Inspection Reports for Stanton Health Center
301 17th St, Stanton, NE 68779, NE, 68779
Back to Facility ProfileDeficiencies (last 13 years)
Deficiencies (over 13 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% worse than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
24
18
12
6
0
Census
Latest occupancy rate
60 residents
Based on a June 2019 inspection.
Census over time
Inspection Report
Renewal
Capacity: 70
Deficiencies: 0
Date: Mar 16, 2025
Visit Reason
This document is a Nursing Home Licensure Renewal Application for Stanton Health Center to renew its SNF/NF dual certification license.
Findings
The application certifies that Stanton Health Center meets statutory requirements for licensure renewal and includes information on facility ownership, services provided, and accreditation status.
Report Facts
Total licensed beds: 70
Maximum capacity for Alzheimer's beds: 13
Renewal license fees: 1550
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jonathan Brandow | Administrator | Named as facility administrator on the renewal application and Alzheimer's disclosure. |
| Haley Lusbe | Director of Nursing | Named as Director of Nursing on the renewal application. |
Inspection Report
Renewal
Capacity: 70
Deficiencies: 0
Date: Mar 25, 2024
Visit Reason
The document is related to the renewal of the nursing home license for Stanton Health Center, including submission of the Nursing Home Licensure Renewal Application and related certifications.
Findings
The documents confirm that Stanton Health Center meets statutory requirements for licensure renewal as a Skilled Nursing Facility and Nursing Facility with a total licensed capacity of 70 beds. The facility also holds certifications for Medicare and Medicaid and provides specialized care services including Alzheimer's/Special Care Unit, physical therapy, speech therapy, and occupational therapy.
Report Facts
Number of beds to be relicensed: 70
Maximum Occupancy: 70
Alzheimer's Special Care Unit Beds: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jonathan Brandow | Administrator | Named in Nursing Home Licensure Renewal Application and Alzheimer's Special Care Unit Disclosure |
| Toni Leathers | Director of Nursing | Named in Nursing Home Licensure Renewal Application |
| Nancy Morfeld | Contact name for legal owning entity in Alzheimer's Special Care Unit Disclosure |
Inspection Report
Renewal
Capacity: 70
Deficiencies: 0
Date: Mar 11, 2021
Visit Reason
The document is a Nursing Home Licensure Renewal Application and related Alzheimer's Special Care Unit Disclosure for Stanton Health Center, indicating the purpose is to renew the facility's license and special care unit endorsement.
Findings
The documents confirm that Stanton Health Center meets statutory requirements for licensure renewal as a Skilled Nursing Facility/Nursing Facility with special care services including Alzheimer's care. The facility maintains a licensed capacity of 70 beds and a maximum Alzheimer's unit capacity of 13 beds.
Report Facts
Total licensed beds: 70
Maximum Alzheimer's beds: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| April Johnston | Administrator, RN | Named as Administrator on the Nursing Home Licensure Renewal Application and Alzheimer's Special Care Unit Disclosure (pages 2 and 6). |
| Lisa Rumsey | Director of Nursing, RN | Named as Director of Nursing on the Nursing Home Licensure Renewal Application (page 2). |
Inspection Report
Renewal
Capacity: 70
Deficiencies: 0
Date: Mar 31, 2020
Visit Reason
The document is a Nursing Home Licensure Renewal Application and certification verifying that Stanton Health Center's SNF/NF dual certification is licensed through the indicated renewal date.
Findings
The documents confirm the renewal of the facility's license with no deficiencies or violations noted. The facility is certified for skilled nursing and nursing facility services with special care for Alzheimer's and therapy services.
Report Facts
Total licensed beds: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| April Johnston | Administrator | Named on the Nursing Home Licensure Renewal Application |
| Jennifer Dow | Director of Nursing | Named on the Nursing Home Licensure Renewal Application |
| Kathy Moore | Board Chairman | Signed the renewal application certification |
Inspection Report
Complaint Investigation
Census: 60
Deficiencies: 1
Date: Jun 6, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint at Stanton Health Center on June 6, 2019, regarding failure to use appropriate interventions to prevent injuries and failure to maintain staffing as required.
