Inspection Reports for Tabitha Nursing and Rehabilitation Center

An unannounced offsite focused infection control survey was conducted to investigate a complaint regarding the facility's failure to implement CMS directives related to COVID-19.

The facility followed CMS protocol for COVID-19 prevention, implemented interventions for staff and resident protection, and staff completed related education. The facility was found to be in compliance with relevant regulatory requirements.

The complaint alleged the facility failed to implement CMS directives related to COVID-19. The investigation found the allegation unsubstantiated as the facility was compliant.

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

The facility was found to use appropriate interventions to prevent injuries, and no violations were cited related to this issue after review of records and interviews with residents and staff.

The complaint alleged failure to use appropriate interventions to prevent injuries. The allegation was not substantiated as the facility was found compliant.

An unannounced visit was conducted to investigate a complaint at Tabitha Nursing Home regarding failure to provide monitoring to prevent elopement.

The facility provided monitoring to prevent elopement, and no violation was found related to this issue based on onsite inspection, staff interviews, and observations.

The complaint alleged failure to provide monitoring to prevent elopement; the allegation was not substantiated as no concerns were found.

An unannounced visit was conducted to investigate a complaint and annual survey at Tabitha Nursing Home on June 20, 2018-June 28, 2018, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found the facility in compliance with regulations regarding fall interventions, Minimal Data Set accuracy, and protection from misappropriation. The facility census was 169.

The complaint allegations included failure to change fall interventions, failure to ensure Minimal Data Set accuracy, and failure to protect residents from misappropriation. The investigation found no substantiated violations related to these allegations.

An unannounced visit was conducted to investigate a complaint at Tabitha Nursing Home on April 24, 2018. The investigation focused on allegations that the facility failed to provide care and treatment to promote healing of skin breakdown and failed to follow the plan of care.

The facility was found to be in compliance with regulatory requirements, ensuring provision of care and treatment to promote healing and prevent skin breakdown, and implementing and following the plan of care. No violations were identified related to the allegations.

The complaint alleged failure to provide care and treatment to promote healing of skin breakdown and failure to follow the plan of care. Both allegations were found to be unsubstantiated with no violations identified.

This document is a Nursing Home Licensure Renewal Application and related certification and licensing documents for Tabitha Nursing Home, verifying licensure through the indicated renewal date.

The documents certify that Tabitha Nursing Home meets statutory requirements for licensure renewal as a Skilled Nursing Facility with various therapy services. The renewal application includes detailed facility information, ownership, and certification status.

An unannounced visit was conducted to investigate a complaint at Tabitha Nursing Home from September 21, 2017 to September 28, 2017, focusing on allegations of abuse, inadequate care for skin breakdown, and failure to follow physician orders for incision care.

The investigation found no violations related to abuse or failure to follow physician orders for incision care. The facility provided wound care and treatment to promote healing of skin breakdown as required.

The complaint allegations were: 1) failure to ensure residents are free from abuse, 2) failure to provide care and treatment to promote healing of skin breakdown, and 3) failure to follow physician orders for incision care. The investigation substantiated no violations for these allegations.

An unannounced visit was conducted to investigate a complaint and annual survey at Tabitha Nursing Home from July 5, 2017 to July 12, 2017 by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with most allegations including protection from injury, food temperature safety, staffing sufficiency, medication documentation, housekeeping, abuse prevention, assessments, grooming, wound care, and fall investigations. Deficiencies were found related to medication administration timing and failure to follow the plan of care for one resident. Multiple fire safety and hazardous area deficiencies were identified across several buildings, including door undercuts exceeding allowed limits, doors held open or failing to latch, lack of smoke resistance, and oxygen safety issues.

The visit was complaint-related and included investigation of multiple allegations such as failure to protect residents from injury, medication errors, staffing sufficiency, abuse, housekeeping, and care plan adherence. Most allegations were found to be unsubstantiated except for medication administration timing and failure to follow plan of care for one resident.

An unannounced visit was conducted to investigate a complaint at Tabitha Nursing Home regarding allegations of abuse and failure to meet residents' dietary needs.

The facility was found to ensure residents are free from abuse and that meals and food meet the dietary needs of residents; therefore, no violations were issued related to these allegations.

The complaint alleged that the facility failed to ensure residents are free from abuse and failed to ensure meals meet dietary needs. Both allegations were investigated and found to be unsubstantiated with no violations issued.

