changes in condition, food handling practices, housekeeping, medication administration, and maintenance of a safe environment. Several deficiencies related to resident care, documentation, and facility maintenance were cited. Some allegations were found to be in compliance. The facility failed to provide adequate emergency lighting, maintain fire safety doors, ensure proper fire alarm and sprinkler maintenance, and had issues with electrical safety and infection control.

The visit was complaint-related and included investigation of multiple allegations such as staffing sufficiency, change of condition identification, food handling, housekeeping, grievance resolution, abuse prevention, medication administration, and others. Some allegations were substantiated with deficiencies cited, while others were found in compliance.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to report falls with injury and failure to investigate causative factors in falls.

The facility was found to be in compliance with regulations as it did report falls with injury and conducted investigations for causative factors in falls, implementing interventions to prevent subsequent falls or major injuries.

The complaint alleged that the facility failed to report falls with injury and failed to investigate causative factors in falls. The investigation found the facility compliant with both allegations.

An unannounced visit was conducted to investigate a complaint that the facility fails to follow the plan of care.

The facility was found to follow the plan of care. Observations, record reviews, and staff interviews confirmed residents were transferred safely and according to the plan of care, resulting in compliance with regulatory requirements.

The complaint alleged the facility failed to follow the plan of care. The investigation found the allegation unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate a complaint and annual survey at Nebraska Skilled Nursing & Rehab on March 5-7, 2018. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility was found deficient in multiple areas including failure to notify physicians of critical blood sugar levels, failure to report alleged violations timely, failure to implement restorative nursing programs, failure to prevent accident hazards, and medication errors exceeding 5%. Several residents were affected by these deficiencies.

The complaint investigation included allegations of failure to provide care according to practitioner's orders, medication errors, failure to ensure residents are free from misappropriation, failure to provide meals and therapies as ordered, failure to respond promptly to call lights, and failure to treat residents with dignity. Some allegations were substantiated with violations found.

An unannounced visit was conducted to investigate a complaint alleging the facility failed to ensure residents are free from abuse.

The facility was found to ensure residents are free from abuse based on interviews with cognitively intact residents, staff interviews demonstrating knowledge of abuse, review of staff education, policies, procedures, and background checks. The facility was found in compliance with all related regulations.

The complaint alleged failure to ensure residents are free from abuse. The allegation was not substantiated as the facility was found compliant.

An unannounced visit was conducted to investigate a complaint at Nebraska Skilled Nursing & Rehab regarding allegations that the facility failed to follow the plan of care and failed to provide care as identified on the minimal data set.

The investigation found that the facility did follow the plan of care and provided care as identified on the minimum data set. Observations, record reviews, and interviews confirmed compliance with regulatory guidelines.

The complaint alleged failure to follow the plan of care and failure to provide care as identified on the minimal data set. Both allegations were found to be unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate a complaint and annual survey at Nebraska Skilled Nursing & Rehab on July 5, 2017-July 12, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with many regulatory requirements but was cited for failures including protecting residents from residents with behaviors, medication administration errors, failure to notify practitioners of medication errors, failure to follow infection control policy, failure to notify responsible parties of changes in condition, and failure to provide notices of non-coverage of Medicare services and lists of Medicaid non-covered services. Additional deficiencies were noted in life safety code compliance, infection control, medication management, nutrition, dental services, and quality assurance processes.

The complaint investigation included allegations related to resident rights, care and treatment, staffing, medication administration, infection control, and other care concerns. Some allegations were substantiated resulting in citations.

This document serves as a Notice of Disciplinary Action placing the facility's license on probation for 90 days starting February 17, 2017, due to violations related to medication errors and failure to comply with licensure regulations.

The facility was found to have significant medication errors, violating licensure regulations and posing risks to resident health and safety. The Department required submission of a Plan of Correction and ongoing reports during the probation period.

An unannounced visit was conducted to investigate a complaint alleging the facility fails to ensure residents are free from abuse.