Complaint Details
The complaint alleged the facility failed to use appropriate interventions to prevent injuries and failed to maintain staffing as required. The allegation regarding injury prevention was substantiated; the allegation regarding staffing was not substantiated.
Findings
The facility failed to use appropriate interventions to prevent injuries for one sampled resident by not completing required documentation and assessments related to falls. Staffing levels were found to be in compliance with regulatory requirements.
Deficiencies (1)
Failure to identify causal factors for the development and/or revision of fall prevention interventions to prevent injuries for one resident.
Report Facts
Facility census: 60
Incident dates: 2
Plan of Correction completion date: 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the complaint investigation letter and report |
| April Johnston | Administrator | Facility administrator named in the report |
| Director of Nursing | Named in findings related to fall prevention interventions and education |
Inspection Report
Renewal
Capacity: 70
Deficiencies: 0
Date: Feb 7, 2019
Visit Reason
The document is a Nursing Home Licensure Renewal Application and related materials for Stanton Health Center, indicating the purpose is to renew the facility's license.
Findings
The document contains licensing renewal information, facility capacity, ownership, and detailed policies related to care, admissions, transfers, discharge, staffing, training, safety, and environment. No deficiencies or inspection findings are reported.
Report Facts
Total licensed beds: 70
Maximum endorsed capacity for Alzheimer's unit: 13
Renewal fee amount: 1750
Employees mentioned
| Name | Title | Context |
|---|---|---|
| April Johnston | Administrator | Named as Administrator on the Nursing Home Licensure Renewal Application and Alzheimer's Special Care Unit Disclosure. |
| Leslie Gartner | Director of Nursing | Named as Director of Nursing on the Nursing Home Licensure Renewal Application. |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 70
Deficiencies: 7
Date: Jan 30, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Stanton Health Center from January 30, 2019 to February 6, 2019. The investigation included review of resident records, observation of care, and interviews with residents, family, and staff.
Complaint Details
The complaint investigation focused on allegations that the facility failed to protect residents from abuse, allow resident choice, prevent injury, account for medications, complete investigations timely, and use appropriate interventions to prevent injuries. The facility was found compliant with these allegations.
Findings
The facility was found compliant with allegations related to abuse, resident choice, injury prevention, medication accountability, timely investigations, and injury interventions. However, deficiencies were identified in wound and pressure ulcer assessments, nutritional status monitoring, medication labeling and storage, sprinkler system maintenance, corridor door fire rating, fire drill scheduling, and electrical equipment use.
Deficiencies (7)
Failed to assess wounds and pressure ulcers weekly to monitor healing and treatment effectiveness for multiple residents.
Failed to evaluate significant weight loss and implement interventions for Resident 59.
Failed to ensure opened insulin pens and tuberculin vaccine vials were dated and discarded timely, risking use of outdated medications.
Failed to maintain required minimum clearance from fire sprinkler deflectors and allowed accumulation of dust and lint on sprinkler heads.
Failed to ensure corridor doors were constructed of 1 3/4 inch solid-bonded core wood or equivalent fire-resisting material.
Failed to conduct fire drills under varied conditions at least one hour apart on each shift for four quarters.
Allowed use of power strip cords in lieu of permanent wiring in patient care vicinity, increasing fire risk.
Report Facts
Facility census: 60
Total licensed capacity: 70
Weight loss percentage: 11
Fire drill times: 4
Insulin pen discard timeframe: 42
Tuberculin vaccine discard timeframe: 30
Required clearance from sprinkler deflectors: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| April Johnston | Administrator | Named as facility administrator in report |
| Connie Vogt | Program Manager - Office of LTC Facilities - Licensure Unit | Signed complaint investigation letter |
Inspection Report
Complaint Investigation
Census: 62
Deficiencies: 1
Date: Dec 18, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint at Stanton Health Center regarding failure to complete and submit investigations within five working days and failure to protect residents from injury.
