Inspection Reports for Sutton Community Home & Hillcrest View Assisted Living

The document is a request from Sutton Community Home to the DHHS Licensure Unit for a change in certification and licensure of existing rooms, changing room occupancy types while maintaining the same total bed count.

The request details the current and proposed bed configurations, showing changes from single to double occupancy in some rooms and removal of beds in another, with total licensed beds remaining at 31. Floor plans illustrating current and proposed layouts are included.

This document serves as the Nursing Home Licensure Renewal Application for Sutton Community Home, Inc., including verification of licensure status and occupancy permit details.

The documents confirm that Sutton Community Home, Inc. is licensed for 31 beds and meets statutory requirements for licensure renewal. The occupancy permit is valid through 9/12/2024.

An unannounced visit was conducted to investigate a complaint and annual survey at Sutton Community Home, Inc. on October 15-18, 2018, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with evaluating causal factors for falls with no citations issued. However, multiple deficiencies were identified including failure to establish individualized emergency preparedness programs, failure to notify legal representatives of bed hold policy, failure to update care plans and restorative nursing programs, unsafe water temperatures, unsecured chemicals, expired emergency medications, infection control issues with linen handling, rodent presence, missing history and physical for one resident, fire safety code violations including fire door issues, sprinkler system testing deficiencies, electrical hazards, and emergency power system maintenance deficiencies.

The complaint alleged the facility failed to evaluate causal factors for falls. The investigation found the facility was in compliance with evaluating falls and no citations were issued.

An unannounced visit was conducted to investigate a complaint that the facility fails to implement interventions to prevent injuries.

The allegation was investigated through interviews, record reviews, and observations. The facility was found to be in compliance with regulatory requirements regarding the complaint.

The complaint alleged failure to implement interventions to prevent injuries. The investigation found the facility in compliance.

The document is a Nursing Home Licensure Renewal Application and certification verifying that Sutton Community Home, Inc. is licensed through the indicated renewal date.

The document confirms that Sutton Community Home, Inc. meets statutory requirements for licensure renewal as a Skilled Nursing Facility with specified therapy services. It includes ownership information and certification signatures.

An unannounced visit was conducted to investigate a complaint and annual survey at Sutton Community Home, Inc. on August 28, 2017-August 31, 2017, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with regulations related to protection of residents from adverse behaviors and timely completion of investigations. However, deficiencies were found related to failure to provide expedited appeal notices to Medicare beneficiaries, improper handwashing and food thawing practices in the kitchen, fire safety code violations including door knob heights, range hood suppression system inspections, smoke detector maintenance, sprinkler system impairment notifications, fire extinguisher placement and signage, incomplete fire evacuation procedures, incomplete fire drills, and exposed electrical wiring.

The complaint alleged failure to protect residents from residents with adverse behaviors and failure to complete written investigations within five working days. The facility was found compliant with these allegations.

An unannounced visit was conducted to investigate a complaint that the facility fails to assess for causal factors of burns.

The facility failed to assess residents to identify those at risk for burns from hot liquids for 3 sampled residents. The facility also failed to identify the causal factor of a hot liquid burn and implement interventions to reduce the risk of another burn for one resident. The facility lacked policies and assessments to identify residents at risk for burns and did not implement preventative interventions.

The complaint alleged the facility fails to assess for causal factors of burns. The investigation included review of resident records, observation of care, and interviews. The facility was found in violation of Federal tags F309 and F323 and corresponding State Licensure numbers.

An unannounced visit was conducted to investigate a complaint and annual survey at Sutton Community Home, Inc. on August 17, 2016-August 24, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found deficient in multiple areas including failure to notify legal representatives of resident skin impairments, failure to update care plans to reflect current resident status, failure to maintain sanitary food preparation and storage conditions, failure to monitor residents on antipsychotic medications for side effects, failure to ensure medication aides had required credentials, and life safety code violations including door latching and emergency lighting.

The complaint alleged the facility failed to ensure staff have appropriate credentials and failed to protect residents from residents with adverse behaviors. The investigation found one Medication Aide was not listed on the Nebraska Medication Aide Registry as required. The facility was found in violation of credentialing requirements but was in compliance regarding protection from residents with adverse behaviors.

An unannounced visit was conducted to investigate a complaint alleging the facility failed to protect residents from abuse.

The facility ensured residents were protected from abuse. Records, observations, and interviews confirmed compliance with relevant regulatory requirements.

The allegation was that the facility fails to protect residents from abuse. The investigation found the facility was in compliance and residents were protected.

This document is a Nursing Home Licensure Renewal Application and related renewal certification for Sutton Community Home, Inc., verifying the facility's license renewal and compliance with statutory requirements.

The document confirms that Sutton Community Home, Inc. meets statutory requirements for SNF/NF dual certification and is licensed for 31 beds. It includes ownership information, accreditation status, and certification details.

An unannounced visit was conducted to investigate a complaint alleging the facility fails to put interventions into place to prevent injuries.

The investigation found that the facility's falls prevention program does identify fall interventions and staff were implementing these interventions after resident accidents. There was no violation regarding the implementation of interventions.

The complaint alleged failure to implement interventions to prevent injuries. The investigation found no violation and the allegation was not substantiated.

