Inspection Reports for Wayne Countryview Care and Rehabilitation

This document acknowledges the DBA name change of the nursing home license from Careage Campus of Care to Wayne Countryview Care and Rehabilitation, effective February 26, 2019, and provides licensure renewal information.

The document confirms the facility meets statutory requirements for licensure renewal through March 31, 2020, and includes ownership and organizational information along with the fire marshal occupancy permit.

An unannounced visit was conducted to investigate a complaint and annual survey at Careage Campus Of Care on July 24, 2018-July 31, 2018, by representatives of the Department of Health and Human Services Division of Public Health.

The facility was found to be in compliance with reporting injuries requiring treatment in 24 hours, sufficient staffing, and timely completion of written investigations. However, deficiencies were identified related to failure to report allegations of potential abuse and/or neglect, failure to implement fall prevention interventions, failure to develop weight loss interventions, failure to ensure indication for psychotropic medication use, and multiple life safety code violations including hazardous area enclosures, fire alarm and sprinkler system policies, fire extinguisher placards, fire drills, electrical receptacles, and use of extension cords.

The complaint alleged failure to immediately report injuries requiring treatment in 24 hours, failure to ensure sufficient staffing, and failure to complete written investigations within five working days. The facility was found compliant with these allegations but failed to report allegations of potential abuse and/or neglect for two residents.

Routine inspection of Careage Campus of Care, a skilled nursing facility, to assess compliance with federal regulations including notification of changes, housekeeping and maintenance, drug regimen monitoring, and life safety code requirements.

The facility failed to notify a physician of elevated blood sugar levels for one resident, maintain housekeeping standards in resident bathrooms and rooms, and properly monitor medication administration and effectiveness for residents. Life safety deficiencies included unsealed penetrations in hazardous areas, corridor doors with excessive gaps, improper storage of soiled linen and trash containers, and improper segregation and labeling of oxygen cylinders.

This document serves to verify that the Careage Campus of Care's SNF/NF dual certification license is renewed and valid through the date indicated on the renewal card.

The facility's SNF/NF dual certification license is confirmed to be valid through the expiration date of 03/31/2018 as indicated on the renewal card.

An unannounced visit was conducted to investigate a complaint at Careage Campus Of Care on September 13-14, 2016, triggered by allegations of insufficient staffing, failure to ensure personal hygiene, and failure to follow care plans.

The facility failed to provide sufficient staffing to meet resident needs, resulting in missed baths and inadequate care for residents requiring assistance. The facility also failed to develop interventions to prevent skin breakdown and failed to provide care according to practitioner's orders, including failure to apply ted hose and properly assess wounds. Some residents did not receive baths according to their schedules and preferences.

The complaint alleged insufficient staffing to care for residents, failure to ensure clean and groomed hair, skin, teeth and/or nails, failure to ensure call lights are within reach, failure to follow the plan of care for bathing preferences, failure to provide care and services according to practitioner's orders, failure to assist residents in maintaining highest level of well-being, failure to answer call notification systems promptly, and failure to provide care and treatment to prevent skin breakdown. The investigation substantiated failures related to staffing, bathing, and skin care.

An unannounced visit was conducted to investigate a complaint and annual survey at Careage Campus Of Care on March 30, 2016-April 6, 2016, by representatives of the Department of Health and Human Services Division of Public Health. The complaint alleged the facility failed to ensure sufficient staffing.

The facility failed to ensure sufficient staffing. Resident and family interviews voiced concerns regarding a lack of nursing staff. Observations, record reviews, and interviews confirmed restorative nursing modalities were not provided for three residents and four residents did not receive bathing and/or feeding assistance. Multiple deficiencies were identified including failure to provide individualized activity programs, incomplete assessments, inadequate care plans, failure to prevent decline in range of motion, insufficient nursing staff, failure to investigate and treat skin tears and bruising, improper storage of respiratory equipment, and failure to clean mechanical lifts between uses.

The complaint alleged the facility failed to ensure sufficient staffing. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff. The facility was found in violation of Federal tag F 353 and Licensure Reference Number 175 NAC 12-006.04C.

