Deficiencies (last 6 years)
Deficiencies (over 6 years)
3.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
24% better than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
94 residents
Based on a September 2016 inspection.
Census over time
Notice
Capacity: 110
Deficiencies: 0
Mar 28, 2019
Visit Reason
This document serves as verification that St. Joseph Tower Assisted Living is licensed through the date indicated on the renewal card and includes the certificate of occupancy issued by the Nebraska State Fire Marshal.
Findings
The facility meets statutory requirements as an assisted-living facility and has a maximum occupancy of 110 persons/beds as certified by the Nebraska State Fire Marshal.
Report Facts
Total licensed capacity: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Klaasmeyer | Administrator / Executive Director | Named as facility administrator and executive director in licensing documents and correspondence |
| James O'Brien | Named as one of the owners of the facility | |
| Stephen Coffey | Named as one of the owners of the facility | |
| Boyd Lauritsen | Named as one of the owners of the facility |
Inspection Report
Complaint Investigation
Deficiencies: 1
Nov 20, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding medication administration and provision of care at St. Joseph Tower Assisted Living.
Findings
The facility was found to have failed to provide medications in accordance with the five rights due to a transcription error, but corrective actions were implemented. The facility was compliant with providing care and services per the resident service agreement.
Complaint Details
The complaint alleged failure to provide medications according to the five rights and failure to provide care per the resident service agreement. The medication error allegation was substantiated without a deficiency as corrective actions were taken. The care provision allegation was not substantiated.
Deficiencies (1)
| Description |
|---|
| Failure to provide a medication to one resident due to failure to transcribe the medication on to a blood sugar log. |
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 |
| Jessica Klaasmeyer | Administrator | Facility administrator addressed in the report |
| Director of Nursing | Interviewed regarding medication error and medication administration processes |
Notice
Capacity: 110
Deficiencies: 0
Mar 2, 2017
Visit Reason
The document serves as a licensure renewal application and certification for St. Joseph Tower Assisted Living, verifying the facility's license renewal through April 30, 2018.
Findings
The documents confirm that St. Joseph Tower Assisted Living meets statutory requirements for licensure renewal as an assisted-living facility with a total licensed capacity of 110 beds. Floor plans for multiple levels of the facility are included.
Report Facts
Total licensed capacity: 110
Renewal expiration date: Apr 30, 2018
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Klaasmeyer | Administrator / Executive Director | Named as administrator and signatory on renewal application |
| James O'Brien | Named as owner of the facility | |
| Stephen Coffey | Named as owner of the facility | |
| Boyd Lauritsen | Named as owner of the facility |
Inspection Report
Complaint Investigation
Census: 94
Deficiencies: 1
Sep 6, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint survey at St. Joseph Tower Assisted Living on September 6, 2016, triggered by allegations including misappropriation of resident property, call system response, medication administration, retention criteria, food safety, and service agreement compliance.
Findings
The facility was found in compliance with regulations for allegations related to resident property misappropriation, call system response, medication administration, retention criteria, and service agreement compliance. However, the facility failed to ensure foods were cooked according to the Food Code, specifically serving soft cooked, unpasteurized eggs, which was a violation.
Complaint Details
The complaint investigation addressed multiple allegations including misappropriation of resident property, call system response times, medication administration accuracy, retention criteria compliance, food safety violations, and service agreement adherence. The food safety allegation was substantiated with a violation found; other allegations were not substantiated.
Deficiencies (1)
| Description |
|---|
| The facility failed to ensure foods were cooked according to the Food Code by serving soft cooked, unpasteurized eggs, posing a potential food borne illness risk. |
Report Facts
Medication pass opportunities: 47
Residents affected by food safety violation: 60
Facility census: 94
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the complaint investigation letter |
| Brenda Harbison | Registered Nurse | Surveyor for the complaint investigation |
| Lori Frodsham | Registered Nurse | Surveyor for the complaint investigation |
| Carol Neneman | Social Worker | Surveyor for the complaint investigation |
| Cook A | Prepared soft cooked eggs that were not pasteurized, contributing to food safety violation | |
| Dietary Manager | Confirmed eggs were not pasteurized and soft cooked eggs were prepared per resident requests; named responsible for correction | |
| Jessica Klaasmeyer | Administrator | Facility Administrator; named responsible for correction |
Notice
Capacity: 110
Deficiencies: 0
Apr 25, 2016
Visit Reason
This document serves as the licensure renewal application and verification for St. Joseph Tower Assisted Living facility, confirming its licensed status and providing ownership and facility information.
Findings
No inspection findings or deficiencies are reported in this document; it primarily contains administrative and licensing information including facility capacity, ownership, and certification details.
Report Facts
Total licensed beds: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Klaasmeyer | Administrator / Executive Director | Named as the facility administrator and executive director in the renewal application and letter. |
| James O'Brien | Listed as one of the owners of the facility. | |
| Stephen Coffey | Listed as one of the owners of the facility. | |
| Boyd Lauritsen | Listed as one of the owners of the facility and authorized representative on the application. |
Inspection Report
Annual Inspection
Census: 100
Deficiencies: 12
Sep 3, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint and perform an annual survey at St. Joseph Tower Assisted Living on September 3-4, 2014.