Complaint Details
The complaint investigation was substantiated for failure to submit investigations within five working days, violating Federal regulation F609 and licensure reference number 175 NAC 12-006.02(8). The facility completed investigations but submitted them to Adult Protective Services instead of the Department of Health and Human Services as required.
Findings
The facility was found compliant with completing written investigations within five working days and protecting residents from injury. However, the facility failed to submit two of three completed investigations to the State Agency within five working days, violating federal regulations.
Deficiencies (1)
Failure to submit completed investigations to the State Agency within five working days for Residents 1 and 2.
Report Facts
Facility census: 62
Sample size: 3
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the complaint investigation letter |
| Vail Oleson | Administrator | Facility administrator addressed in the report |
| Director of Nursing | Interviewed regarding failure to submit investigations to DHHS |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 70
Deficiencies: 6
Date: Nov 28, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Stanton Health Center from November 28, 2017 to December 5, 2017, by representatives of the Department of Health and Human Services Division of Public Health.
Complaint Details
The complaint alleged the facility failed to ensure staff had appropriate credentials. Investigation found one incident of a Nurse Aide without credentials who was removed immediately. No violation was found related to this issue.
Findings
The complaint investigation found that the facility ensured staff had appropriate credentials, with one incident of a newly hired Nurse Aide lacking credentials who was immediately removed. The annual survey identified deficiencies including failure to maintain nutritional parameters for one resident, sprinkler system clearance issues, corridor door latch and seal failures, incomplete fire drill scheduling, incomplete emergency generator maintenance documentation, and improper use of power strips.
Deficiencies (6)
Failure to evaluate, revise and implement weight loss interventions to maintain nutritional parameters for one resident.
Failure to maintain required minimum clearance around sprinkler heads, with shelving encroaching into the 18 inch clearance.
Corridor doors failed to positively latch and seal within the door frame, allowing potential smoke spread.
Fire drills were not conducted under varied conditions with drills less than one hour apart on the same shift.
Incomplete documentation of emergency generator testing, missing time to transfer from normal to emergency power.
Use of power strip in lieu of permanent wiring in administration office, increasing fire risk.
Report Facts
Facility census: 56
Total licensed capacity: 70
Resident weight loss: 6
Deficiency count: 6
Fire drills conducted consecutively: 4
Fire drills conducted consecutively: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed complaint investigation letter |
| Brenda Orlowski | RN | Surveyor who signed the compliance form |
| Vail Oleson | Administrator | Facility administrator named in report |
Inspection Report
Complaint Investigation
Census: 64
Deficiencies: 3
Date: Jun 27, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint at Stanton Health Center on June 27-28, 2017, focusing on allegations including failure to follow plan of care to protect residents from injury, inaccurate Minimal Data Set information, failure to submit investigations timely, failure to protect residents from abuse, and failure to assist residents with pain management.
Complaint Details
The complaint investigation included allegations that the facility failed to follow the plan of care to protect residents from injury, failed to ensure accurate Minimal Data Set information, failed to submit investigations within 5 working days, failed to protect residents from abuse, and failed to assist residents with pain management. The facility was found in violation for failure to follow plan of care, failure to submit investigations timely, and failure to protect residents from abuse. The Minimal Data Set and pain management allegations were found to be in compliance.
Findings
The facility was found in violation for failing to follow the plan of care to prevent injury from hot liquids, failing to submit abuse/neglect investigations within five working days, and failing to protect residents from potential abuse during an ongoing investigation. The facility was compliant regarding accurate Minimal Data Set information and assisting residents with pain management.
Deficiencies (3)
Facility failed to follow the plan of care to protect residents from injury related to hot liquids.
Facility failed to submit investigations within five working days for abuse/neglect incidents.