An unannounced visit was conducted to investigate a complaint at Careage Campus Of Care on November 16-17, 2015, focusing on allegations related to medication administration, provision of care according to practitioner's orders, staffing sufficiency, and prompt response to calls for assistance.

The facility was found non-compliant with medication administration orders, insufficient staffing, failure to provide scheduled baths, and slow call light response times. Care and services were generally provided according to practitioners' orders except for medication administration issues. Multiple residents and family members voiced concerns about staffing and care omissions.

The complaint investigation was triggered by allegations that the facility failed to follow physician orders related to medication administration, failed to provide care according to practitioner's orders, failed to ensure sufficient staffing, and failed to ensure prompt response for calls for assistance. The facility was found non-compliant on these issues.

An unannounced visit was conducted to investigate a complaint and annual survey at Careage Campus Of Care from March 19, 2015 to March 26, 2015. The complaint alleged the facility failed to ensure licensed staff have current/active license status.

The facility was found to be in compliance with licensed staff having current/active license status. However, multiple deficiencies were identified including failure to treat residents with dignity and respect, unresolved grievances related to call light response times, inadequate activity programs for some residents, failure to provide toileting assistance, unnecessary use of antipsychotic medications without proper monitoring, failure to administer sliding scale insulin as ordered, and several life safety code violations including compromised smoke barriers, obstructed exit access, incomplete fire drills, sprinkler system maintenance issues, and generator testing deficiencies.

The complaint alleged the facility failed to ensure licensed staff have current/active license status. The investigation found the facility was in compliance with this allegation.

An unannounced visit was conducted to investigate a complaint and annual survey at Careage Campus Of Care on February 4, 2014-February 10, 2014. The complaint alleged failure to protect residents from chemical restraints and failure to develop an activity program to meet residents' needs.

The facility protected residents from chemical restraints with no violation found. However, the facility failed to develop an activity program to meet residents' needs, with two residents lacking individualized activity programs and residents reporting insufficient activities on weekends and evenings. Additional findings included failure to revise care plans after falls, inadequate fall prevention interventions, improper infection control during wound care, and multiple life safety code violations related to fire safety and electrical hazards.

The complaint alleged the facility failed to protect residents from chemical restraints and failed to develop an activity program to meet residents' needs. The investigation found no violation regarding chemical restraints but confirmed the facility failed to develop an adequate activity program.

Annual inspection of Careage of Wayne nursing facility to assess compliance with licensure regulations, care planning, infection control, medication management, and life safety code standards.

The facility was found deficient in multiple areas including failure to provide residents choice in bathing schedules, failure to revise comprehensive care plans to reflect residents' needs, failure to provide thickened fluids as ordered, inadequate pain management for a resident, failure to assist dependent residents with fluid intake, improper use of psychoactive medications without proper documentation, failure to follow infection control hand hygiene protocols, and life safety code violations including improper door closures and fire extinguisher placement.

The inspection was conducted as a routine survey to assess compliance with Nebraska regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.

The facility failed to resolve resident grievances regarding call light response times, as evidenced by resident interviews and grievance logs. Additionally, the facility did not follow recipes or serve palatable, flavorful pureed diets for four residents, with observations noting improper preparation and texture issues.

The inspection was conducted based on complaint investigation and routine oversight to assess compliance with regulations related to resident dignity, housekeeping, comprehensive assessments, care planning, resident safety, medication management, and life safety code standards.

The facility was found deficient in multiple areas including failure to maintain resident dignity and respect, inadequate housekeeping and maintenance, incomplete comprehensive assessments and care plans, failure to reposition residents and provide toileting assistance, failure to manage decline in range of motion, unsafe environment leading to resident falls, failure to monitor medication effectiveness and unnecessary drug use, and life safety code violations related to lighting, fire alarm system, sprinkler system, cooking suppression system, electrical wiring, and emergency lighting.

Complaint investigation revealed multiple deficiencies related to resident care, safety, medication management, and life safety code compliance.

