Inspection Reports for The Pines at Blue Hill

This document is a nursing home licensure renewal application and related certification for The Pines at Blue Hill, verifying the facility's license renewal and compliance with statutory requirements.

The documents confirm the renewal of the SNF/NF dual certification for The Pines at Blue Hill, including licensure renewal application details, ownership information, and occupancy permit with a maximum capacity of 62 beds.

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

The facility was found to follow CMS protocol for COVID-19 prevention, implemented interventions for staff and resident protection without concerns, and was in compliance with relevant regulatory requirements.

The complaint alleged failure to follow infection control guidelines for illnesses. The investigation found the facility compliant with COVID-19 prevention protocols.

This document serves as a renewal application for the nursing home license of BCP Blue Hill, LLC, including related licensing and occupancy permit information.

The documents confirm the facility's licensure renewal status, ownership information, and maximum occupancy capacity as certified by the Nebraska Department of Health and Human Services and the Nebraska State Fire Marshal.

An unannounced visit was conducted to investigate a complaint at Bcp Blue Hill, Llc on February 6, 2020, regarding failure to identify change in condition, failure to notify the provider of change in condition, and failure to ensure pest control measures are safe for residents.

The facility was found to be in compliance with related regulatory requirements for all allegations: identifying change in condition, notifying the provider of change in condition, and ensuring pest control measures are safe for residents.

The complaint alleged failure to identify change in condition, failure to notify the provider of change in condition, and failure to ensure pest control measures are safe. The investigation found the facility in compliance with all related regulatory requirements.

An unannounced visit was conducted to investigate a complaint at BCP Blue Hill, LLC on October 1, 2019, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with related regulatory requirements regarding residents' rights, discharge notice, and identification of elopement, although the facility failed to correctly identify elopement but re-educated the individual and ensured the resident did not leave the building unattended.

The complaint alleged that the facility failed to allow residents to exercise their rights, failed to give appropriate discharge notice, and failed to correctly identify elopement. The investigation found the facility in compliance with all allegations except for a failure to correctly identify elopement, which was addressed by re-education and no actual elopement occurred.

The document is a renewal license issuance for BCP Blue Hill, LLC, a skilled nursing facility, due to a change of ownership and DBA name change from Blue Hill Care Center to BCP Blue Hill, LLC.

The facility was issued a Skilled Nursing Facility License #814001 effective September 17, 2019, with a total licensed capacity of 62 beds. The license replaces the previous license and is to be displayed on the premises.

An unannounced visit was conducted to investigate a complaint and annual survey at Blue Hill Care Center from March 17, 2019 to March 21, 2019, triggered by allegations of abuse, failure to protect residents from abuse, and insufficient staffing.

The facility failed to report allegations of abuse immediately, failed to issue timely bed hold notices, failed to review and revise care plans appropriately for multiple residents, failed to ensure competent nursing staff with completed competencies, failed to prevent duplicate antibiotic therapy, failed to properly label and secure medications, failed to ensure kitchen staff fully covered hair, and failed to maintain an effective infection prevention and control program including antibiotic stewardship and proper cleaning protocols.

The complaint investigation was triggered by allegations that the facility failed to report abuse immediately, failed to protect residents from abuse, and failed to ensure sufficient staffing to care for residents. The facility was found in violation for failure to report abuse timely but was found compliant regarding protection from abuse and staffing sufficiency.

An unannounced visit was conducted to investigate a complaint at Blue Hill Care Center on December 10, 2018, by representatives of the Department of Health and Human Services Division of Public Health. The investigation focused on allegations including failure to notify after falls, provide assistance with ADLs, protect residents from injury, submit investigations timely, ensure sufficient staffing, notify POA/family of condition changes, and respond promptly to calls for assistance.

The investigation found the facility was in compliance with all relevant regulatory requirements regarding notifications after falls, assistance with ADLs, resident protection from injury, timely submission of investigations, sufficient staffing, notification of legal representatives of condition changes, and prompt response to calls for assistance.

The complaint included seven allegations related to notification after falls, assistance with ADLs, protection from injury, timely submission of investigations, staffing sufficiency, notification of POA/family of condition changes, and prompt response to calls. The investigation determined the facility was in compliance with all these allegations.

An unannounced visit was conducted to investigate a complaint at Blue Hill Care Center on July 24, 2018, regarding allegations including insufficient staffing, failure to notify family of condition changes, failure to follow tornadic event procedures, failure to prevent pressure ulcers, failure to provide required bathing, failure to ensure fluids at ordered consistency, and failure to ensure call lights accessibility.

The investigation found the facility in compliance with staffing, notification, tornadic event procedures, pressure ulcer prevention, fluid consistency, and call light accessibility requirements. However, the facility was found in violation for failing to provide bathing assistance to 6 of 7 sampled residents who required it, with documented delays between baths ranging from 8 to 16 days.