The facility was found to ensure residents were free from abuse after reviewing incident reports, grievance reports, policies, staff training, and interviews with residents and staff.

The complaint alleged failure to ensure residents were free from abuse. The investigation found the facility in compliance with its Abuse Prohibition policy and procedures.

An unannounced visit was conducted to investigate a complaint at Nebraska Skilled Nursing & Rehab on January 23, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The facility failed to follow the Five Rights for medication administration, failed to resolve residents complaints/grievances, failed to provide medications as ordered, and failed to administer medications according to practitioner's orders. The facility ensured staff had appropriate credentials and competencies to administer medications. The facility was cited for medication errors with a 19.23% error rate and failure to resolve grievances affecting multiple residents.

The complaint investigation was triggered by allegations that the facility failed to follow medication administration protocols, failed to resolve grievances, and failed to provide medications as ordered. The investigation included review of resident records, observations, and interviews. Multiple medication errors and unresolved grievances were substantiated.

An unannounced visit was conducted to investigate a complaint at Nebraska Skilled Nursing & Rehab on January 3-4, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with regulatory requirements regarding timely completion of written investigations, ensuring residents were free from abuse, and providing appropriate transfer services. Observations, record reviews, and staff interviews supported these findings.

The investigation addressed allegations that the facility failed to complete written investigations within five working days, failed to ensure residents were free from abuse, and failed to provide appropriate transfer services. All allegations were found to be unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate a complaint regarding medication overuse, medication administration, and prevention of skin breakdown at Nebraska Skilled Nursing & Rehab.

The facility was found to be in compliance with regulations related to medication overuse, medication administration, and prevention of skin breakdown, with no violations identified in any of the investigated allegations.

The investigation was complaint-related, focusing on allegations that the facility failed to ensure residents were not over-medicated, failed to administer medications as ordered, and failed to provide care to prevent skin breakdown. All allegations were found to be unsubstantiated.

An unannounced visit was conducted to investigate a complaint and annual survey at Nebraska Skilled Nursing & Rehab on June 29, 2016-July 7, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with many regulatory requirements but had deficiencies including failure to change fall interventions after residents were identified at risk for falls, failure to administer medications as ordered with an 8% medication error rate, failure to provide care and treatment for bladder elimination, failure to treat residents with respect and dignity, failure to ensure call lights were within reach, failure to maintain an effective quality assurance program, and failure to implement isolation procedures properly among others.

The complaint investigation included allegations related to misappropriation of residents' personal items, failure to follow plan of care, failure to provide prompt emergency care, failure to protect residents from behaviors and abuse, failure to resolve complaints, failure to administer medications as ordered, failure to provide care for bladder elimination, failure to treat residents with respect and dignity, failure to ensure call lights were within reach, and failure to maintain an effective housekeeping program among others. Some allegations were substantiated with deficiencies cited.

An unannounced visit was conducted to investigate a complaint at Nebraska Skilled Nursing & Rehab regarding allegations of failure to identify changes in condition, failure to notify family or responsible parties of changes, failure to follow practitioner orders regarding therapy, and failure to promptly respond to calls for assistance.

The facility was found to be in compliance with related regulatory requirements for all allegations. Changes in condition were identified and communicated appropriately, therapy orders were followed, and call lights were answered promptly.

The investigation was complaint-related and the facility was determined to be in compliance with all allegations, including identification of changes in condition, notification of family or responsible parties, adherence to therapy orders, and timely response to calls for assistance.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to provide prompt treatment for pain and prompt response to calls for assistance.

The facility was found to be in compliance with regulatory requirements, providing prompt treatment for pain and timely response to call lights as confirmed by resident interviews, observations, and record reviews.

The complaint alleged failure to provide prompt treatment for pain and failure to provide prompt response for calls for assistance. Both allegations were found to be unsubstantiated as the facility complied with related regulatory requirements.

