Inspection Reports for Tabitha Nursing Center at Crete

1800 East 13th Street, CRETE, NE, 68333

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Deficiencies (last 8 years)

Deficiencies (over 8 years) 4.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

2% worse than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

16 12 8 4 0
2011
2013
2014
2015
2016
2017
2018
2020

Census

Latest occupancy rate 82% occupied

Based on a July 2018 inspection.

Census over time

30 35 40 45 50 Jan 2011 Mar 2014 Mar 2015 Mar 2016 Jul 2018

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Apr 3, 2020

Visit Reason
An offsite investigation was conducted to investigate a complaint alleging that the facility fails to follow infection control guidelines for illnesses.

Complaint Details
The complaint alleged failure to follow infection control guidelines. The investigation found the facility in compliance with regulations.
Findings
The facility followed CMS protocol for COVID-19 prevention, implemented interventions for staff and resident protection, and staff had completed education related to COVID-19. The facility was found to be in compliance with relevant regulatory requirements.

Employees mentioned
NameTitleContext
Connie VogtProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Mar 30, 2020

Visit Reason
An unannounced offsite focused infection control survey was conducted to investigate a complaint regarding the facility's failure to follow infection control guidelines for illnesses.

Complaint Details
The complaint alleged that the facility failed to follow infection control guidelines for illnesses. The investigation found the allegation unsubstantiated as the facility was compliant.
Findings
The facility was found to follow infection control guidelines for illness, implemented interventions for staff and resident protection without concerns, and staff had completed education related to COVID-19. The facility was in compliance with relevant regulatory requirements.

Employees mentioned
NameTitleContext
Connie VogtProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health

Inspection Report

Complaint Investigation
Census: 36 Capacity: 44 Deficiencies: 0 Date: Jul 2, 2018

Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Tabitha Nursing Center At Crete from July 2, 2018 to July 9, 2018 by the Department of Health and Human Services Division of Public Health. The complaint alleged the facility failed to investigate causative factors in falls.

Complaint Details
The complaint alleged the facility failed to investigate causative factors in falls. The investigation included interviews with 20 residents, direct care staff, families, licensed nurses, and administrative staff, as well as record reviews and observations. The facility was found to be in compliance with regulations.
Findings
The allegation was investigated through interviews with residents, staff, families, and review of resident charts and facility policies. Observations were conducted and the facility was found to be in compliance with regulations regarding the complaint.

Report Facts
Residents interviewed: 20 Licensed capacity: 44 Census: 36

Employees mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned complaint investigation letter
Sherri DueAdministratorFacility administrator named in complaint investigation and application forms

Inspection Report

Renewal
Capacity: 44 Deficiencies: 0 Date: Feb 9, 2018

Visit Reason
The document is a Nursing Home Licensure Renewal Application and verification of license renewal for Tabitha Nursing Center at Crete.

Findings
The document confirms that the facility meets statutory requirements for licensure renewal as a Skilled Nursing Facility and Nursing Facility with dual certification.

Report Facts
Number of beds to be relicensed: 44

Employees mentioned
NameTitleContext
Michelle HunterDirector of NursingNamed in Nursing Home Licensure Renewal Application
Sherri DueAdministratorNamed in Nursing Home Licensure Renewal Application

Inspection Report

Life Safety
Deficiencies: 4 Date: Jun 27, 2017

Visit Reason
The facility underwent a life safety code inspection to ensure compliance with the 2012 Edition of the Life Safety Code of the National Fire Protection Association.

Findings
The facility had deficiencies related to fire alarm system testing and maintenance, sprinkler system inspection documentation, corridor door smoke tightness, and improper use of extension cords. Corrective actions and new vendor contracts were planned to address these issues.

Deficiencies (4)
Failed to provide and maintain documentation of the required semi-annual testing of the fire alarm system.
Failed to provide completed quarterly inspection reports of the fire sprinkler system.
Failed to assure the doors to the corridors were smoke tight, allowing smoke and fire to migrate into the exit corridor.
Failed to prohibit the use of extension cords in lieu of permanent wiring in a smoke compartment.
Report Facts
Facility census: 44 Licensed capacity: 36 Deficiency count: 4

Employees mentioned
NameTitleContext
Maintenance Staff AConfirmed lack of biannual fire alarm inspection reports and incomplete sprinkler system inspection documentation; confirmed gap between corridor doors; confirmed extension cord use.
Crete Facility Services ManagerResponsible for ensuring inspection paperwork is complete and signed, conducting quarterly inspections, and submitting reports to the Performance Improvement Committee.