The complaint investigation addressed seven allegations including insufficient staffing, failure to notify family/POA of condition changes, failure to follow tornadic event procedures, failure to prevent pressure ulcers, failure to provide bathing as required, failure to ensure fluids at ordered consistency, and failure to ensure call lights accessibility. The bathing allegation was substantiated with a violation found; all others were found in compliance.

An unannounced visit was conducted to investigate a complaint at Blue Hill Care Center on June 27, 2018, regarding allegations of failure to treat residents with dignity and respect, insufficient staffing, and failure to disinfect razors and/or lift slings between use.

The facility was found to be in compliance with allegations related to dignity and respect and staffing. However, the facility was found not in compliance for failing to revise the comprehensive care plan for transfer assistance for one resident, resulting in a citation at Federal Tag F657 and State Requirement 175 NAC 12-006.09C1c.

The complaint investigation addressed three allegations: failure to ensure residents are treated with dignity and respect, failure to maintain sufficient staffing, and failure to disinfect razors and/or lift slings between use. The first two allegations were substantiated as compliant; the third was substantiated as non-compliant due to care plan deficiencies.

The document is a Nursing Home Licensure Renewal Application and related renewal certification for Blue Hill Care Center, verifying the facility's license renewal and compliance with statutory requirements.

The documents confirm the facility's licensure renewal status, ownership information, and occupancy permit with a maximum capacity of 62 beds. No deficiencies or inspection findings are reported in these documents.

The inspection was conducted as an annual survey to assess compliance with state and federal regulations governing skilled nursing facilities, including resident rights, safety, environment, and quality of care.

The facility was found to have multiple deficiencies including failure to treat residents with dignity during dining assistance, environmental cleanliness issues, incomplete employee training and health screenings, medication labeling errors, inadequate monitoring of previous citations, infection control lapses, and life safety code violations such as malfunctioning egress doors, inadequate fire safety procedures, and maintenance issues with kitchen fire suppression and smoke barriers.

The notice was issued to inform the facility of disciplinary action placing its license on probation for 90 days starting February 23, 2017, due to violations of licensure regulations related to accidents and resident safety.

The facility failed to implement care planned interventions to prevent falls, which resulted in resident injury. The disciplinary action requires submission of a Plan of Correction and biweekly reports on residents with accidents during the probation period.

This document is related to the renewal of the nursing home license for Blue Hill Care Center, including submission of the Nursing Home Licensure Renewal Application and related certifications.

The facility is licensed for 62 beds and is certified for Medicaid and Medicare. The renewal application confirms compliance with statutory requirements and includes ownership and corporate structure details. An occupancy permit for 62 beds was issued on 2016-09-28 by the Nebraska State Fire Marshal.

An unannounced visit was conducted to investigate a complaint regarding the facility's failure to have appropriate equipment when residents have been identified at risk for falls.

The investigation found that fall intervention equipment was not consistently utilized for residents at risk for falls, specifically Resident 104 who suffered a fall resulting in a fractured hip. Observations revealed call lights were out of reach, foot cradles were not in place, and bed alarms were either disconnected or not used as care planned. Staff interviews confirmed miscommunication regarding alarm use during the day.

The complaint investigation was triggered by an allegation that the facility failed to have appropriate equipment for residents identified at risk for falls. The investigation included record reviews, observations, and interviews. The facility was found in violation of Federal tag F323 and State Licensure Number 175 NAC 12-006.09D7.

The inspection was conducted as an annual survey to assess compliance with federal and state regulations governing skilled nursing facilities.

The facility was found deficient in multiple areas including failure to update care plans, inadequate pressure ulcer prevention, incomplete immunization documentation, malfunctioning bathroom ventilation, deficient smoke barriers, emergency lighting issues, fire drill scheduling, fire alarm system maintenance, fire extinguisher installation and inspection, fire separation around the emergency generator room, generator testing and documentation, and fire watch policies.

An unannounced visit was conducted to investigate a complaint and annual survey at Blue Hill Care Center from July 27, 2015 to August 3, 2015.

The facility was found deficient in multiple areas including failure to notify family of resident condition changes, incomplete resident registers, improper Medicare denial notices, failure to notify family of significant resident changes, incomplete care plans for assist bar use, improper medication administration, lack of discharge summaries, unsafe assist bar installation, improper meal service hygiene, infection control issues, and inadequate emergency generator maintenance.

The visit was complaint-related due to an allegation that the facility failed to notify family or responsible party of a change in condition. The complaint was substantiated with findings including failure to notify one resident's family of a significant change in condition.

The inspection was conducted to assess compliance with the Life Safety Code of the National Fire Protection Association and related fire protection regulations for the Blue Hill Care Center.

The facility failed to seal smoke barrier penetrations in 2 of 4 smoke barriers, failed to separate hazardous areas from exit corridors in 2 of 6 smoke compartments, had incomplete fire alarm notification appliance installations, failed to maintain the emergency generator according to NFPA standards, and had unsafe electrical equipment usage in 3 of 6 smoke compartments.

This Notice of Disciplinary Action was issued due to violations related to failure to assess causal factors and implement interventions to prevent accidents, and failure to ensure the Quality Assessment and Assurance committee identified quality issues affecting residents.