Facility failed to protect residents from potential abuse during an ongoing investigation.
Report Facts
Facility census: 64
Sample size: 6
Deficiency count: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vail Oleson | 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 |
| Jodi Weander | Social Services Director | Reported allegation of abuse to Administrator |
| Rhonda Pettitt | APRN | Provided behavioral management for Resident #2 |
Inspection Report
Renewal
Capacity: 70
Deficiencies: 0
Date: Apr 24, 2017
Visit Reason
This document is a renewal application and certification for the Stanton Health Center nursing home license and Alzheimer's Special Care Unit endorsement.
Findings
The report details the renewal of the nursing home license and Alzheimer's Special Care Unit endorsement, including facility information, ownership, staffing, training, physical environment, resident activities, and family support programs. No deficiencies or violations are noted.
Report Facts
Total licensed beds: 70
Maximum endorsed capacity: 13
Staffing numbers: 4
Staffing numbers: 3
Staffing numbers: 2
Semi-Private Special Care Unit cost: 156.56
Private Special Care Unit cost: 167
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vail Oleson | Administrator | Named as facility administrator and authorized representative on renewal application |
| Connie Vogt | Director of Nursing | Named as Director of Nursing on renewal application |
Inspection Report
Re-Inspection
Census: 64
Capacity: 70
Deficiencies: 23
Date: Sep 22, 2016
Visit Reason
Re-inspection of Stanton Health Center to verify correction of previously cited deficiencies related to resident care, safety, and facility compliance with life safety codes.
Findings
The facility had multiple deficiencies including failure to timely notify physicians of resident condition changes, incomplete assessments, inadequate care plans, improper infection control practices, life safety code violations including fire safety and exit access issues, and maintenance deficiencies. The facility submitted plans of correction and implemented system changes to address these issues.
Deficiencies (23)
Failed to notify physician timely of changes in skin condition for 2 residents.
Failed to assess resident's ability to safely self-administer medications.
Inaccurate Minimum Data Set (MDS) assessments for dehydration, dental status, behaviors, and pressure ulcers for multiple residents.
Failed to review and revise care plan following development of pressure ulcer.
Failed to provide care and treatment to prevent additional skin breakdown for a resident with diabetic foot ulcer.
Failed to follow infection control procedures including hand hygiene and glove use, risking cross contamination.
Failed to use interior finish materials in accordance with flame spread requirements; wood wall in kitchen lacked documentation of flame spread rating.
Failed to separate Physical Therapy treatment area from exit corridor, allowing smoke to spread.
Failed to provide corridor doors with suitable means of keeping doors closed; doors were blocked open or latches not functioning.
Failed to mark exterior door in Chapel with 'No Exit' sign to prevent confusion.
Failed to maintain hazardous area doors to latch properly and provide smoke resistant partitions.
Failed to provide approved second exit from Special Care Unit; exit required travel through two intervening rooms.
Failed to provide required exit codes for multiple magnetic lock exit doors, risking delayed egress.
Failed to provide emergency lighting with required illumination in Dining Room and Solarium.
Failed to provide required exit signs with continuous illumination and visibility in Dining Room and corridors.
Obstructed fire extinguisher in Physical Therapy, delaying fire response.
Failed to secure oxygen cylinders and segregate full from empty cylinders in Oxygen Storage Room.
Failed to provide remote manual shutdown switch for emergency generators.
Failed to post 'oxygen in use' signs on resident rooms where oxygen was used.
Failed to conduct all required weekly inspections of emergency generator and document results.
Failed to secure shut-off valve for gas supply to generator, risking inadvertent shutoff.
Failed to provide approved policy for procedures when sprinkler system is out of service for more than 4 hours.
Failed to maintain doors to hazardous area to latch properly and provide smoke resistant partitions.