Findings
The facility was found to be in compliance with many regulatory requirements but had multiple deficiencies including failure to complete registry checks for direct care staff, lack of evidence for ongoing training, failure to identify responsible persons for medication monitoring, incomplete resident service agreements, failure to provide blood glucose testing and monitoring, food safety violations, inadequate environmental services, and lack of disaster preparedness agreements.
Complaint Details
The complaint investigation focused on medication administration according to the five rights, abuse prevention, notification of healthcare practitioner of condition changes, housekeeping, blood glucose testing, food temperature, resident service agreements, environment odor control, and dignity of residents. The facility was found to be in compliance with all related regulatory requirements for these complaint allegations.
Deficiencies (12)
| Description |
|---|
| Failed to complete Nurse Aide Registry Check and Nebraska State Patrol Sex Offender Registry Check for four direct care staff members. |
| Failed to have evidence of 12 hours yearly ongoing training for 11 of 15 direct care staff members. |
| Failed to identify person responsible for direction and monitoring of 12 sampled residents' medication aides. |
| Failed to include cost of services in Resident Service Agreements for 12 sampled residents. |
| Failed to provide evidence of evaluation for Resident 2's ability to self-administer medications. |
| Failed to complete competency determinations for additional medication aide activities for 11 medication aides. |
| Failed to follow up on significant weight loss for Resident 3. |
| Failed to maintain food safety including improper glove use, lack of test strips for sanitizer, and food storage violations. |
| Failed to obtain blood glucose test strips and notify physician of blood glucose results for multiple residents. |
| Failed to ensure roof was in good repair with multiple water leaks and mold issues. |
| Failed to maintain preventative maintenance log and complete daily maintenance documentation. |
| Failed to have agreements in place for disaster preparedness including evacuation plans and provision of emergency food, water, and medications. |
Report Facts
Facility census: 100
Direct care staff members: 15
Direct care staff missing registry checks: 4
Direct care staff missing ongoing training: 11
Medication aides: 13
Medication aides missing competency determinations: 11
Residents sampled for service agreements: 12
Residents with weight loss: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Schmidt | Registered Nurse | Surveyor conducting inspection and complaint investigation |
| Kay Reeves | Nutrition/dietitian | Surveyor conducting inspection and complaint investigation |
| Linda Klaasmeyer | Executive Director | Named as responsible for statement of compliance and interviewed during inspection |
| Jessie Cherek | Resident Care Director | Named as responsible for statement of compliance and interviewed during inspection |
| LPN A | Licensed Practical Nurse | Interviewed regarding medication monitoring and resident care |
Inspection Report
Complaint Investigation
Deficiencies: 1
May 22, 2013
Visit Reason
An unannounced visit was conducted to investigate a complaint at St. Joseph Tower Assisted Living on May 22-23, 2013, regarding multiple allegations including safeguarding residents' personal property, care and services per service agreements, notification of significant changes in condition, grievance resolution, blood glucose testing, medication administration, response to call lights, staffing levels, and building maintenance.
Findings
The facility was found to be in compliance with most regulatory requirements related to safeguarding property, care per service agreements, notification of changes, grievance resolution, blood glucose testing, response to call lights, staffing, and building maintenance. However, the complaint investigation report dated May 22-23, 2013, found the facility failed to ensure resident condition was stable and predictable for 2 of 97 residents, specifically Residents 16 and 17, related to smoking and confusion issues.
Complaint Details
The complaint investigation was substantiated with findings that Resident 16 was smoking in his apartment despite facility rules and Resident 17 exhibited confusion and wandering behaviors. The facility failed to ensure stable and predictable resident conditions for these two residents.
Deficiencies (1)
| Description |
|---|
| Failed to ensure resident condition was stable and predictable for 2 residents (Residents 16 and 17). |
Report Facts
Residents with unstable condition: 2
Total residents: 97
Medication administrations observed: 23
Staff members observed on day shift: 3
Investigation dates: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kay Reeves | Nutrition/dietitian | Surveyor conducting complaint investigation |
| Tracy Lichti | Executive Director | Named as responsible for overseeing statement of compliance |
| Jessie Cherek | Resident Care Director, LPN | Named as responsible for overseeing statement of compliance |
| Eve Lewis | Program Manager | Author of letter and findings summary |
Inspection Report
Complaint Investigation
Census: 90
Deficiencies: 4
Dec 17, 2010
Visit Reason
The inspection was conducted following a compliance inspection at St. Joseph Tower Assisted Living to investigate noncompliance with licensure regulations related to staff background checks, orientation, and ongoing training.
Findings
The facility failed to complete criminal background checks, Adult Protective Service checks, and Child Protective Service checks for certain staff members. Additionally, orientation and ongoing training documentation for direct care staff were missing.