Document

Capacity: 44 Deficiencies: 0 Date: Sep 1, 2016

Visit Reason
The letter serves to amend the Health Insurance Benefits Agreement to update the certified bed counts and room assignments effective September 1, 2016, as requested by the facility.

Findings
The document details the updated certified bed counts and room assignments for Medicare certified beds at the facility, totaling 44 beds.

Report Facts
Certified Medicare beds: 44

Employees mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the letter as Program Manager, Office of LTC Facilities, Licensure Unit.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jun 30, 2016

Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to evaluate causal factors for falls and failure to supervise residents identified as at risk for falls to prevent further falls.

Complaint Details
The complaint alleged that the facility failed to evaluate causal factors for falls and failed to supervise residents identified as at risk for falls to prevent further falls. Both allegations were found to be unsubstantiated.
Findings
The facility was found to be in compliance with regulations related to evaluating causal factors for falls and supervising residents at risk for falls; no violations were identified during the investigation.

Employees mentioned
NameTitleContext
Eve LewisProgram Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the report and provided contact information

Notice

Deficiencies: 0 Date: Apr 5, 2016

Visit Reason
The notice serves to inform the facility of disciplinary action placing the license on probation for 90 days beginning April 20, 2016, due to violations related to failure to assess and address causal factors of falls as specified in the CMS-2567 Report dated April 5, 2016.

Findings
The facility failed to assess and address the causal factors related to resident falls, violating licensure regulations. The CMS-2567 Report dated April 5, 2016, documents these violations.

Report Facts
Probation period: 90 Date of CMS-2567 Report: Apr 5, 2016

Employees mentioned
NameTitleContext
Courtney N. PhillipsChief Executive OfficerSigned the Notice of Disciplinary Action
Becky WisellAdministrator, Licensure UnitSigned the Notice of Disciplinary Action
Linda StenversStaff Assistant IICertified mailing of the Notice
Eve LewisProgram Manager, Office of Long Term Care FacilitiesContact for submission of reports and later letter terminating probation

Inspection Report

Complaint Investigation
Census: 41 Deficiencies: 1 Date: Mar 22, 2016

Visit Reason
An unannounced visit was conducted to investigate a complaint regarding the facility's failure to use appropriate interventions to prevent injuries.

Complaint Details
The complaint alleged the facility failed to use appropriate interventions to prevent injuries. The investigation substantiated this allegation with findings of inadequate fall prevention measures and supervision.
Findings
The facility failed to assess and address causal factors for falls for two residents, resulting in injuries including fractures and lacerations. Observations and interviews confirmed that interventions such as alarms and safety devices were not properly implemented or maintained.

Deficiencies (1)
Facility failed to assess and address causal factors for falls to prevent injuries for two residents.
Report Facts
Facility census: 41 Deficiency completion date: 2016

Employees mentioned
NameTitleContext
Dan TaylorRN, Training CoordinatorSigned the initial complaint investigation letter
Sherri DueAdministratorFacility administrator named in the report and correspondence
Eve LewisProgram ManagerSent confirmation of Informal Dispute Resolution meeting and final decision letter
Becky WisellAdministrator, Licensure UnitSigned the notification of decision following Informal Conference/Dispute Resolution
Dain WeissRNPerson conducting Informal Conference
Kelsie RyanCorporate AdministratorParticipant in Informal Conference
Michelle HunterDirector of NursingParticipant in Informal Conference

Inspection Report

Complaint Investigation
Census: 40 Deficiencies: 16 Date: Feb 29, 2016

Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Tabitha Nursing Center At Crete on February 29, 2016-March 3, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

Complaint Details
The complaint alleged the facility failed to ensure the privacy and confidentiality of residents. The investigation revealed staff failed to ensure personal cares were provided in a manner to protect resident privacy on two occasions by not closing window blinds. No citation was issued as confidentiality of medical information was not a concern and residents were not concerned about the lack of privacy.
Findings
The facility failed to ensure privacy and confidentiality of residents, maintain sanitary housekeeping and maintenance, identify and assess bruising, prevent accidents related to wheelchair foot pedals, prepare palatable and properly textured food, maintain sanitary food storage, ensure adequate bathroom ventilation, and comply with life safety code standards including fire door maintenance, exit accessibility, fire drills, fire alarm system maintenance, sprinkler coverage, oxygen storage safety, and electrical safety.