The facility was placed on probation for 90 days beginning July 18, 2013, requiring submission of a Plan of Correction addressing violations related to accident prevention and quality assurance. The probation required regular reporting and involvement of an outside consultant to monitor compliance.

Annual survey to assess compliance with state and federal regulations including resident care, safety, and facility operations.

The facility was found deficient in multiple areas including management of resident personal funds, mail delivery, discharge planning, abuse investigation and reporting, grievance follow-up, restorative care, fall prevention, nursing staffing, food temperature and palatability, medication storage, and quality assurance. Life safety code deficiencies were also noted related to fire safety partitions, emergency lighting, sprinkler system maintenance, and soiled linen storage.

The notice was issued to inform the facility of disciplinary action placing the Skilled Nursing Facility license on probation for 90 days due to violations related to failure to assess causal factors for falls and implement interventions to prevent falls.

The facility failed to assess causal factors for falls resulting in injuries and did not implement interventions to prevent falls, leading to the disciplinary action and probation.

The inspection was conducted as a complaint investigation based on allegations of failure to report and investigate injuries of unknown origin and failure to revise care plans to prevent further falls.

The facility failed to report and investigate injuries of unknown origin within required timeframes and failed to revise care plans and implement interventions to prevent further falls for Resident 01. Multiple falls with injuries were documented without appropriate investigation or care plan updates. The facility also failed to identify causal factors for falls and implement adequate fall prevention interventions.

The complaint investigation revealed failures in reporting and investigating injuries of unknown origin and deficiencies in fall prevention care planning and interventions for Resident 01.

The inspection was conducted as a complaint investigation focusing on deficient practices related to care plan revisions, food safety, and infection control at Blue Hill Care Center.

The facility failed to revise comprehensive care plans to reflect changes in resident status for 3 residents, improperly handled food preparation and storage increasing risk of foodborne illness, and failed to implement proper infection control and isolation procedures for residents requiring contact isolation.

The complaint investigation focused on 3 residents (Residents 01, 02, and 03) who were placed on contact isolation due to salmonella infections. The facility failed to update care plans, implement isolation precautions properly, and ensure staff compliance with hand hygiene and infection control policies.

Annual inspection survey conducted to assess compliance with federal and state regulations including fire safety, resident care, grievance resolution, abuse prevention, and food safety.

The facility was found deficient in multiple areas including grievance resolution, neglect and abuse prevention, care planning and monitoring of skin issues, food handling sanitation, fire safety code compliance, fire drills, fire alarm system maintenance, and flame retardant window coverings.

The inspection was conducted as an annual survey to assess compliance with regulatory requirements for Blue Hill Care Center, including housekeeping, medication administration, care planning, infection control, and other professional standards.

The facility was found deficient in multiple areas including housekeeping and maintenance services, medication administration and physician order compliance, care planning for residents, infection control practices, and documentation of medication destruction. Several residents' care plans and treatments were not properly followed or documented, and staff training and monitoring were planned to address these issues.

The documents pertain to licensing, ownership change, and operational transfer of The Pines at Blue Hill skilled nursing facility, including issuance of a new license due to change of ownership and related agreements.

No inspection findings are reported. The documents include licensing approvals, occupancy permits, transfer agreements, and business associate agreements without any survey or inspection results.

The documents pertain to the licensure renewal process for Blue Hill Care Center, including submission of renewal application and verification of licensed capacity.

No inspection findings or deficiencies are reported in these documents; they primarily provide administrative and licensing information.

This document serves as a renewal application and certification for the Blue Hill Care Center's nursing home license, verifying that the facility is licensed through the indicated renewal date and applying for license renewal.

The documents confirm that Blue Hill Care Center is licensed as a Skilled Nursing Facility/Nursing Facility dual certification with a licensed capacity of 62 beds. The renewal application includes ownership and corporate structure details, and a fire marshal occupancy permit confirming the maximum occupancy of 62 beds.

This document serves as a Nursing Home Licensure Renewal Application for BCP Blue Hill, LLC, including verification of licensure status and occupancy permit details.

The documents confirm that BCP Blue Hill, LLC is licensed as a Skilled Nursing Facility with a total capacity of 62 beds and holds a valid occupancy permit issued on 10/5/2020.

This document serves as a renewal application for the nursing home license of BCP Blue Hill, LLC, including verification of licensure and occupancy permit details.

The documents confirm the facility's licensure status, renewal application details, ownership information, and occupancy permit with a maximum capacity of 62 beds.

Documents pertain to licensing renewal, ownership verification, provisional nursing home administrator license, and occupancy permit for BCP Blue Hill LLC nursing home facility.

No inspection findings or deficiencies are reported. Documents verify licensure status, ownership, facility capacity, and administrator licensing.

This document serves as a renewal application for the nursing home license of The Pines at Blue Hill and includes certification of licensure and occupancy permit information.

The documents certify that The Pines at Blue Hill meets statutory requirements for licensure as a skilled nursing facility and includes an occupancy permit for 62 beds.