An unannounced visit was conducted to investigate a complaint at Tabitha Nursing Home regarding allegations that staff were providing care above their level of training, residents were not able to direct their own care, and the facility failed to identify changes in condition.

The investigation found no violations related to the allegations. Staff were confirmed to provide care within their training limits, residents were able to direct their own care, and the facility appropriately identified and responded to changes in resident conditions.

The complaint alleged that staff were providing care above their level of training, residents were not able to direct their own care, and the facility failed to identify changes in condition. All allegations were found to be unsubstantiated with no violations.

An unannounced visit was conducted to investigate a complaint that the facility fails to investigate for causative factors in falls.

The investigation included review of resident records, observations, and interviews. The evidence revealed the facility reviewed all resident falls for causative factors and made care plan revisions accordingly. No violation was cited.

The complaint alleged the facility fails to investigate for causative factors in falls. The allegation was investigated and found unsubstantiated with no violations cited.

An unannounced visit was conducted to investigate a complaint alleging the facility failed to use appropriate interventions to prevent injuries.

The facility was found to use appropriate interventions to prevent injuries, with no violations identified. Review of accident/incident logs, resident records, observations, and staff interviews revealed compliance with regulations.

The complaint alleged failure to use appropriate interventions to prevent injuries. The allegation was not substantiated as the facility was found in compliance.

The notice was issued to impose disciplinary action against Tabitha Nursing Home for failure to provide Cardiopulmonary Resuscitation to residents according to standards of practice, resulting in probation for 90 days beginning June 28, 2016.

The facility violated licensure regulations related to the Director of Nursing Services and failed to provide appropriate Cardiopulmonary Resuscitation to residents, evidencing conduct detrimental to resident health or safety.

An unannounced visit was conducted to investigate a complaint at Tabitha Nursing Home from May 4, 2016 to June 2, 2016, regarding allegations including failure to provide prompt CPR, adequate nutrition, accurate weights, pain management, notification of changes in condition, respect and dignity, adequate staffing, and staff training.

The facility was found to have no violations related to prompt CPR, nutrition, pain management, notification of changes in condition, respect and dignity, adequate staffing, and therapy services. However, the facility failed to ensure staff were trained to perform CPR according to policy and standards, specifically failing to use a backboard during CPR. The facility had a census of 185 residents at the time. The facility submitted a plan of correction including staff education and mock codes.

The complaint investigation was triggered by allegations that the facility failed to provide prompt CPR, adequate nutrition, accurate weights, pain management, notification of changes in condition, respect and dignity, adequate staffing, and staff training. The investigation found no violations except for failure to train staff properly on CPR policies, specifically the use of a backboard during CPR.

An unannounced visit was conducted to investigate a complaint and annual survey at Tabitha Nursing Home on April 5, 2016-April 13, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with abuse, call system, restraint, change in condition, and grooming allegations. However, the facility failed to immediately report allegations of neglect and verbal abuse, failed to develop a care plan for a resident's behaviors, failed to evaluate an incontinent resident for a toileting program, failed to ensure dietary staff wore beard restraints and used uncontaminated gloves, and failed to disinfect glucometers properly.

The complaint investigation included allegations that the facility failed to ensure residents are free from abuse, failed to have a call system for residents to come back through a locked door, failed to ensure residents are not restrained, failed to report allegations of neglect, failed to respond to a change in condition, and failed to ensure clean and groomed hair, skin, teeth, and/or nails. The facility was substantiated to have failed to report allegations of neglect and verbal abuse.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to answer call notification systems promptly and failure to notify the practitioner of a change in condition.

The facility was found to be in compliance with both allegations; call notification systems were answered promptly and practitioners were notified of changes in condition as required.

The complaint alleged the facility failed to answer call notification systems promptly and failed to notify the practitioner of a change in condition. Both allegations were found to be unsubstantiated and the facility was in compliance.

This document serves as a Notice of Modification of Disciplinary Action against Tabitha Nursing Home following an Informal Conference that determined no actual harm to residents occurred regarding a violation related to Care and Treatment.

The Department of Health and Human Services modified the probation outlined in the prior Notice of Disciplinary Action dated April 10, 2015, eliminating the process and reporting requirements for the Care and Treatment violation, while continuing requirements related to Promote Healing.