Report Facts
Deficiencies cited: 22
Facility census: 64
Total capacity: 70
Resident sample size: 27
Occupant load: 125
Residents affected by exit issue: 11
Residents affected by hazardous door issue: 20
Residents affected by fire extinguisher obstruction: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vail Oleson | Administrator | Named in administrative and plan of correction documents. |
| RN-A | Registered Nurse | Named in findings related to resident care and notification. |
| RN-L | Registered Nurse | Named in findings related to wound care and MDS accuracy. |
| LPN-M | Licensed Practical Nurse | Named in findings related to wound care notification. |
| MA-E | Medication Aide | Named in infection control observation. |
| NA-B | Nursing Assistant | Named in infection control observation. |
| Maintenance Staff A | Maintenance Staff | Named in multiple life safety and maintenance findings. |
| Administrative Staff A | Administrator | Named in multiple life safety and maintenance findings. |
Inspection Report
Complaint Investigation
Census: 61
Deficiencies: 3
Date: Jul 18, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint at Stanton Health Center regarding failure to protect residents from residents with behaviors, failure to ensure interventions for residents at risk for falls, and failure to protect residents from injuries.
Complaint Details
The complaint alleged the facility failed to protect residents from residents with behaviors, failed to ensure interventions for residents at risk for falls, and failed to protect residents from injuries. The investigation confirmed these allegations with multiple residents reviewed and deficiencies found.
Findings
The facility failed to protect residents from adverse behaviors and injuries, including a wrist injury of unknown origin and resident-to-resident altercations. The facility also failed to implement fall prevention interventions for multiple residents, resulting in falls and injuries. Care plans and interventions were not adequately developed or implemented to prevent these incidents.
Deficiencies (3)
Failure to assess causal factors and develop interventions to prevent injury for Resident 2 who sustained a wrist injury from an unknown cause.
Failure to develop interventions to ensure Resident 3 was protected from adverse behaviors displayed by Resident 4.
Failure to implement fall prevention interventions for Residents 1, 3, and 5.
Report Facts
Facility census: 61
Deficiencies cited: 3
Inspection Report
Routine
Census: 66
Capacity: 100
Deficiencies: 17
Date: Aug 26, 2015
Visit Reason
Routine inspection of Stanton Health Center to assess compliance with health, safety, and regulatory standards including resident care, medication management, and facility safety.
Findings
The inspection identified multiple deficiencies including failure to notify physicians of resident condition changes, inadequate care planning, improper medication management, fire safety code violations, and facility maintenance issues such as emergency lighting and sprinkler system concerns.
Deficiencies (17)
Failure to notify Resident 6's physician of pressure sore development and significant weight loss.
Failure to develop comprehensive care plans addressing hemodialysis access site monitoring and medication use for anxiety.
Failure to revise Resident 53's care plan to address newly acquired pressure sore and treatment.
Failure to provide necessary care and services to promote healing and prevent pressure sores for Residents 6 and 53.
Failure to maintain acceptable nutritional status and develop interventions for weight loss for Resident 6.
Use of unnecessary antipsychotic drugs above recommended doses for Residents 48 and 49 without adequate clinical justification or gradual dose reduction attempts.
Failure to maintain fire rated door in dining room separating assisted living and long term care facility.
Failure to provide adequate illumination in means of egress; lights in dining room could be turned off leaving area dark.
Failure to provide emergency lighting of at least 1½ hour duration; emergency light in boiler room #3 failed to work.
Failure to maintain all exit signs in accordance with NFPA 101; last monthly inspection was in June 2014.
Failure to conduct fire drills at unexpected times on all shifts and failure to provide documentation of fire alarm signal transmission to central receiving station.
Automatic sprinkler system not installed in accordance with NFPA 13; sidewall sprinkler heads installed on ceiling without proper listing.
Failure to maintain automatic fire sprinkler system in reliable operating condition; sprinkler heads in laundry room covered in lint.
Failure to inspect commercial cooking exhaust system every six months as required by NFPA 96.
Failure to provide current annual boiler inspection certification; last inspection was June 2013.