An unannounced visit was conducted to investigate a complaint regarding staffing sufficiency, incontinence care, treatment completion, call light response, and safe resident transfers at Nebraska Skilled Nursing & Rehab.

The facility was found to be in compliance with all related regulatory requirements, including sufficient staffing, provision of incontinence care, completion of treatments as ordered, timely response to call lights, and safe assistance with resident transfers.

The complaint alleged insufficient staffing, failure to provide incontinence care, failure to complete treatments as ordered, failure to answer call lights timely, and failure to assist residents with transfers safely. All allegations were found to be unsubstantiated.

An unannounced annual survey was conducted to investigate compliance with regulatory requirements including resident care, safety, and facility conditions.

The facility was found to be in compliance with most regulatory requirements, but deficiencies were identified including failure to notify responsible parties of changes, incomplete care plans for psychoactive medication use, side rail safety evaluations, medication errors, food safety violations, infection control lapses, and life safety code violations related to building construction, fire safety, and electrical systems.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to provide services to prevent and promote healing of skin breakdown and failure to provide toileting and peri care as needed by residents.

The facility was found to be in compliance with relevant regulations for both allegations. Services to prevent and promote healing of skin breakdown were provided, and toileting and peri care needs were met as observed and reported by residents and staff.

The complaint alleged failure to provide services to prevent and promote healing of skin breakdown and failure to provide toileting and peri care as needed. Both allegations were found to be unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to maintain elevator operation during a fire emergency.

The facility was found to be in compliance with life safety code requirements as elevators are required to not operate during a fire emergency and the emergency generator powered lighting and life support functions.

The allegation was that the facility failed to maintain elevator operation during a fire emergency. The complaint was investigated and found to be unsubstantiated as the facility complied with the relevant life safety code.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to notify the health care practitioner of change in condition and failure to provide care and treatment according to standards of practice for feeding tubes.

The facility was found to be in compliance with regulatory guidelines for both allegations. Resident medical records and staff interviews confirmed appropriate notification of changes in condition and proper care and treatment for feeding tubes.

The complaint alleged failure to notify the health care practitioner of change in condition and failure to provide care and treatment according to standards of practice for feeding tubes. Both allegations were found to be unsubstantiated as the facility was in compliance.

An unannounced visit was conducted to investigate multiple complaints at Nebraska Skilled Nursing & Rehab from December 31, 2014 to January 5, 2015, including allegations of abuse, skin breakdown prevention, privacy protection, medical record accuracy, staffing sufficiency, cleanliness, hydration, call light response, medication administration, positioning transfers, harm avoidance, and change in condition identification.

The facility was found to be in compliance with most allegations including abuse protection, skin breakdown prevention, privacy, medical records, staffing, cleanliness, hydration, call light response, positioning transfers, harm avoidance, and change in condition identification. However, deficiencies were found related to failure to notify a physician of medication availability issues for one resident, medication administration errors exceeding 5%, failure to ensure timely medication delivery from pharmacy, and improper infection control practices during catheter care.

The complaint investigation addressed multiple allegations including failure to protect residents from abuse, failure to prevent skin breakdown, failure to protect privacy/confidentiality, incomplete and inaccurate medical records, insufficient staffing, unclean environment, inadequate hydration, delayed call light response, medication errors, improper positioning transfers, failure to avoid harm, and failure to identify change in condition. The facility was found compliant in all areas except medication-related deficiencies and infection control.

An unannounced visit was conducted to investigate a complaint survey regarding the facility's failure to change fall interventions after residents were identified at risk for falls.

The facility did change fall interventions appropriately after residents were identified at risk for falls. Reviews of three residents and their post-fall interventions showed compliance with regulatory requirements.

The complaint alleged that the facility failed to change fall interventions after residents were identified at risk for falls. The investigation found the facility was in compliance with all related regulatory requirements.

An unannounced visit was conducted to investigate a complaint regarding failure to provide supervision to prevent elopement, failure to develop and implement care plans to address resident needs, and failure to implement fall interventions after residents were identified at risk for falls.