The inspection was the annual survey of Tabitha Nursing Home to assess compliance with federal regulations and state licensing requirements.

The facility was found deficient in multiple areas including resident rights notification, bathing preferences, comprehensive care plans, pressure sore treatment, unnecessary drug use, immunizations, quality assurance committee activities, life safety code compliance, and electrical safety. Plans of correction were submitted addressing each deficiency with monitoring processes.

An unannounced visit was conducted to investigate a complaint at Tabitha Nursing Home from October 23, 2014 to October 28, 2014. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The investigation found no violations related to the allegations concerning medication aide competency, plan of care implementation, resident abuse protection, bladder elimination care, call notification response, therapy staff qualifications, resident harm protection, plan of care development, and complaint resolution. No concerns were identified in any of these areas.

The complaint investigation addressed multiple allegations including medication aide competency, plan of care adherence, protection from abuse, bladder elimination care, call notification response, therapy qualifications, resident safety, plan of care development, and complaint resolution. All allegations were found to have no violations.

An unannounced visit was conducted to investigate a complaint alleging that the facility fails to implement new interventions after resident falls.

The facility did implement new interventions after resident falls, and no violation was found. Resident records, facility policies, nursing staff interviews, and observations confirmed proper implementation of interventions.

The complaint alleged failure to implement new interventions after resident falls. The complaint was not substantiated as the facility was found compliant.

An unannounced visit was conducted to investigate a complaint at Tabitha Nursing Home regarding allegations of failure to notify family of change of condition, inadequate fluid intake to prevent dehydration, and inadequate intake of calories or other nutrients.

The investigation found that the facility does notify family or responsible parties of changes in condition, provides adequate fluid intake to prevent dehydration, and ensures adequate intake of calories and nutrients. No concerns were noted in any of the areas investigated.

The complaint alleged failure to notify family or responsible party of change of condition, failure to provide adequate fluid intake to prevent dehydration, and failure to provide adequate intake of calories or other nutrients. All allegations were found to be unsubstantiated.

An unannounced visit was conducted to investigate a complaint and annual survey at Tabitha Nursing Home from February 24, 2014 to March 4, 2014, including review of resident records, observation of care, and interviews with residents, family, and staff.

The facility was found to be in compliance with many care-related requirements including fall prevention, respect for sleeping arrangements, ambulation, restraint use, toileting, notification of condition changes, bathing, medication administration, catheter care, hygiene, pressure ulcer prevention, staffing sufficiency, dementia training, safe resident transfers, individualized activity programs, eating assistance, hand hygiene, telephone privacy, and medication evaluation. However, the facility failed to report allegations of abuse involving two residents and failed to ensure staff reported alleged incidents of abuse by a former employee. Additionally, deficiencies were found in care planning for incontinence and anxiety for two residents, medication administration observation, infection control related to sanitizing mechanical lifts, and life safety code compliance regarding smoke detection and kitchen equipment.

The complaint investigation revealed failure to report and investigate allegations of abuse involving two residents (Residents 384 and 161), including verbal and sexual abuse allegations by a former employee. The facility failed to report these allegations to the appropriate state authorities.

The inspection was conducted to investigate complaints regarding failure to notify family or legal representatives of significant changes in resident conditions and failure to provide appropriate care and services to maintain residents' highest well-being.

The facility failed to notify family or legal representatives of changes in condition for 4 of 9 sampled residents involving falls, medication changes, and hospital transfers. Additionally, the facility failed to provide adequate bowel care treatment for 2 of 9 sampled residents, resulting in adverse outcomes including hospitalization and death.

The complaint investigation revealed that the facility failed to notify family or legal representatives of significant changes in condition for residents who had falls, medication changes, and hospital transfers. The facility also failed to provide adequate bowel care treatment, leading to hospitalization and death of a resident.

Routine inspection of Tabitha Nursing Home to assess compliance with infection control, discharge summary requirements, and life safety code standards.

The facility failed to complete required elements in discharge summaries for 4 residents, failed to follow infection control practices during dressing changes and blood sugar testing, and had multiple life safety code deficiencies including doors that did not resist smoke passage and missing fire safety placards.

The inspection was conducted to assess compliance with Nebraska regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities, focusing on deficient practices identified during the survey.