Failure to conduct monthly generator test for at least 30 minutes at 30% load or provide annual load bank test.
Use of electrical wiring and equipment not in accordance with NFPA 70; window air conditioner plugged into unapproved surge protector.
Report Facts
Facility census: 66
Facility total capacity: 100
Weight loss: 9
Seroquel dosage: 225
Seroquel dosage: 200
Fire drills missing: 3
Last emergency lighting test: 201406
Last boiler inspection: 201306
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Les Swanson | Representative | Provided letter regarding sprinkler head installation approval |
| Jeff Thelen | Administrator | Signed inspection report and plan of correction |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 31, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to provide care and treatment to promote healing of skin breakdown and failure to have an effective infection control program.
Complaint Details
The complaint alleged failure to provide care and treatment to promote healing of skin breakdown and failure to have an effective infection control program. Both allegations were found to be unsubstantiated as the facility was in compliance.
Findings
The facility was found to be in compliance with relevant regulatory requirements for both allegations. Care and treatment to promote healing of skin breakdown were provided as needed, and the infection control program was effective with staff trained and audited routinely.
Report Facts
Residents reviewed: 9
Residents observed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Krista Roeber | Social Worker | Conducted the complaint investigation |
| Brenda Orlowski | Registered Nurse | Conducted the complaint investigation |
| Eve Lewis | Program Manager | Signed the inspection report |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 16, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint at Stanton Health Center regarding allegations of failure to notify Health Care Practitioner of change in condition, failure to provide care and treatment to promote healing of skin breakdown, and failure to maintain an effective pest control program.
Complaint Details
The complaint investigation addressed three allegations: failure to notify Health Care Practitioner of change in condition, failure to provide care and treatment to promote healing of skin breakdown, and failure to maintain an effective pest control program. All allegations were found to be unsubstantiated and the facility was in compliance.
Findings
The facility was found to be in compliance with relevant regulatory requirements for all allegations. Staff interviews, resident record reviews, observations, and pest control service records verified proper notification of Health Care Practitioners, appropriate care for skin breakdown, and an effective pest control program.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Patricia Wolfe | Registered Nurse | Conducted the complaint investigation visit |
| Janice Hake | Registered Nurse | Conducted the complaint investigation visit |
| Eve Lewis | Program Manager | Signed the report as Program Manager, Office of Long Term Care Facilities |
Inspection Report
Annual Inspection
Census: 64
Capacity: 70
Deficiencies: 6
Date: Jul 7, 2014
Visit Reason
Annual inspection survey conducted to assess compliance with licensure regulations, life safety code standards, and food safety requirements at Stanton Health Center.
Findings
The facility was found deficient in housekeeping and maintenance services related to ventilation system cleanliness, care plan accuracy for fall interventions, food storage and temperature monitoring, fire safety including self-closing doors, emergency lighting, and sprinkler system coverage in the garage.
Deficiencies (6)
Facility failed to maintain clean ventilation systems in 13 resident rooms with bathroom vents soiled with dust.
Facility failed to revise Resident 13's care plan to assure current fall interventions were listed.
Facility failed to assure foods were stored at proper temperatures and food items were not labeled, dated, or discarded according to policy.
Laundry/dryer room door was not equipped with a self-closing device.
Emergency task illumination was not provided in two medication preparation rooms.
Automatic fire sprinkler system was not properly installed in the garage; six of nine sprinklers could be obstructed by open overhead garage doors.
Report Facts
Facility census: 64
Facility capacity: 70
Number of rooms with ventilation issues: 13
Number of sprinkler heads obstructed: 6
Number of medication prep rooms without emergency lighting: 2
Inspection Report
Complaint Investigation
Census: 63
Deficiencies: 1
Date: Mar 12, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to change fall interventions for residents identified as fall risks.
Complaint Details
The complaint alleged the facility failed to change fall interventions when residents were identified as fall risks and failed to protect residents from injuries. The investigation confirmed these allegations for Resident 2, who had multiple falls and injuries without updated interventions. The facility was found in violation of Federal tag F323 and NAC 12-006.09D7.
