Inspection Reports for The Nebraska Masonic Home

1300 AVENUE D, PLATTSMOUTH, NE, 68048

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 0 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

Same as Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2016
2019
2023
2024

Census

Latest occupancy rate 76% occupied

Based on a March 2019 inspection.

Census over time

49 56 63 70 77 84 Jan 1970 Mar 2019

Inspection Report

Renewal
Capacity: 58 Deficiencies: 0 Date: Apr 30, 2024

Visit Reason
The document is a renewal application and license verification for The Nebraska Masonic Home, an assisted-living facility, confirming licensure through the renewal date.

Findings
The facility meets statutory requirements as an assisted-living facility with a licensed capacity of 58 beds. The renewal application was completed and signed by authorized representatives on 2024-04-30.

Report Facts
Total licensed beds: 58 Renewal license expiration date: 2025

Employees mentioned
NameTitleContext
April JohnstonExecutive DirectorNamed as Executive Director of NMH on page 6
Lacie KennedyDirector of NursingNamed as Director of Nursing on page 6

Inspection Report

Renewal
Capacity: 58 Deficiencies: 0 Date: Apr 28, 2023

Visit Reason
The document is a renewal application and license verification for The Nebraska Masonic Home, an assisted-living facility, to renew its license and verify compliance with statutory requirements.

Findings
The documents indicate that The Nebraska Masonic Home meets statutory requirements as an assisted-living facility and is licensed for 58 beds. There are no inspection findings or deficiencies noted in the provided documents.

Report Facts
Total licensed beds: 58 Renewal application date: Apr 28, 2023 License expiration date: Apr 30, 2024

Employees mentioned
NameTitleContext
April JohnstonAdministrator / Executive DirectorNamed as administrator on renewal application and executive director on contact list

Inspection Report

Renewal
Census: 58 Capacity: 76 Deficiencies: 0 Date: Mar 18, 2019

Visit Reason
The document is a licensure renewal application and related materials for The Nebraska Masonic Home Assisted Living Facility, verifying the facility's license renewal and compliance with state regulations.

Findings
The facility is licensed as an assisted living facility with a total licensed capacity of 76 beds. The occupancy permit confirms compliance with fire marshal codes. The renewal application certifies that the facility meets statutory requirements and is requesting license renewal.

Report Facts
Total licensed beds: 76 Current census: 58 Renewal expiration date: Apr 30, 2020

Employees mentioned
NameTitleContext
Mary P. RussellExecutive DirectorNamed as facility administrator and executive director in renewal application and board member list
John T. Parsons2nd Vice PresidentNamed as 2nd Vice President on Board of Trustees
Philip A. LorenzenPresidentNamed as President on Board of Trustees

Notice

Capacity: 58 Deficiencies: 0 Date: Mar 18, 2019

Visit Reason
The document acknowledges the decrease in the number of licensed beds at the Assisted-Living Facility from 76 to 58 beds effective February 1, 2019.

Findings
The letter confirms the reduction in licensed bed capacity at the facility as requested by the administrator.

Report Facts
Licensed beds decrease: 18

Employees mentioned
NameTitleContext
Connie VogtProgram ManagerAuthor of the letter acknowledging the bed decrease

Inspection Report

Renewal
Capacity: 76 Deficiencies: 0 Date: Mar 28, 2016

Visit Reason
This document is related to the renewal of the assisted-living facility license for The Nebraska Masonic Home, verifying that the facility is licensed through the indicated expiration date.

Findings
The document certifies that The Nebraska Masonic Home meets statutory requirements as an assisted-living facility and includes licensure renewal application details, ownership information, and facility capacity.

Report Facts
Total licensed beds: 76

Employees mentioned
NameTitleContext
Mary VrbkaAdministrator / Executive DirectorNamed as administrator on the licensure renewal application and executive director on the board of trustees list.
Philip A. LorenzenAuthorized Representative / 2nd Vice PresidentSigned the licensure renewal application and listed as 2nd Vice President on the board of trustees.
Gary W. Radil1st Vice PresidentListed as 1st Vice President on the board of trustees.

Notice

Capacity: 76 Deficiencies: 0 Date: APP2017

Visit Reason
This document serves as a licensure renewal application and verification for The Nebraska Masonic Home Assisted-Living Facility, including occupancy permits and facility ownership information.

Findings
The documents confirm the facility's licensure renewal status, total licensed bed capacity of 76 beds, and include occupancy permits issued by the Nebraska State Fire Marshal. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 76 Renewal expiration date: Apr 30, 2018 Occupancy permit date: Apr 28, 2016

Employees mentioned
NameTitleContext
Mary P. StocktonExecutive DirectorNamed as facility administrator and executive director.
Philip A. LorenzenPresident, Board of TrusteesNamed in Board of Trustees listing.
Brett R. BennettSecretary, Board of TrusteesNamed in Board of Trustees listing.
Jason McClunDeputy State Fire MarshalInspected the facility for occupancy permit.