The facility was found to provide adequate supervision to prevent elopements, but failed to develop and implement care plans and fall interventions for residents at risk of falls. These failures were confirmed through record reviews and staff interviews and constituted violations.

The complaint alleged failure to provide supervision to prevent elopement, failure to develop and implement care plans, and failure to implement fall interventions. The allegation regarding supervision to prevent elopement was not substantiated. The allegations regarding care plans and fall interventions were substantiated as violations.

An unannounced visit was conducted to investigate an Annual Survey at Nebraska Skilled Nursing & Rehab on August 13, 2014.

The facility was found to be in compliance with regulatory requirements related to maintaining a clean environment and ensuring residents maintain adequate hydration.

An unannounced visit was conducted to investigate a complaint and annual survey at Nebraska Skilled Nursing & Rehab on June 10, 2014-June 17, 2014.

The facility was found in compliance with most regulatory requirements except for failure to identify a change in a resident's condition, failure to provide notice of potential liability after discontinuation of Medicare benefits for some residents, failure to ensure residents were aware of the procedure for obtaining personal funds on weekends, failure to evaluate bathing preferences for some residents, failure to provide individualized activities for one resident, failure to maintain facility environment in good repair, failure to complete a change in condition Minimum Data Set for one resident, failure to review and revise comprehensive care plans related to refusal of care and targeted behaviors, failure to provide oral care and nail care for some residents, failure to prevent urinary tract infections due to inadequate incontinence care, failure to maintain safe bathing water temperatures, failure to implement fall prevention interventions, failure to monitor target behaviors and evaluate effectiveness of psychoactive medication, failure to maintain food temperatures and proper infection control in food service, failure to ensure expired medications and lab vials were not available for use, failure to ensure proper handwashing and gloving during medication administration, and multiple life safety code deficiencies including smoke door issues, fire drill timing, sprinkler system maintenance, exit corridor obstructions, unsecured gas cylinders, missing oxygen in use signs, and electrical wiring issues.

Complaint investigation included allegations of failure to provide care and service for appropriate positioning transfer, failure to ensure therapeutic diets, failure to answer resident call system in a reasonable time frame, failure to ensure resident's property is safe to prevent misappropriation, failure to identify a change in resident condition, failure to protect residents from abuse, and failure to provide diets as ordered by a practitioner. The facility was found in compliance with most allegations except failure to identify a change in resident condition.

An unannounced complaint investigation survey was conducted at Nebraska Skilled Nursing & Rehab from April 28, 2014 to April 30, 2014, to investigate multiple allegations including failure to inform residents of test results, medication administration errors, inadequate nutrition and hydration, neglect, abuse, and other care concerns.

The facility was found to be in compliance with most allegations including informing residents of test results, providing adequate fluid intake, protecting residents from neglect and abuse, and ensuring dignity and respect. However, deficiencies were found related to failure to monitor weight loss and provide protein supplements as ordered, and failure to administer antibiotic medication according to physician orders for one resident.

The complaint investigation included multiple allegations such as failure to inform residents of test results, medication errors, inadequate nutrition and hydration, neglect, abuse, failure to report injuries and allegations, and failure to notify healthcare practitioners of changes in condition. Most allegations were substantiated as compliant except for medication administration and nutrition-related deficiencies.

The inspection was conducted to investigate allegations of neglect reported by a Social Services worker regarding Resident 2 not being assisted out of bed, rarely repositioned, and not bathed for 30 days.

The facility staff failed to submit an investigation report of the neglect allegation to the state agency within 5 working days as required. The investigation was completed and reviewed, but the report was not timely submitted.

The complaint involved allegations that Resident 2 had not been assisted out of bed for 30 days, rarely repositioned, did not have a bath for 30 days, and was not fed. The facility investigated but failed to report the findings to the state agency within the required 5 working days.

The inspection was conducted as a routine survey to assess compliance with Nebraska Administrative Code regulations governing skilled nursing facilities, nursing facilities, and intermediate care facilities.

