Deficiencies per Year
4
3
2
1
0
Inspection Report
Renewal
Capacity: 75
Deficiencies: 0
Jan 21, 2025
Visit Reason
This document is a renewal application and license verification for Riverside Lodge, Inc., an assisted-living facility, confirming the facility's licensure and renewal status.
Findings
The document confirms that Riverside Lodge, Inc. meets statutory requirements as an assisted-living facility with a licensed capacity of 75 beds, including a 13-bed Alzheimer's/Special Care Unit. It includes ownership information, occupancy permit details, and Alzheimer's care endorsement.
Report Facts
Total licensed capacity: 75
Alzheimer's unit beds: 13
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Miller | Administrator | Named as facility administrator and authorized representative on renewal application |
| David Thayer | President/Owner | Named as contact and authorized representative on renewal application |
| DJ Thayer | Listed as person in control of the facility | |
| Dan Thayer | Listed as person in control of the facility |
Inspection Report
Renewal
Capacity: 75
Deficiencies: 0
Jan 25, 2023
Visit Reason
The document is a renewal application and certification for Riverside Lodge, Inc., an assisted-living facility, verifying that the facility is licensed through the indicated renewal date.
Findings
The documents confirm that Riverside Lodge, Inc. meets statutory requirements as an assisted-living facility with a licensed capacity of 75 beds, including a special Alzheimer's care unit with 13 beds. The renewal application includes ownership information, facility details, and compliance with licensing requirements.
Report Facts
Total licensed beds: 75
Alzheimer's unit beds: 13
Renewal license expiration date: Apr 30, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Miller | Administrator | Named as administrator and emergency contact on renewal application and Alzheimer's endorsement application |
| David Thayer | President/Owner | Named as contact and authorized representative on renewal application and Alzheimer's endorsement application |
| Donald P.J. Thayer | Authorized Representative | Signed renewal application as authorized representative |
| DJ Thayer | Board of Directors/Vice President/Owner | Listed as person in control of the facility |
| Dan Thayer | Board of Directors/Owner | Listed as person in control of the facility |
Inspection Report
Renewal
Capacity: 75
Deficiencies: 0
Feb 11, 2022
Visit Reason
The document is a renewal application and verification for the assisted-living facility Riverside Lodge, Inc., confirming licensure renewal and compliance with statutory requirements.
Findings
The facility meets statutory requirements as an assisted-living facility with a licensed capacity of 75 beds, including 13 beds for Alzheimer's/Special Care Unit. The documentation includes ownership information, occupancy permit, and detailed disclosures about the Alzheimer's unit and care services.
Report Facts
Total licensed beds: 75
Alzheimer's unit beds: 13
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Miller | Administrator | Named as facility administrator on renewal application and occupancy permit |
| David Thayer | President/Owner | Named as contact and owner on renewal application and ownership list |
| DJ Thayer | Board of Directors/Vice President/Owner | Named in ownership list |
| Dan Thayer | Board of Directors/Owner | Named in ownership list |
Inspection Report
Renewal
Capacity: 75
Deficiencies: 0
May 2, 2017
Visit Reason
This document serves as a licensure renewal application and verification for Riverside Lodge, Inc., an Assisted Living Facility, confirming compliance with statutory requirements and renewal of license through April 30, 2018.
Findings
The facility is licensed for 75 beds with a special care unit for Alzheimer's and dementia patients. The renewal application includes detailed ownership information, occupancy permit, facility layout, and a comprehensive disclosure of the Alzheimer's Special Care Unit including staffing, training, physical environment, resident activities, family support, and fees.
Report Facts
Total licensed capacity: 75
Maximum endorsed capacity: 13
Occupant load: 75
Number of units: 57
Staffing pattern: 2
Staffing pattern: 1
Staff training hours: 4
Annual staff training hours: 12
Fees - Suite Basic: 5400
Fees - Suite Enhanced: 5700
Fees - Suite Enhanced Plus: 6000
Fees - One Bedroom Basic: 6000
Fees - One Bedroom Enhanced: 6300
Fees - One Bedroom Enhanced Plus: 6600
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Miller | Administrator | Named as facility administrator and emergency contact; also signed the renewal application. |
| David Thayer | President/Owner | Named as contact person and legal owning entity representative. |
| E.J Thayer | Vice President/Owner | Listed as individual owner in control of the facility. |
| DJ Thayer | Board of Directors/Owner | Listed as individual owner in control of the facility. |
| Dan Thayer | Board of Directors/Owner | Listed as individual owner in control of the facility. |
| Jean Rork | Secretary | Listed as individual in control of the facility. |
| Lynn Sevenker | Inspector | Grand Island Fire Department inspector who signed the occupancy permit. |
Inspection Report
Renewal
Capacity: 75
Deficiencies: 0
Feb 8, 2016
Visit Reason
This document is related to the renewal of the assisted-living facility license for Riverside Lodge, Inc., verifying licensure through the indicated renewal date.
Findings
The document certifies that Riverside Lodge, Inc. meets statutory requirements as an assisted-living facility and includes licensure renewal information and ownership details.
Report Facts
Total licensed beds: 75
Maximum occupancy: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Debra Friend | Administrator | Named on the renewal application as the facility administrator (page 2). |
| David J. Thayer | Authorized Representative | Signed the renewal application as authorized representative (page 2). |
Inspection Report
Routine
Deficiencies: 0
Feb 19, 2015
Visit Reason
The inspection was a Compliance Inspection conducted to assess the facility's adherence to the Regulations Governing Licensure of Assisted-Living Facilities.