Deficiencies (16)
Failed to ensure walls, floors, resident furniture and equipment were sanitary and maintained in good repair affecting 18 rooms.
Failed to identify bruising and assess for causal factors and preventative interventions for residents.
Failed to prevent potential accidents related to pushing residents in wheelchairs without foot pedals.
Failed to prepare ground chicken in a palatable manner for three residents.
Failed to prepare pureed food items to a smooth/pudding consistency for one resident.
Failed to maintain walk-in cooler in a clean manner.
Failed to ensure mechanical ventilation was functional in bathrooms affecting 3 residents.
Failed to maintain fire door on third floor separating non-sprinkled building from sprinkled facility.
Allowed use of more than one locking device on 3 doors within means of egress and failed to provide approved step height at East Stair exit.
Failed to hold fire drills at random times under varied conditions on each shift.
Failed to maintain heat detector in second floor closet.
Failed to provide sprinkler coverage in the Chase Room.
Failed to maintain required clearance to sprinkler head in Resident closet 315.
Failed to secure mobile oxygen cylinders in Oxygen Storage Room.
Failed to post 'oxygen in use' sign on Resident Rooms 310, 306, and 216.
Failed to ensure line-operated electrical medical device in Resident Room 206 was plugged into hospital grade outlet and failed to maintain electrical connection to light fixture in 3rd floor Panel Room.
Report Facts
Rooms affected by housekeeping deficiency: 18 Facility census: 40 Residents affected by wheelchair foot pedal deficiency: 3 Residents affected by palatable food deficiency: 3 Residents affected by pureed food consistency deficiency: 1 Residents affected by ventilation deficiency: 3 Residents affected by fire door deficiency: 40 Residents affected by locking device deficiency: 40 Residents affected by fire drill deficiency: 40 Residents affected by heat detector deficiency: 21 Residents affected by sprinkler coverage deficiency: 11 Residents affected by sprinkler clearance deficiency: 10 Residents affected by oxygen cylinder storage deficiency: 40 Residents affected by oxygen signage deficiency: 25 Residents affected by electrical safety deficiency: 19

Employees mentioned
NameTitleContext
Dan TaylorRN, Training Coordinator - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned complaint investigation letter
Sherri DueAdministratorInterviewed and signed documents related to inspection
Maintenance Person AInterviewed regarding maintenance and ventilation deficiencies
Maintenance Person BInterviewed regarding sprinkler and oxygen cylinder deficiencies
Nursing Assistant BNAInterviewed regarding skin assessments
Licensed Practical Nurse DLPNInterviewed regarding skin assessments and wheelchair use
Licensed Practical Nurse HLPNInterviewed regarding bruising documentation
Nursing Assistant FNAObserved pushing resident in wheelchair without foot pedals
Nursing Assistant GNAObserved pushing resident in wheelchair without foot pedals
RN BRegistered NurseInterviewed regarding wheelchair foot pedal use
Dietary ManagerInterviewed regarding food preparation and kitchen cleanliness
Cook EInterviewed regarding food preparation
Administrator Staff AInterviewed regarding fire safety and oxygen storage

Inspection Report

Life Safety
Census: 37 Deficiencies: 3 Date: Mar 10, 2015

Visit Reason
The inspection was conducted to assess compliance with the 2000 Edition of the Life Safety Code of the National Fire Protection Association for existing health care occupancies.

Findings
The facility failed to maintain 2 of 2 battery backup emergency lights in the bath houses, lacked a total evacuation policy for staff, and had multiple electrical wiring issues including exposed wires and uncovered junction boxes. These deficiencies had the potential to affect resident safety but no residents were directly affected.