The facility was found deficient in notifying physicians and responsible parties about residents' clinical changes, failure to investigate an allegation of staff-to-resident abuse, and failure to re-evaluate and implement interventions to prevent injury for a resident. Specific deficiencies involved failure to notify about skin wounds and pain medication effectiveness, failure to investigate abuse allegations, and inadequate care plan updates to prevent skin tears.

Annual inspection of Nebraska Skilled Nursing & Rehab to assess compliance with Medicare and Medicaid regulations including Life Safety Code provisions.

The facility was found deficient in multiple areas including failure to meet Life Safety Code standards for building construction and smoke door integrity, failure to provide proper notice of Medicare non-coverage to residents, housekeeping and maintenance deficiencies, incomplete care plans, inadequate supervision of hazardous materials, improper food preparation, and lack of staff training on fire safety procedures.

The inspection was conducted as a routine survey to assess compliance with Nebraska Administrative Code regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.

The facility was found deficient in ensuring proper laboratory monitoring for anticoagulant therapy for one resident, and in infection control practices including prevention of cross-contamination during personal care and incomplete cleansing of a glucometer after use. The facility implemented corrective actions including staff education and auditing procedures.

The inspection was conducted to assess compliance with regulations governing licensure of skilled nursing facilities, focusing on care and services provided to residents.

The facility failed to provide appropriate care related to the removal of an intravenous catheter device for one resident, Resident 2, as evidenced by lack of documentation confirming removal despite physician orders. The facility census was 110 at the time of the survey.

The inspection was conducted to determine if the facility was in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs. The facility was found not in substantial compliance, leading to enforcement actions including denial of payment for new admissions.

The facility was found not in substantial compliance with Federal requirements during the survey completed on October 3, 2011, and subsequent revisits on December 5 and 6, 2011. Despite revisits, the facility remained noncompliant, resulting in a denial of payment for new Medicare and Medicaid admissions effective December 31, 2011. Later revisits in January and February 2012 established that corrections were made and substantial compliance was achieved, leading to removal of the denial of payment.

The inspection was conducted as an annual survey to assess compliance with state and federal regulations governing skilled nursing facilities.

The facility was found deficient in multiple areas including dietary manager qualifications, notification of physician for resident changes, resident dignity, housekeeping and maintenance, pressure sore treatment, accident hazards, oxygen administration, medication regimen, medication errors, nutritive value and food sanitation, infection control, safe environment, life safety code compliance, and quality assurance.

The inspection was conducted to assess compliance with criminal background and registry checks for direct care staff members at Nebraska Skilled Nursing & Rehab.

The facility failed to complete required checks of the Nebraska Adult Protective Services Central Registry and Central Register of Child Protection Cases for 5 of 5 sampled direct care staff members, and failed to complete Nurse Aide Registry checks for 3 of 5 sampled direct care staff members. The Administrator reported that requests for registry checks had been filled out but not processed.

Routine inspection of Nebraska Skilled Nursing & Rehab to assess compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.

The facility was found deficient in several areas including failure to provide discharge planning for a resident, incomplete criminal background and registry checks for direct care staff, failure to notify physician of significant weight gain, delayed reporting of abuse investigations, incomplete reference checks, failure to revise care plans related to fall prevention, unsecured medications, incomplete controlled substance counts, and failure to obtain ordered laboratory services.

The inspection was conducted to assess compliance with Nebraska Administrative Code regulations governing skilled nursing facilities, specifically focusing on deficiencies related to comprehensive care plans and treatment/care for special needs such as tracheostomy care.

The facility failed to develop comprehensive care plans for three sampled residents with tracheostomy care needs, including missing details such as cannula size and spare cannula availability. Additionally, the facility lacked extra cannulas for residents requiring tracheostomy care. Plans of correction include care plan updates, staff training, and audits to ensure compliance.

