Inspection Reports for Stone Hearth Estates

110 W 20TH STREET, SUITE 400, GOTHENBURG, NE, 69138

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 0.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

88% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2014
2017
Inspection Report Complaint Investigation Deficiencies: 0 Nov 16, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint that the facility fails to protect residents from abuse.
Findings
The investigation found no evidence of abuse; residents were protected from abusive residents and staff were attentive. The facility was found to be in compliance with related regulatory requirements.
Complaint Details
The allegation that the facility failed to protect residents from abuse was investigated and found to be unsubstantiated.
Employees Mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned the report and identified as Training Coordinator, Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS
Inspection Report Complaint Investigation Deficiencies: 0 May 17, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint that the facility fails to have staff in accordance with regulations.
Findings
The investigation found that the facility had staff to meet the regulated requirements and was in compliance with related regulatory requirements.
Complaint Details
The allegation that the facility failed to have staff in accordance with regulations was investigated and found to be unsubstantiated.
Employees Mentioned
NameTitleContext
Eve LewisProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the report and identified as the program manager overseeing the investigation.
Inspection Report Complaint Investigation Census: 57 Deficiencies: 1 Sep 24, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Stone Hearth Estates on September 24, 2014. The investigation included review of resident records, observation of care, and interviews with residents, family members, and staff.
Findings
The facility was found to be in compliance with regulatory requirements regarding abuse and grievance handling. However, the facility failed to ensure direct care staff received required orientation training within two weeks of employment, including topics such as resident rights, infection control, emergency procedures, and disaster preparedness.
Complaint Details
The complaint alleged the facility failed to ensure residents were free from abuse and failed to act upon grievances and complaints. The investigation found the facility was in compliance with abuse-related requirements and grievance handling, including staff discipline and termination.
Deficiencies (1)
Description
Failure to ensure direct care staff received orientation training within two weeks of employment covering resident rights, service agreements, infection control, emergency procedures, abuse reporting, and disaster preparedness.
Report Facts
Facility census: 57 Number of direct care staff: 7
Employees Mentioned
NameTitleContext
Carmen BlakeRegistered NurseSurveyor conducting the inspection
Betty SmithRegistered NurseSurveyor conducting the inspection
Barbara NuxollAdministratorFacility administrator named in correspondence and plan of correction
Eve LewisProgram ManagerOffice of Long Term Care Facilities, Licensure Unit, Department of Health and Human Services
Notice Capacity: 65 Deficiencies: 0 APP2016
Visit Reason
This document serves to verify the licensing and renewal status of Stone Hearth Estates as an Assisted Living Facility with Memory Care Endorsement.
Findings
The documents confirm that Stone Hearth Estates meets statutory requirements for licensing as an Assisted Living Facility with Memory Care Endorsement. It includes detailed service agreements, admission criteria, staffing patterns, and training schedules.
Report Facts
Maximum endorsed capacity: 65 Suite rate: 5983 Ambulation Assistance fee: 325 Additional daily charge: 50 License expiration date: Apr 30, 2017
Employees Mentioned
NameTitleContext
Barbara NuxollAdministratorNamed as facility administrator and signatory on multiple documents.
Eve LewisProgram ManagerOffice of Long Term Care Facilities, Division of Public Health, Department of Health and Human Services.
Linda KlaasmeyerRNNamed in training calendar for Medication Aides and Catheter and Colostomy Care training.
Document Capacity: 65 Deficiencies: 0 APP2017
Visit Reason
The document serves as a licensure renewal application and verification for Stone Hearth Estates Assisted Living Facility, including renewal of the Alzheimer's Memory Care Endorsement and Memory Care Endorsement.
Findings
The documents confirm the facility's licensure status, ownership information, facility capacity, floor plans, and detailed descriptions of services and care provided, including staffing and training related to dementia care.
Report Facts
Total licensed beds: 65 Maximum occupancy: 65 Maximum endorsed capacity for Memory Care: 17 Renewal application approval date: Apr 17, 2017 License expiration date: Apr 30, 2018
Employees Mentioned
NameTitleContext
Barbara NuxollAdministratorNamed as administrator on renewal application and Alzheimer's Special Care Unit Disclosure (pages 2 and 13).