Notice

Capacity: 76 Deficiencies: 0 Date: APP2018

Visit Reason
This document serves as a licensure renewal application and verification for The Nebraska Masonic Home Assisted-Living Facility, confirming the facility's license status and capacity.

Findings
The document confirms that The Nebraska Masonic Home meets statutory requirements as an assisted-living facility with a licensed capacity of 76 beds. It includes occupancy permits, floor plans, and ownership information but does not report inspection findings or deficiencies.

Report Facts
Total licensed beds: 76 Renewal expiration date: Apr 30, 2019 Assisted Living Apt/Units beds: 56 Assisted Living Center beds: 20

Employees mentioned
NameTitleContext
Mary StocktonAdministrator and Executive DirectorNamed as facility administrator and executive director in renewal application and board member list
Jason McClunDeputy State Fire MarshalInspected the facility for occupancy permit on 2017-07-10

Notice

Census: 58 Capacity: 58 Deficiencies: 0 Date: APP2020

Visit Reason
This document package serves as the renewal licensure verification and application for The Nebraska Masonic Home Assisted-Living Facility, including occupancy permit and bed census details.

Findings
The documents confirm the facility meets statutory requirements for licensure renewal with a total licensed capacity of 58 beds, including 38 independent living apartments and 20 assisted living beds. The Nebraska State Fire Marshal approved the occupancy permit on 2020-02-05.

Report Facts
Total licensed beds: 58 Independent living beds: 38 Assisted living beds: 20 Occupancy permit issue date: Feb 5, 2020

Employees mentioned
NameTitleContext
Mary P. RussellAdministrator and Executive DirectorNamed as administrator on renewal application and executive director in board of trustees document.
Gary J. AnthoneChief Medical Officer, Director, Division of Public HealthSigned the licensure verification card.
Ty HernesDeputy State Fire MarshalInspected and approved the occupancy permit.

Document

Capacity: 58 Deficiencies: 0 Date: APP2021

Visit Reason
The document set serves to verify and renew the assisted-living facility license for The Nebraska Masonic Home, including submission of the renewal application and confirmation of licensed capacity.

Findings
No inspection findings or deficiencies are reported. The documents confirm licensure status, renewal application details, and occupancy permit for the facility.

Report Facts
Total licensed beds: 58

Employees mentioned
NameTitleContext
Mary P. RussellAdministrator / Executive DirectorNamed as administrator on the renewal application and executive director on the board of trustees page.
Gary W. Radil1st Vice President, Board of TrusteesNamed on the board of trustees page and as an authorized representative on the renewal application.
Philip A. LorenzenPresident, Board of TrusteesNamed on the board of trustees page.

Notice

Capacity: 58 Deficiencies: 0 Date: APP2022

Visit Reason
This document serves to verify that The Nebraska Masonic Home is licensed as an assisted-living facility through the date indicated on the renewal card and includes the renewal application and related administrative information.

Findings
The documents confirm the facility's licensure status, renewal application details, ownership information, and include a fire marshal occupancy permit. No inspection findings or deficiencies are reported.

Report Facts
Total licensed beds: 58

Employees mentioned
NameTitleContext
April JohnstonExecutive DirectorNamed as Executive Director of The Nebraska Masonic Home in contact information.
Philip A. LorenzenPresidentNamed as President of the Board of Trustees.
Brett R. BennettSecretaryNamed as Secretary of the Board of Trustees.
Steve InserraEnvironmental Services SupervisorNamed in administrative personnel contact list.
Randy GillottChief EngineerNamed in administrative personnel contact list.
Dawn PetersDirector of NursingNamed in administrative personnel contact list.
Jonna CarrollActivity DirectorNamed in administrative personnel contact list.
Tawnya MohlerDietary ManagerNamed in administrative personnel contact list.
Chris AbbottAdmin. Asst./Admissions CoordinatorNamed in administrative personnel contact list.
Bill RouxControllerNamed in administrative personnel contact list.
Letha PullmanAccounting AssistantNamed in administrative personnel contact list.
Vicki LacySecretary/ReceptionistNamed in administrative personnel contact list.

Notice

Capacity: 52 Deficiencies: 0 Date: APP2025

Visit Reason
This document serves to verify that The Nebraska Masonic Home is licensed as an assisted-living facility through the date indicated on the renewal card and includes the renewal application and occupancy permit.

Findings
The documents confirm the facility's licensure status, renewal application details, ownership information, and maximum occupancy as approved by the Nebraska State Fire Marshal.

Report Facts
Total licensed beds: 52 Renewal license expiration date: Expires 4/30/2026 as shown on the renewal card. Occupancy permit issue date: Issued on 2/25/2025 by the Nebraska State Fire Marshal.

Employees mentioned
NameTitleContext
April JohnstonAdministratorNamed on the renewal application.
Brett R. BennettAuthorized RepresentativeSigned renewal application as authorized representative.
Jeffrey ColemanAuthorized RepresentativePrinted name on renewal application as authorized representative.
Dan VodickaDeputy State Fire MarshalInspected the facility as noted on the occupancy permit.

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