The inspection was conducted to investigate a complaint regarding medication administration and wound care practices at the facility.

The facility was found to be in compliance with medication administration regulations, as staff followed the Five Rights and administered medications correctly. However, the facility failed to follow practitioners' orders for wound care, resulting in a violation.

The complaint investigation found no violation related to medication administration but identified a violation related to wound care practices under F309 and 175 NAC 12-006.09D2.

The documents pertain to the renewal of the nursing home license for Emerald Nursing & Rehabilitation Mercy, including submission of renewal application and occupancy permit.

No inspection findings or deficiencies are reported in these documents. They primarily provide licensing, ownership, and facility capacity information.

The document serves as a licensure renewal application and verification for Emerald Nursing & Rehabilitation Mercy, including renewal of SNF/NF dual certification and occupancy permit.

The documents confirm the facility meets statutory requirements for licensure renewal, with no inspection findings or deficiencies reported.

The document package and letters pertain to the issuance of a new Skilled Nursing Facility license to River City Nursing LLC due to a change of ownership and DBA name change, effective October 3, 2018.

The documents confirm the licensure of River City Nursing and Rehabilitation as a Skilled Nursing Facility with a licensed capacity of 174 beds, including supporting documentation such as occupancy permit, ownership information, and asset purchase agreements.

The document serves as a Notice of Disciplinary Action and a Modification of Disciplinary Action against Nebraska Skilled Nursing & Rehab for failure to implement interventions to prevent falls, resulting in probation and its extension until compliance was achieved.

The facility was found in violation of multiple licensure regulations related to resident rights, equipment, charge nurse requirements, urinary/bowel function, provision of care, medication errors, sanitary conditions, and prevention of cross-contamination, specifically evidenced by failure to implement fall prevention interventions.

The document serves as a licensure renewal application and verification for Nebraska Skilled Nursing & Rehab, including occupancy permit and ownership disclosures.

The documents confirm the facility's licensure renewal status, ownership information, occupancy permit with a maximum capacity of 174 beds, and corporate officer changes.

This document serves to verify the renewal of the SNF/NF dual certification license for Nebraska Skilled Nursing & Rehab and includes the occupancy permit issued by the Nebraska State Fire Marshal.

The facility is licensed through 03/31/2018 with a total licensed bed capacity of 174. The occupancy permit confirms the maximum occupancy of 174 beds as of 07/08/2016.

The document serves as a Notice of Disciplinary Action and a subsequent Modification of Disciplinary Action against Nebraska Skilled Nursing & Rehab for violations related to Resident Rights, Medication Errors, and wound healing. It outlines probation periods, required corrective actions, and reporting requirements.

The facility was found to have violated regulations concerning Resident Rights, medication errors, and failure to evaluate causal factors and nutritional requirements for wound healing. The Department placed the facility on probation with specific corrective action plans and reporting requirements.

This document serves to verify the renewal of the SNF/NF dual certification license for Nebraska Skilled Nursing & Rehab and includes occupancy permit information.

The documents confirm that the facility is licensed through the indicated renewal date and has an approved occupancy permit for 174 beds.

This document serves to verify the renewal of the SNF/NF dual certification license for River City Nursing and Rehabilitation and includes occupancy permit information.

The documents confirm that the facility's license is renewed through 3/31/2020 and that the facility has an approved occupancy permit for 174 beds issued on 7/17/2018.

The documents serve to verify licensure renewal and occupancy permit status for River City Nursing and Rehabilitation, including submission of a renewal application and confirmation of maximum licensed capacity.

No inspection findings or deficiencies are reported in these documents. They primarily confirm licensure renewal and occupancy permit issuance.

This document serves to verify the renewal of the SNF/NF dual certification license for Emerald Nursing & Rehabilitation Mercy and includes related licensing and occupancy permit information.

The document confirms the facility meets statutory requirements for licensing renewal and includes an occupancy permit with a maximum capacity of 174 beds. No inspection findings or deficiencies are reported.