Deb BaconLimited Liability OwnerListed as a limited liability owner in ownership/control section (page 3).
Lisa NielsenLimited Liability OwnerListed as a limited liability owner in ownership/control section (page 3).
Mike HoeftDeputy State Fire MarshalInspected the facility for the Nebraska State Fire Marshal Occupancy Permit (page 4).
Document Capacity: 65 Deficiencies: 0 APP2018
Visit Reason
This document serves as a licensure renewal application and verification for Stone Hearth Estates Assisted Living Facility, including facility ownership, capacity, and endorsement information.
Findings
The documents confirm the facility's licensure renewal status, ownership details, capacity of 65 beds, and endorsement for Alzheimer's Memory Care. Floor plans and fire marshal occupancy permit are included.
Report Facts
Total licensed beds: 65 Memory care endorsed capacity: 17 Renewal expiration date: Apr 30, 2019
Employees Mentioned
NameTitleContext
Barbara NuxollAdministratorNamed as facility administrator on renewal application and endorsement application (pages 2 and 8).
Deb BaconLimited Liability OwnerListed as a limited liability owner in ownership/control section (page 3).
Lisa NielsenListed as limited liability owner through Ray Brown & Associates (page 3).
Gene UdenListed as limited liability owner through Ray Brown & Associates (page 3).
Notice Capacity: 65 Deficiencies: 0 APP2019
Visit Reason
This document serves as the licensure renewal application and verification for Stone Hearth Estates Assisted Living Facility, confirming the facility's license renewal and capacity.
Findings
The documents confirm that Stone Hearth Estates meets statutory requirements as an assisted living facility with Alzheimer's Memory Care endorsement, and includes licensure renewal details, ownership information, occupancy permit, and floor plans.
Report Facts
Total licensed beds: 65 Maximum occupancy: 65 Alzheimer's special care unit beds: 17 License expiration date: Apr 30, 2020
Employees Mentioned
NameTitleContext
Barbara NuxollAdministratorNamed as administrator and contact person on the renewal application and Alzheimer's endorsement application on pages 2 and 9.
Deb BaconLimited Liability OwnerListed as a limited liability owner on the ownership/control page 3.
Lisa NielsenListed as a limited liability owner on the ownership/control page 3.
Gene UdenListed as a limited liability owner on the ownership/control page 3.
Notice Capacity: 65 Deficiencies: 0 APP2020
Visit Reason
This document package serves as the renewal application and licensure verification for Stone Hearth Estates Assisted-Living Facility, including Alzheimer's Memory Care Endorsement and occupancy permit.
Findings
The documents confirm the facility's licensure renewal status, ownership information, facility capacity, floor plans, memory care endorsement, and occupancy permit with a maximum of 65 beds.
Report Facts
Total licensed beds: 65 Alzheimer's unit beds: 17 Renewal license expiration date: Apr 30, 2021 Occupancy permit beds: 65 Renewal application date: Mar 9, 2020
Employees Mentioned
NameTitleContext
Barbara NuxollAdministratorNamed as facility administrator on renewal application and Alzheimer's endorsement application (pages 2 and 6).
Notice Capacity: 65 Deficiencies: 0 APP2021
Visit Reason
This document set serves as a renewal application and licensure verification for the assisted-living facility Stone Hearth Estates, including occupancy permits and disclosure forms related to Alzheimer's special care and memory care endorsement.
Findings
The documents confirm the facility's licensure renewal status, ownership information, total licensed bed capacity, and include floor plans and staffing details. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 65 Alzheimer's special care beds: 14 Renewal license fee: 1950 Cost of care: 6795 Additional monthly fee for ambulation assistance: 350 Additional daily fee for palliative care: 50 Guest meal charge: 7.5 Holiday buffet meal cost: 12.5
Employees Mentioned
NameTitleContext
Jacob FlintAdministratorNamed as facility administrator and contact person in multiple documents.
