Inspection Reports for
Southlake Village Rehabilitation & Care Center
9401 Andermatt Drive, LINCOLN, NE, 68526
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
52% better than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
98% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 123
Deficiencies: 5
Date: Nov 25, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with licensure regulations and facility standards.
Findings
The facility was found deficient in maintaining valid Power of Attorney and advance directive documentation for a resident with severe cognitive impairment, failure to follow prescribed menus for pureed diets, inadequate hair containment by food preparation staff, non-functional bathroom ventilation in multiple resident rooms, and failure to ensure nurse aides completed required ongoing training and performance evaluations.
Deficiencies (5)
Failure to maintain valid and appropriate Power of Attorney and advance directive documentation for Resident 9 with severe cognitive impairment.
Failure to follow the menu when preparing food for residents on pureed diet, including improper measurement and preparation.
Failure to contain hair properly while preparing meals, with hair exposed despite wearing skull caps.
Non-functional bathroom ventilation in six resident rooms out of 30 surveyed.
Failure to ensure one nursing assistant completed at least 12 hours of ongoing training annually and had a performance review at least once every 12 months.
Report Facts
Facility census: 123
Residents affected: 1
Residents affected: 6
Resident rooms: 6
Nursing assistants sampled: 5
Nursing assistants deficient: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NA - B | Nursing Assistant | Named in deficiency for lack of required ongoing training and performance evaluation |
| Director of Nursing | Director of Nursing | Confirmed training and evaluation deficiencies for NA - B |
| Licensed Practical Nurse - A | Licensed Practical Nurse | Confirmed staff training requirements |
| Clinical Support Liaison | Clinical Support Liaison | Confirmed training and evaluation deficiencies for NA - B |
| Administrator | Administrator | Confirmed lack of performance evaluation and facility policy regarding evaluations for NA - B |
| Registered Dietician | Registered Dietician | Confirmed food preparation and hair containment deficiencies |
| Social Services Coordinator | Social Services Coordinator | Confirmed POA tracking and outreach procedures |
| Production Cook | Production Cook | Observed not following recipe and improper hair containment |
| Culinary Chef | Culinary Chef | Observed improper hair containment |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 13, 2024
Visit Reason
The document is an annual inspection report for Southlake Village Rehabilitation & Care Center conducted to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Census: 116
Deficiencies: 1
Date: Aug 3, 2023
Visit Reason
The inspection was conducted to evaluate the facility's infection prevention and control program, specifically focusing on hand hygiene practices during resident treatment.
Findings
The facility failed to ensure that staff performed proper hand hygiene during wound care for one of four sampled residents, with observations showing lapses in hand sanitizing and hand washing between glove changes and wound care steps.
Deficiencies (1)
Failure to ensure staff performed hand hygiene using hand sanitizer or soap and water for at least 20 seconds during resident treatment to prevent cross contamination for Resident 17.
Report Facts
Residents affected: 1
Facility census: 116
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN-A | Licensed Practical Nurse | Observed failing to perform hand hygiene during wound care |
| Director of Nursing | Director of Nursing | Confirmed hand hygiene expectations during wound care |
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