Deficiencies (3)
Failed to maintain 2 of 2 battery backup emergency lights in the bath houses.
Failed to provide an evacuation policy for total facility evacuation and staff training.
Electrical wiring violations including exposed wires on popcorn popper cord, missing outlet cover, and uncovered junction boxes in multiple locations.
Report Facts
Facility census: 37 Residents potentially affected: 18 Residents potentially affected: 7

Employees mentioned
NameTitleContext
Maintenance AAcknowledged emergency lights failed to work and electrical wiring deficiencies
Administrator AAdministratorConfirmed lack of total evacuation policy

Inspection Report

Complaint Investigation
Census: 35 Deficiencies: 0 Date: Jan 21, 2015

Visit Reason
An unannounced visit was conducted to investigate a complaint at Tabitha Nursing Center At Crete regarding allegations of neglect, failure to notify healthcare practitioners of changes in condition, and failure to change fall interventions after residents were identified at risk for falls.

Complaint Details
The complaint investigation addressed allegations that the facility failed to protect residents from neglect, failed to notify healthcare practitioners of changes in condition, and failed to change fall interventions after residents were identified at risk for falls. All allegations were found to be unsubstantiated.
Findings
The facility was found to have no violations related to neglect, notification of healthcare practitioners, or fall intervention changes. Residents' needs were met, notifications were timely, and fall interventions were reviewed and updated as needed.

Report Facts
Census: 35

Employees mentioned
NameTitleContext
Rebecca YoungRegistered NurseConducted the complaint investigation visit
Eve LewisProgram ManagerSigned the report and correspondence

Inspection Report

Life Safety
Census: 41 Deficiencies: 4 Date: Mar 24, 2014

Visit Reason
The facility underwent a Life Safety Code survey to assess compliance with the 2000 Edition of the Life Safety Code of the National Fire Protection Association, including fire protection and emergency lighting standards.

Findings
The facility was found deficient in maintaining battery backup emergency lights and exit signs, providing a 1-hour fire rated oxygen transfer room with reliable mechanical ventilation, and proper electrical wiring and equipment usage. The facility census was 41 at the time of the survey.

Deficiencies (4)
Battery backup emergency light in the Stairwell by the 2nd Floor Dining Room failed to function when tested.
Battery backup exit sign above the Stairwell Door by Room 304 in the West Hall failed to function when tested.
Oxygen Transfer Room Door failed to have a tag to verify the fire resistance rating of 45-minutes and ventilation fan was controlled by a switch and did not always remain on.
Electrical wiring and equipment not in accordance with NFPA 70: toaster not plugged directly into wall outlet and use of unapproved 2-outlet adapter in resident room.
Report Facts
Facility census: 41 Smoke compartments with deficiencies: 2 Smoke compartments with oxygen transfer room deficiency: 1 Emergency lighting duration: 1.5 Fire rated door duration: 45 Residents affected by oxygen transfer room deficiency: 6 Residents affected by electrical wiring deficiency: 2

Employees mentioned
NameTitleContext
Maintenance AAcknowledged findings related to emergency lighting, oxygen transfer room door, and electrical wiring deficiencies during survey

Inspection Report

Routine
Census: 39 Deficiencies: 5 Date: Jan 8, 2013

Visit Reason
Routine inspection of Tabitha Nursing Center at Crete to assess compliance with Nebraska Administrative Code and federal regulations including safety, sanitation, and life safety code standards.

Findings
The facility was found deficient in multiple areas including frayed and compromised whirlpool bath belts, inadequate walk-in freezer ventilation and dish machine rinse temperatures, non-functional bathroom ventilation fans on multiple floors, and improper installation of alcohol-based hand rub dispensers near ignition sources.