Findings
The facility failed to change fall interventions for residents identified as fall risks, specifically Resident 2, who had multiple falls without revised interventions. The facility also failed to protect residents from injuries and did not revise plans of care promptly after changes in condition, except for compliance found in one area.
Deficiencies (1)
Facility failed to assure a safe environment for residents at risk for falls as causal factors were not identified and interventions were not revised/implemented to prevent injury related to ongoing falls for Resident 2.
Report Facts
Facility census: 63
Fall incidents: 2
Fall with injury: 1
Fall with injury: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator | Signed the complaint investigation letter |
| Melissa Larson | Administrator | Facility administrator receiving the complaint investigation letter |
Inspection Report
Annual Inspection
Census: 58
Capacity: 70
Deficiencies: 4
Date: Jun 20, 2013
Visit Reason
Annual inspection survey conducted to assess compliance with licensure regulations, infection control, medication administration, and life safety code standards.
Findings
The facility failed to maintain resident dignity and respect during medication and treatment administration by conducting these in public corridors and common areas. Infection control practices were deficient, including failure to properly clean blood glucose meters and mechanical lift slings between resident uses. Life safety code violations included lack of emergency lighting in main exit corridors and improper placement of smoke detectors near air supply vents.
Deficiencies (4)
Failure to treat residents with dignity and respect during medication and treatment administration in public corridors and common areas.
Failure to practice infection control techniques to prevent cross contamination; blood glucose meter and mechanical lift sling not properly sanitized between uses.
Failure to provide emergency lighting in main exiting corridor lobby for at least 1.5 hours during power failure.
Smoke detectors installed too close to air supply vents, potentially impeding operation.
Report Facts
Facility census: 58
Facility capacity: 70
Residents affected by dignity deficiency: 12
Residents affected by infection control deficiency: 18
Residents affected by lift sling sanitation deficiency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NA-M | Nursing Assistant | Observed failing to sanitize mechanical lift sling between resident uses |
| RN-D | Registered Nurse | Observed failing to disinfect blood glucose meter before use |
| LPN-I | Licensed Practical Nurse | Observed failing to disinfect blood glucose meter before and after use |
| DON | Director of Nursing | Verified infection control and emergency lighting deficiencies and corrective actions |
Inspection Report
Annual Inspection
Census: 57
Capacity: 70
Deficiencies: 4
Date: Mar 20, 2012
Visit Reason
Annual inspection of Stanton Health Center to assess compliance with licensure regulations and life safety code standards.
Findings
The facility was found deficient in ensuring appropriate indications for medication use for one resident, failure of the consultant pharmacist to identify and report drug regimen irregularities, unsealed fire-resistance penetrations in smoke barriers, and lack of verification of fire alarm system monitoring by an approved central station.
Deficiencies (4)
Failure to ensure one resident had appropriate indications for use of medications Questran and Imodium, which were held numerous times without physician order or assessment.
Consultant pharmacist failed to identify and report irregularities in Resident 23's drug regimen related to Questran and Imodium to the physician and Director of Nursing.
Four of four smoke barriers had unsealed penetrations compromising fire-resistance rating, including unsealed sprinkler pipe and data wire penetrations above double doors to Assisted Living and Service Wings.
Fire alarm system was not verified to be monitored by an approved central station to ensure continuous monitoring and notification of fire department.
Report Facts
Facility census: 57
Total licensed capacity: 70
Medication doses administered: 95
Medication doses not administered: 29
Medication doses administered: 108
Medication doses administered: 55
Medication doses not administered: 8
Medication doses not administered: 3
Medication doses administered: 67
Medication doses administered: 35
Medication doses not administered: 9
Medication doses not administered: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN)-O | Interviewed regarding physician's decision to continue medications without documentation | |
| Director of Nursing | Verified consultant pharmacist did not identify drug regimen irregularities |
Inspection Report
Plan of Correction
Census: 54
Deficiencies: 2
Date: Jan 20, 2011
Visit Reason
The inspection was conducted to evaluate compliance with regulations governing licensure of skilled nursing facilities, focusing on food service practices and sanitary conditions.