The facility failed to revise the care plans for two residents to reflect changes in urinary ability related to the use of Foley catheters. Additionally, the facility failed to implement interventions to prevent pressure ulcers for one resident, who developed new Stage I and Stage II pressure ulcers. The resident declined use of a wheelchair cushion, but no education was provided to the resident or family regarding risks and benefits of this decision.

Routine state survey conducted to assess compliance with health and safety regulations for Tabitha Nursing Home.

Multiple deficiencies were identified including failure to reconcile resident personal possessions inventories at discharge, failure to identify broken teeth in resident assessments, failure to follow care plans for fall prevention, lack of medical justification for catheter use, improper use of psychoactive medications, and numerous life safety code violations related to fire safety, sprinkler systems, smoke barriers, and electrical safety.

The inspection was conducted due to complaints regarding call lights not being answered timely and concerns about wound care and infection control.

The facility failed to promptly resolve grievances related to call light response times, ensure proper wound care for a resident, and maintain infection control practices including disinfecting equipment and handling linens properly.

The complaint investigation was substantiated based on staff interviews, resident interviews, and grievances indicating call lights were not always answered timely. Additional findings included failure to ensure wound care interventions and infection control practices.

This document is a renewal license application and certification for Tabitha Nursing Home, verifying the facility's SNF/NF dual certification and license renewal through the indicated date.

The document confirms that Tabitha Nursing Home meets statutory requirements for licensure as a Skilled Nursing Facility/Nursing Facility dual certified entity, with no deficiencies or enforcement actions noted.

This document serves to verify the licensure renewal of Tabitha Nursing Home through the date indicated on the renewal card and includes the nursing home licensure renewal application, occupancy permit, and facility floor plans.

The document confirms that Tabitha Nursing Home meets statutory requirements for SNF/NF dual certification and provides detailed information about the facility's licensed capacity, ownership, and special care services. It also includes the occupancy permit issued by the Nebraska State Fire Marshal and floor plans for the facility.

The documents pertain to the renewal of the nursing home license for Tabitha Nursing Home, including submission of a renewal application and verification of occupancy permit.

No inspection findings or deficiencies are reported in these documents. The materials primarily consist of administrative renewal paperwork and facility floor plans.

This document serves to verify the renewal of the SNF/NF dual certification license for Tabitha Nursing Home and includes occupancy permits for various buildings within the facility.

The documents confirm that Tabitha Nursing Home meets statutory requirements for licensure renewal and provide occupancy permits with maximum bed capacities for multiple buildings within the facility.

The documents serve to verify licensing status, renewal applications, occupancy permits, and provide facility floor plans and organizational information for Tabitha Nursing Home and related facilities.

No inspection findings or deficiencies are reported. The documents include license renewal verification, occupancy permits with maximum bed capacities, and floor plans for various buildings associated with the facility.

This document serves to verify the license renewal status of Tabitha Nursing Home and includes occupancy permits for various buildings within the facility.

The documents confirm the renewal of the SNF/NF dual certification license through 3/31/2025 and provide occupancy permits for multiple buildings with specified maximum bed capacities.

This document serves to verify the license renewal status of Tabitha Nursing Home and includes occupancy permits for various associated nursing home buildings.

The documents confirm that Tabitha Nursing Home meets statutory requirements for licensure through March 31, 2026, and provide occupancy permits for multiple nursing home buildings with specified maximum bed capacities.

The documents serve to notify Tabitha Nursing Home of changes to the number of certified beds effective April 1, 2019, and an increase in licensed beds effective January 1, 2020.

The letters confirm the facility's certified beds and licensed bed capacity, noting an increase from 198 to 208 beds as authorized by Nebraska state regulations.

The document serves as a licensure renewal application for Tabitha Nursing Home and provides detailed information about the facility's services, care philosophy, floor plans, and training materials related to Alzheimer's and dementia care.

The document does not contain inspection findings but includes detailed descriptions of the facility's services, care and treatment assessments, staff training, and care approaches for residents with Alzheimer's and dementia.

This document is a comprehensive facility packet including licensing, renewal, facility plans, staff information, training materials, and service descriptions related to Tabitha Nursing Home and its specialized Alzheimer's/Dementia care unit.

The packet provides detailed information on facility licensing, ownership, board members, floor plans, occupancy permits, therapy services, care philosophies, Alzheimer's/Dementia care protocols, staff training, and fee schedules. It outlines the mission, care approaches, and environmental design for dementia care, emphasizing individualized care, safety, and therapeutic activities.