Deficiencies (5)
Two whirlpool bath belts were frayed, stained, and had compromised integrity affecting resident safety.
Walk-in freezer ventilation was not maintained in safe operational condition with ice buildup present.
Dish machine final rinse temperature did not reach required 180 degrees F, recorded at 178 degrees F.
Bathroom ventilation fans on second and third floors were non-functional or dusty, affecting multiple resident rooms.
Alcohol Based Hand Rub dispensers were installed immediately adjacent to ignition sources (electrical outlets) in two resident rooms.
Report Facts
Resident census: 39 Resident sample size: 26 Dish machine wash temperature: 157 Dish machine final rinse temperature: 178 Ice formation size: 5 Number of residents affected by ABHR dispenser deficiency: 7

Employees mentioned
NameTitleContext
Maintenance DirectorAcknowledged frayed whirlpool bath belts and ventilation system issues
Dietary ManagerProvided information on dish machine temperature requirements and acknowledged temperature deficiencies
Maintenance Staff AConfirmed ABHR dispensers installed adjacent to ignition sources

Inspection Report

Deficiencies: 0 Date: Dec 22, 2011

Visit Reason
The inspection was conducted to assess compliance with regulations for long term care facilities and skilled nursing facilities, as well as compliance with the Life Safety Code.

Findings
The facility was found to be in compliance with applicable regulations for long term care and skilled nursing facilities, excluding fire protection in one survey, and in compliance with the Life Safety Code in a separate survey.

Inspection Report

Complaint Investigation
Census: 35 Capacity: 40 Deficiencies: 1 Date: Jan 24, 2011

Visit Reason
The inspection was conducted due to allegations of misappropriation of resident assets involving three residents, which the facility failed to report and investigate properly.

Complaint Details
The complaint involved allegations of misappropriation of resident assets for Residents 10, 18, and 24. The facility did not report these allegations to the appropriate state agency and did not conduct thorough investigations. The Administrator acknowledged the failure to report. Some residents were reimbursed for missing money or items.
Findings
The facility failed to report and thoroughly investigate allegations of misappropriation of resident property for three residents. Missing money and scratch tickets were reported by residents but were not reported to the appropriate state agency or fully investigated. The facility reimbursed some residents and encouraged locking money in a safe.

Deficiencies (1)
Failed to report allegation of misappropriation of resident assets for 3 residents and failed to thoroughly investigate the allegations.
Report Facts
Resident sample size: 26 Facility census: 35 Total licensed capacity: 40 Missing money amount: 54 Reimbursement amount: 20 Reimbursement amount: 10 Reimbursement amount: 2

Employees mentioned
NameTitleContext
Dan TaylorRNAccepted the plan of correction

Document

Capacity: 44 Deficiencies: 0 Date: APP2019

Visit Reason
The document is a licensure renewal application for Tabitha Nursing Center at Crete, including occupancy permits and organizational information.

Findings
No inspection findings or deficiencies are reported; the document serves to verify licensure renewal and occupancy capacity.

Report Facts
Total licensed beds: 44 Occupancy beds: 22

Employees mentioned
NameTitleContext
Michelle HunterDirector of NursingNamed on the Nursing Home Licensure Renewal Application (page 2).
Sherri DueAdministratorNamed on the Nursing Home Licensure Renewal Application (page 2).

Document

Capacity: 48 Deficiencies: 0 Date: APP2020

Visit Reason
The documents serve to verify licensure renewal for Tabitha Nursing Center at Crete and include occupancy permits for two small house nursing home units, as well as floor plans for these units.

Findings
The documents confirm the facility's licensure renewal status, the number of beds licensed (48 total), and occupancy permits issued for two small house units each with 24 beds. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 48 Occupancy permit beds: 24 Occupancy permit beds: 24

Notice

Capacity: 48 Deficiencies: 0 Date: APP2021

Visit Reason
The document serves to verify the license renewal of Tabitha Nursing Center at Crete and includes the Nursing Home Licensure Renewal Application.

Findings
The documents confirm the facility's licensure renewal status and provide ownership, accreditation, and certification details. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 48 Maximum occupancy: 24

Employees mentioned
NameTitleContext
Sherri DueAdministratorNamed in Nursing Home Licensure Renewal Application
Michelle HunterDirector of NursingNamed in Nursing Home Licensure Renewal Application
Christie HinrichsPresident/CEONamed in Board of Directors list
Brian ShanksCFO Secretary/TreasurerNamed in Board of Directors list

Document

Capacity: 48 Deficiencies: 0 Date: APP2022

Visit Reason
The document set serves to renew the nursing home license for Tabitha Nursing Center at Crete and includes related administrative and facility information.