Findings
The facility was found in compliance with the applicable regulations, and the results of the inspection were commendable.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jean Obermier | Registered Nurse | Conducted the Compliance Inspection |
| Frances Prokop | Registered Nurse | Conducted the Compliance Inspection |
| Nancy Hauschild | Nutrition/dietitian | Conducted the Compliance Inspection |
Notice
Capacity: 75
Deficiencies: 0
APP2018
Visit Reason
This document serves as a licensure renewal application and verification for Riverside Lodge, Inc, an assisted living facility, including endorsement for Alzheimer's Memory Care.
Findings
The document confirms the facility's licensure status, ownership information, occupancy permit, and details about the Alzheimer's Special Care Unit including staffing patterns and resident care philosophy.
Report Facts
Total licensed beds: 75
Maximum endorsed capacity: 13
Occupant load: 75
Number of beds in Alzheimer's Special Care Unit: 13
Staffing pattern: 2
Staffing pattern: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Miller | Administrator | Named as facility administrator on the renewal application and Alzheimer's Special Care Unit Disclosure (pages 2 and 7). |
| David Thayer | President/Owner | Named as contact and owner on renewal application and Alzheimer's Special Care Unit Disclosure (pages 2, 3, and 7). |
| Jolene Harvey | Authorized Representative | Signed Alzheimer's Special Care Unit Disclosure application (page 9). |
| Lynn Sevenker | Inspector | Named as inspector on Occupancy Use Permit (page 4). |
Notice
Capacity: 75
Deficiencies: 0
APP2019
Visit Reason
This document serves as a licensure renewal application and verification for Riverside Lodge, Inc., an assisted-living facility, confirming compliance with statutory requirements and renewal of the facility's license.
Findings
The documents confirm that Riverside Lodge, Inc. meets statutory requirements as an assisted-living facility, including Alzheimer's special care unit endorsement, with no deficiencies or inspection findings reported.
Report Facts
Total licensed beds: 75
Maximum endorsed capacity: 13
Occupant load: 75
Staffing pattern: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Miller | Administrator | Named as facility administrator on multiple pages including renewal application and Alzheimer's unit endorsement. |
| David Thayer | President/Owner | Named as President/Owner and authorized representative on renewal application and Alzheimer's unit endorsement. |
| DJ Thayer | Board of Directors/Vice President/Owner | Listed as a person in control of the facility (page 3). |
| Dan Thayer | Board of Directors/Owner | Listed as a person in control of the facility (page 3). |
| Jolene Harvey | Authorized Representative | Signed Alzheimer's Special Care Unit Disclosure and Memory Care Endorsement Application (page 9). |
Notice
Capacity: 75
Deficiencies: 0
APP2020
Visit Reason
The document serves as a renewal application and licensure verification for Riverside Lodge, Inc., an assisted-living facility, including Alzheimer's special care unit endorsement.
Findings
The documents confirm that Riverside Lodge, Inc. meets statutory requirements for licensure as an assisted-living facility with a licensed capacity of 75 beds, including 13 beds designated for Alzheimer's care. It includes ownership information, facility layout, and care program descriptions.
Report Facts
Total licensed beds: 75
Alzheimer's unit beds: 13
Occupant load: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Miller | Administrator | Named as facility administrator on the Alzheimer's Special Care Unit Disclosure and renewal application. |
| David J. Thayer | President/Owner | Listed as President/Owner and authorized representative on the renewal application and ownership information. |
| DJ Thayer | Board of Directors/Vice President/Owner | Listed in ownership information. |
| Dan Thayer | Board of Directors/Owner | Listed in ownership information. |
Notice
Capacity: 75
Deficiencies: 0
APP2021
Visit Reason
This document package serves as a renewal application and licensure verification for Riverside Lodge, Inc., an assisted-living facility, including renewal of license, occupancy permit, and Alzheimer's Memory Care endorsement.
Findings
The documents confirm that Riverside Lodge, Inc. meets statutory requirements for licensure as an assisted-living facility with a licensed capacity of 75 beds and includes information on facility ownership, occupancy permit, and memory care services.
Report Facts
Total licensed beds: 75
Alzheimer's Memory Care beds: 13
Occupant Load: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Thayer | President/Owner | Named as contact and legal owning entity representative in the renewal application and Alzheimer's Memory Care endorsement application. |
| Melissa Miller | Administrator | Named as facility administrator and emergency contact in Alzheimer's Memory Care endorsement application. |
Notice
Capacity: 75
Deficiencies: 0
APP2023
Visit Reason
This document package serves as the renewal application and verification of licensure for Riverside Lodge, Inc., an assisted-living facility, including confirmation of license validity through April 30, 2024, and related administrative and compliance information.
Findings
The documents confirm that Riverside Lodge, Inc. meets statutory requirements for licensure as an assisted-living facility with a total licensed capacity of 75 beds, including 13 beds designated for Alzheimer's/special care. The package includes ownership details, occupancy permit information, and endorsement for memory care services.
Report Facts
Total licensed beds: 75
Alzheimer's/special care beds: 13
Occupant load: 483
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Miller | Administrator | Named as administrator and emergency contact in licensure and endorsement applications. |
| David Thayer | President/Owner | Named as authorized representative signing renewal application and contact for the facility. |
| DJ Thayer | Board of Directors/Vice President/Owner | Listed as person in control of the facility. |
| Dan Thayer | Board of Directors/Owner | Listed as person in control of the facility. |
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