Deb BaconListed as a Limited Liability Owner of the facility.
Lisa NielsenListed as a Limited Liability Owner of the facility.
Notice Capacity: 65 Deficiencies: 0 APP2022
Visit Reason
This document serves to verify that Stone Hearth Estates is licensed as an assisted-living facility through the expiration date on the renewal card and includes related licensure and occupancy permit information.
Findings
The documents confirm the facility's licensure status, renewal application details, ownership information, occupancy permit, and floor plans. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 65 Alzheimer's unit beds: 14 Renewal application date: Mar 25, 2022 Occupancy permit issue date: Nov 8, 2021
Employees Mentioned
NameTitleContext
Deborah L. BaconAdministratorNamed as administrator and authorized representative on renewal application and Alzheimer's unit endorsement application.
Lisa NielsenAuthorized RepresentativeSigned renewal application as authorized representative.
Michael HoeftDeputy State Fire MarshalInspected facility and approved occupancy permit.
Gary J. Anthone, MDChief Medical Officer, Director, Division of Public HealthSigned licensure verification card.
Document Capacity: 65 Deficiencies: 0 APP2023
Visit Reason
The documents serve to verify licensing and renewal status, provide occupancy permits, and disclose Alzheimer's special care unit information for Stone Hearth Estates.
Findings
The documents confirm that Stone Hearth Estates meets statutory requirements for assisted living licensure, has a licensed capacity of 65 beds including 14 Alzheimer's special care beds, and includes detailed floor plans and staffing information. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 65 Alzheimer's special care beds: 14 License renewal application date: Mar 15, 2023 License renewal application date: Mar 16, 2023
Employees Mentioned
NameTitleContext
Melissa YancyAdministratorNamed as facility administrator on renewal application and Alzheimer's special care unit disclosure.
Lisa NielsenAuthorized RepresentativeSigned renewal application and Alzheimer's special care unit disclosure as authorized representative.
Deborah L BaconAuthorized RepresentativeSigned renewal application as authorized representative.
Michael HoeftDeputy State Fire MarshalInspected facility for occupancy permit.
Notice Capacity: 65 Deficiencies: 0 APP2024
Visit Reason
This document serves to verify the license renewal of Stone Hearth Estates as an assisted living facility and includes the renewal application and related licensure information.
Findings
The documents confirm that Stone Hearth Estates meets statutory requirements for licensure as an assisted living facility with a capacity of 65 beds, including a special Alzheimer's memory care unit with 14 beds. No inspection findings or deficiencies are reported.
Report Facts
Total licensed capacity: 65 Alzheimer's unit capacity: 14 Renewal license expiration date: Apr 30, 2025
Employees Mentioned
NameTitleContext
Melissa YancyAdministratorNamed as administrator on renewal application and Alzheimer's endorsement application.
Document Capacity: 65 Deficiencies: 0 APP2025
Visit Reason
The documents pertain to the renewal of the assisted-living facility license for Stone Hearth Estates, including submission of renewal application, occupancy permit, and Alzheimer's special care unit endorsement.
Findings
No inspection findings or deficiencies are reported. The documents verify licensure renewal, facility capacity, ownership, and special care unit endorsement.
Report Facts
Total licensed beds: 65 Alzheimer's special care beds: 14 License renewal expiration date: Apr 30, 2025 Occupancy permit issue date: Nov 13, 2024 Monthly room and board rate: 7865
Employees Mentioned
NameTitleContext
Ashley JohnsonAdministratorNamed as facility administrator on renewal application and Alzheimer's special care unit disclosure.
Michael BaconContactContact name listed on Alzheimer's special care unit disclosure and ownership information.
Deborah L BaconAuthorized RepresentativeAuthorized representative who signed renewal application.
Lisa NielsenAuthorized RepresentativeAuthorized representative who signed renewal application and listed as 50% owner of Ray Brown & Associates.
Michael HoeftDeputy State Fire MarshalInspected the facility and approved occupancy permit.

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