Findings
No inspection findings or deficiencies are reported in this document set; it primarily contains licensing, renewal, and occupancy permit information.

Report Facts
Total licensed beds: 48 Maximum occupancy beds: 24

Notice

Capacity: 38 Deficiencies: 0 Date: APP2023

Visit Reason
This document serves as a Nursing Home Licensure Renewal Application for Tabitha Nursing Center at Crete, including renewal license fees and certification of compliance with state regulations.

Findings
The document certifies that Tabitha Nursing Center at Crete is licensed through 3/31/2024 and includes occupancy permits for two buildings each with a maximum occupancy of 24 beds.

Report Facts
Total licensed beds: 38 Maximum occupancy: 24 Maximum occupancy: 24 Renewal license fee: 1550

Notice

Capacity: 38 Deficiencies: 0 Date: APP2024

Visit Reason
This document serves as a renewal application for the nursing home license of Tabitha Nursing Center at Crete, including verification of licensure and occupancy permits.

Findings
The documents confirm the facility's licensure renewal status, list the number of beds to be relicensed as 38, and include occupancy permits for two buildings each with 19 beds.

Report Facts
Total licensed beds: 38 Maximum occupancy: 19 Maximum occupancy: 19

Employees mentioned
NameTitleContext
Kelsie RyanAdministratorNamed in the Nursing Home Licensure Renewal Application.
Michelle HunterDirector of NursingNamed in the Nursing Home Licensure Renewal Application.
Brian ShanksAuthorized RepresentativeSigned the Nursing Home Licensure Renewal Application.
Aimee BaumannAuthorized RepresentativeSigned the Nursing Home Licensure Renewal Application.

Document

Capacity: 38 Deficiencies: 0 Date: APP2025

Visit Reason
The document serves as a renewal application for the nursing home license of Tabitha Nursing Center at Crete, including verification of licensure and occupancy permits.

Findings
The documents confirm the facility's licensure renewal status, ownership information, and occupancy permits with a maximum capacity of 38 beds. No inspection findings or deficiencies are reported.

Report Facts
Number of beds to be relicensed: 38 Maximum Occupancy: 19

Employees mentioned
NameTitleContext
Kelsie RyanAdministratorNamed in Nursing Home Licensure Renewal Application
Michelle HunterDirector of NursingNamed in Nursing Home Licensure Renewal Application
Jon RiewerPresident & CEOAuthorized representative signing renewal application and named in leadership team
Darin OheChief Financial OfficerAuthorized representative signing renewal application and named in leadership team

Notice

Capacity: 44 Deficiencies: 0 Date: APP2016

Visit Reason
This document set serves to verify the licensure renewal of Tabitha Nursing Center at Crete, including submission of the Nursing Home Licensure Renewal Application and related ownership and occupancy information.

Findings
The documents confirm the facility meets statutory requirements for licensure renewal, with no inspection findings or deficiencies reported. The occupancy permit states a maximum capacity of 44 beds.

Report Facts
Total licensed beds: 44

Employees mentioned
NameTitleContext
Michelle HunterDirector of NursingNamed on the Nursing Home Licensure Renewal Application.
Sherri DueAdministratorNamed on the Nursing Home Licensure Renewal Application and ownership disclosure.
Christine HinrichsPresident/Chief Executive OfficerNamed as authorized representative on the Nursing Home Licensure Renewal Application and ownership disclosure.
Joyce EbmeierSenior VP of Strategic Planning CommunicationsNamed on ownership disclosure.
Darcie BrinkChief Financial OfficerNamed on ownership disclosure.
Sarah FriedmanDirector of Patient Financial ServicesSigned the ownership disclosure form.

Document

Capacity: 44 Deficiencies: 0 Date: APP2017

Visit Reason
This document set includes the nursing home licensure renewal application for Tabitha Nursing Center at Crete, occupancy permits for two small houses within the facility, and board of directors information.

Findings
The documents verify licensure renewal status, list the licensed bed capacity as 44, and include occupancy permits for two small houses each with 22 beds. No inspection findings or deficiencies are reported.

Report Facts
Licensed beds: 44 Maximum occupancy: 22 Maximum occupancy: 22

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