Findings
The facility failed to provide residents with food that was palatable and at the proper temperature, and dietary staff were observed not following proper sanitary procedures such as removing soiled gloves and washing hands. Multiple deficiencies related to food preparation and serving were identified.
Deficiencies (2)
Failure to provide residents with food that is palatable, attractive, and at the proper temperature.
Failure to procure, store, prepare, distribute, and serve food under sanitary conditions, including handling ready-to-eat food with bare hands and not removing soiled gloves.
Report Facts
Facility census: 54
Date survey completed: Jan 20, 2011
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Assistant DA-J | Observed during meal service failing to follow proper food handling and serving procedures | |
| Dietary Assistant DA-K | Observed during meal service failing to use utensils properly and wearing gloves improperly | |
| Dietary Manager | Interviewed regarding staff training and compliance with food handling procedures |
Notice
Capacity: 70
Deficiencies: 0
Date: APP2023
Visit Reason
This document serves to verify the renewal of the Skilled Nursing Facility license for Stanton Health Center and includes the occupancy permit for the facility.
Findings
The documents confirm that Stanton Health Center meets statutory requirements for licensing renewal and has an approved occupancy permit with a maximum capacity of 70 beds.
Report Facts
Licensed beds: 70
Renewal license expiration date: 2024
Renewal license fees: 1750
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jonathan Brandow | LNHA | Administrator listed on renewal application |
| Toni Leathers | RN | Director of Nursing listed on renewal application |
Document
Capacity: 70
Deficiencies: 0
Date: APP2016
Visit Reason
The document set serves to verify licensure renewal, occupancy certification, and provide facility information including services, room capacity, and care levels for Stanton Health Center.
Findings
No inspection findings or deficiencies are reported. The documents include licensure renewal application, fire marshal occupancy permit, facility room and bed listings, special care unit description, and cost of care information.
Report Facts
Total licensed beds: 70
Renewal expiration date: 2017
Renewal application date: 2016
Occupancy permit issue date: 2015
Notice
Capacity: 70
Deficiencies: 0
Date: APP2018
Visit Reason
This document serves as a licensure renewal application and certification for Stanton Health Center, a skilled nursing facility, verifying licensure through the renewal date and providing related facility information and policies.
Findings
The document includes licensure renewal confirmation, facility capacity, ownership and accreditation details, facility policies on admissions, transfers, quality care, training, safety, and other operational guidelines. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 70
Special Care Unit capacity: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vail Oleson | Administrator | Named as facility administrator on renewal application and Alzheimer's Special Care Unit application. |
| Jill Daniel | Director of Nursing | Named as Director of Nursing on renewal application. |
Notice
Capacity: 70
Deficiencies: 0
Date: APP2022
Visit Reason
This document serves as a renewal application for the nursing home license of Stanton Health Center, verifying licensure and certification status.
Findings
The document confirms the facility's licensure renewal status, maximum bed capacity, and includes certifications for specialized care units such as Alzheimer's Special Care Unit. It also contains occupancy permits and detailed disclosures about care philosophy and staffing.
Report Facts
Maximum licensed beds: 70
Maximum capacity for Alzheimer's beds: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jonathan Brandow | Administrator | Named as Administrator on the Nursing Home Licensure Renewal Application and signed the application. |
| Shayla Risch | Director of Nursing | Named as Director of Nursing on the Nursing Home Licensure Renewal Application. |
| April Johnston | Administrator | Named as Administrator in the Alzheimer's Special Care Unit Disclosure. |
| Nancy Morfeld | City Clerk | Named as contact person and legal entity representative in the Alzheimer's Special Care Unit Disclosure. |
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