Complaint Details
The visit was complaint-related, triggered by findings of noncompliance with licensure regulations regarding staff background checks, orientation, and ongoing training. Substantiation status is not explicitly stated.
Deficiencies (4)
| Description |
|---|
| Missing completed criminal background checks in staff employment records for staff member #2. |
| Missing completed Adult Protective Service and Child Protective Service checks for staff members #2 and #3. |
| Missing completed Orientation Check off List in staff employment records for staff members #2 and #3. |
| Missing documentation of ongoing training of at least 12 hours per year for staff members #1, #2, and #3. |
Report Facts
Facility census: 90
Days to correct violations: 90
Timeframe for statement of compliance submission: 10
Ongoing training hours required: 12
Notice
Capacity: 110
Deficiencies: 0
APP2022
Visit Reason
This document serves as a renewal application and verification of licensure for the Saint Joseph Tower Assisted Living facility.
Findings
The document confirms that the facility meets statutory requirements as an assisted-living facility and includes licensing renewal information, ownership details, and fire marshal occupancy certification.
Report Facts
Total licensed beds: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sherry Butler | Executive Director | Named as administrator and executive director in the renewal application and contact information (page 2 and 3). |
Notice
Capacity: 110
Deficiencies: 0
APP2023
Visit Reason
The document serves as a license renewal application and verification for the assisted-living facility St. Joseph Tower Assisted Living.
Findings
The documents confirm the facility's licensure status, ownership information, and maximum occupancy as per fire marshal certificate. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 110
Maximum occupancy: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sherry Butler | Administrator / Executive Director | Named as administrator on renewal application and executive director in contact information on page 3. |
| Stephen Coffey | Named as owner contact on page 3. | |
| Becky Coffey | Named as owner contact on page 3. | |
| Boyd Lauritsen | Named as owner contact on page 3. |
Notice
Capacity: 110
Deficiencies: 0
APP2024
Visit Reason
This document serves to verify that the St. Joseph Tower Assisted Living facility is licensed through the date indicated on the renewal card and includes a renewal application for the facility license.
Findings
The document confirms that St. Joseph Tower Assisted Living meets statutory requirements as an assisted-living facility and is licensed through April 30, 2025. It includes ownership information, licensing fees, and certification details.
Report Facts
Total licensed beds: 110
License expiration date: 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sherry Butler | Administrator | Named as administrator on renewal application and Executive Director in contact information letter |
| Stephen Coffey | Authorized Representative | Signed renewal application as authorized representative |
| Becky Coffey | Authorized Representative | Signed renewal application as authorized representative |
Notice
Capacity: 110
Deficiencies: 0
APP2025
Visit Reason
The document serves to verify the renewal of the assisted-living facility license and includes related administrative information such as ownership contacts and fire marshal occupancy certification.
Findings
The documents confirm that St. Joseph Tower Assisted Living meets statutory requirements for licensure renewal, with no inspection findings or deficiencies noted.
Report Facts
Total licensed beds: 110
Maximum occupancy: 110
Notice
Capacity: 110
Deficiencies: 0
APP2018
Visit Reason
This document serves as a licensure renewal notice and application for the assisted-living facility St. Joseph Tower Assisted Living, verifying that the facility is licensed through the indicated renewal date.
Findings
The document confirms that St. Joseph Tower Assisted Living meets statutory requirements as an assisted-living facility and is licensed through the renewal date of April 30, 2019. It includes ownership information, facility capacity, and certification details.
Report Facts
Total licensed capacity: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Klaasmeyer | Administrator / Executive Director | Named as the facility administrator and executive director in the renewal application and correspondence. |
| Stephen Coffey | Named as an owner of the facility in the letter dated February 19, 2018. | |
| James O'Brien | Named as an owner of the facility in the letter dated February 19, 2018. | |
| Boyd Lauritsen | Named as an owner of the facility in the letter dated February 19, 2018. |
Notice
Capacity: 110
Deficiencies: 0
APP2020
Visit Reason
This document serves to verify that the assisted-living facility St. Joseph Tower Assisted Living is licensed through the date indicated on the renewal card.
Findings
The document confirms that the facility meets statutory requirements as an assisted-living facility and is licensed through the expiration date shown.
Report Facts
Total licensed beds: 110
Notice
Capacity: 110
Deficiencies: 0
APP2021
Visit Reason
This document serves as a renewal application and license renewal notice for St. Joseph Tower Assisted Living facility, verifying that the facility is licensed through the date indicated on the renewal card.
Findings
The document confirms that St. Joseph Tower Assisted Living meets statutory requirements as an assisted-living facility and is licensed through the renewal date. It includes ownership information, licensing details, and a fire marshal certificate of occupancy.
Report Facts
Total licensed capacity: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James B O'Brien | Authorized Representative | Signed the renewal application and listed as an owner of the facility |
| Stephen Coffey | Listed as an owner of the facility |
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