The inspection was conducted to assess compliance with the Life Safety Code of the National Fire Protection Association, specifically related to fire safety and emergency preparedness.

The facility failed to maintain an internally illuminated exit sign in one smoke compartment, did not conduct fire drills for 2 of 3 shifts as required, failed to document monthly fire extinguisher inspections, and did not maintain the emergency generator according to NFPA standards.

The inspection was a routine survey to assess compliance with applicable regulations including the Life Safety Code and other health and safety standards.

The facility was found to have multiple deficiencies related to fire safety, exit accessibility, corridor obstructions, emergency generator maintenance, and electrical equipment use. These deficiencies had the potential to affect resident safety but no actual harm was reported.

The inspection was conducted to assess compliance with the 2000 Edition of the Life Safety Code of the National Fire Protection Association, specifically Chapter 19 for Existing Health Care Occupancies.

The facility failed to separate a hazardous area from the exit corridor in one of three smoke compartments, posing a risk of smoke and fire entering the exit corridor affecting residents using the Dining Room. Additionally, the fire alarm system was not maintained according to NFPA 72 standards, with a missed calibration test increasing the risk of fire alarm failure.

Annual inspection of Sutton Community Home, Inc. to assess compliance with regulatory requirements including abuse policies, housekeeping, care planning, safety, and medication management.

The facility was found deficient in multiple areas including failure to implement abuse screening protocols for new employees, inadequate maintenance and housekeeping resulting in damaged doors, incomplete care plan reviews for fall prevention, failure to protect a resident from sunburn, presence of expired biologicals, malfunctioning kitchen freezer, fire safety code violations including smoke partitions and fire door closures, obstructed exit corridors, lack of flame retardant documentation for curtains, inadequate emergency generator testing, and improper electrical wiring.

A survey was conducted by the Nebraska Department of Health and Human Services on June 9, 2011, to determine if the facility complied with federal requirements for nursing homes participating in Medicare and Medicaid programs.

The survey found the facility was not in substantial compliance with participation requirements, constituting immediate jeopardy to resident health and safety. As a result, a civil money penalty of $5,000 was imposed and denial of payment for new Medicare and Medicaid admissions was enforced until compliance was achieved.

Annual inspection to assess compliance with licensure regulations, life safety code, infection control, medication management, and quality assurance.

The facility had multiple deficiencies including failure to develop and revise comprehensive care plans, inadequate pain management documentation, improper cleaning of medical equipment, unsafe use of heat therapy devices, fire safety code violations including door hardware and fire alarm system maintenance, and ineffective quality assurance processes.

The document serves to verify the renewal of the SNF/NF dual certification license for Sutton Community Home, Inc., and includes the nursing home licensure renewal application and occupancy permit.

The documents confirm that Sutton Community Home, Inc. is licensed through 03/31/2018 with a licensed capacity of 31 beds, and the occupancy permit issued by the Nebraska State Fire Marshal on 08/18/2016 approves a maximum occupancy of 31 beds.

The documents pertain to the renewal of the nursing home license for Sutton Community Home, Inc., including submission of the renewal application and verification of licensure status.

No inspection findings or deficiencies are reported. The documents confirm licensure renewal status and include administrative information such as ownership, services provided, and fire safety procedures.

The document serves as a renewal application for the nursing home license of Sutton Community Home, Inc., including verification of licensure and occupancy permit details.

The documents confirm that Sutton Community Home, Inc. meets statutory requirements for licensure renewal as a Skilled Nursing Facility/Nursing Facility dual certification, with a licensed capacity of 31 beds and approved occupancy permit.

The documents serve to verify and renew the licensure of Sutton Community Home, Inc. as a skilled nursing facility, including submission of renewal application and confirmation of licensed capacity.

No inspection findings or deficiencies are reported in these documents. They primarily confirm licensure status, facility capacity, and administrative details.

The document set serves to verify and renew the nursing home license for Sutton Community Home, Inc., including confirmation of licensed bed capacity and certification of compliance with statutory requirements.

No inspection findings or deficiencies are reported in these documents. The materials focus on licensure renewal, facility ownership, and occupancy certification.

The document set serves to renew the nursing home license for Sutton Community Home, Inc., verify licensure status, and provide occupancy permit information.

No inspection findings or deficiencies are reported. The documents certify licensure renewal, facility capacity, and occupancy permit approval.

This document serves as a renewal application for the nursing home license of Sutton Community Home, Inc., including verification of licensure and occupancy permits.

The documents confirm that Sutton Community Home, Inc. is licensed for 31 beds and meets statutory requirements for SNF/NF dual certification. No inspection findings or deficiencies are reported.

The document serves as a Notice of Disciplinary Action against Sutton Community Home, Inc. for failure to protect a resident from injury and requires submission of a Plan of Correction. A subsequent Notice of Modification extends the probation period due to repeat violations found during a revisit.

The facility was placed on probation for 90 days beginning July 9, 2011, due to failure to protect a resident from a burn injury. The probation was extended to 180 days after a revisit on August 4, 2011, revealed repeated violations including failure to review care plans, maintain infection control practices, and manage the facility effectively.