The survey was conducted to determine if the facility was in compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs, triggered by deficiencies found in a complaint survey conducted on November 29, 2010.

The facility was found not to be in substantial compliance with participation requirements, with deficiencies constituting a level of actual harm or above. As a result, a denial of payment for new Medicare and Medicaid admissions was imposed effective October 21, 2011. A revisit on November 9, 2011, confirmed that corrections were made and substantial compliance was achieved, leading to removal of the denial of payment effective October 27, 2011.

The visit was complaint-related, based on deficiencies found in a complaint survey conducted on November 29, 2010. The deficiencies were of a severity constituting actual harm or above.

The inspection was conducted due to a complaint investigation regarding the facility's failure to notify the physician of sexual behaviors exhibited by Resident 1 and failure to implement interventions to prevent non-consensual sexual contact.

The facility failed to inform the physician of sexual behaviors for Resident 1 and failed to implement interventions to prevent non-consensual sexual contact for Resident 1. The facility staff identified a census of 50 residents. The Director of Nursing confirmed delayed notification to the physician and lack of interventions to manage Resident 1's sexual behaviors.

The complaint investigation found that the facility staff failed to notify the physician timely about Resident 1's sexual behaviors and failed to implement interventions to prevent non-consensual sexual contact. The Director of Nursing confirmed the physician was not notified on the same day and that interventions were not implemented. The complaint was substantiated based on record reviews and interviews.

This document set includes a Nursing Home Licensure Renewal Application for Careage Campus of Care, along with licensing certificates, corporate organization charts, and occupancy permits.

No inspection findings or deficiencies are reported in these documents; they primarily serve to verify licensure renewal, facility capacity, ownership, and organizational structure.

The documents pertain to the renewal of the nursing home license for Wayne Countryview Care and Rehabilitation, including submission of renewal application and confirmation of licensure status.

No inspection findings or deficiencies are reported. The documents confirm licensure renewal, ownership details, and facility capacity.

This document serves as a renewal application for the nursing home license of Wayne Countryview Care and Rehabilitation and includes verification of licensure and occupancy permit information.

The documents confirm the facility's licensure renewal status, ownership details, and occupancy permit with a maximum capacity of 60 beds. No inspection findings or deficiencies are reported.

This document serves as a licensure renewal application and certification for Wayne Countryview Care and Rehabilitation, verifying the facility's license renewal and occupancy permit status.

The documents confirm the facility meets statutory requirements for licensure renewal as a Skilled Nursing Facility with a licensed capacity of 60 beds and includes occupancy permit approval by the State Fire Marshal.

This document serves as a renewal application for the nursing home license of Wayne Countryview Care and Rehabilitation, verifying licensure through the indicated renewal date and providing ownership and facility information.

The document confirms the facility's licensure status, renewal fees, ownership details, and occupancy permit with a maximum capacity of 60 beds. No inspection findings or deficiencies are reported.

The documents pertain to the renewal of the nursing home license and occupancy permit for Wayne Countryview Care and Rehabilitation.

The facility is licensed as a Skilled Nursing Facility with a total capacity of 60 beds. The renewal application confirms the facility's accreditation and ownership information. The occupancy permit was issued on 10/3/2023 by the State Fire Marshal.

The documents serve to verify the renewal of the SNF/NF dual certification license and nursing home licensure renewal for Wayne Countryview Care and Rehabilitation, including an occupancy permit issued by the Nebraska State Fire Marshal.

The documents confirm that the facility meets statutory requirements for licensure renewal and occupancy with a maximum capacity of 60 beds. No inspection findings or deficiencies are reported.

This Notice of Disciplinary Action was issued to inform the facility that its license will be placed on probation for 90 days beginning October 19, 2011, due to failure to provide a safe environment for accident prevention.

The Department determined that the facility violated licensure regulations related to accident prevention, requiring submission of a Plan of Correction and ongoing reports documenting implementation and accident occurrences during the probation period.

The document serves as a licensure renewal application for the Careage Campus of Care nursing home facility and includes verification of licensure and occupancy permit information.

The documents confirm the facility's licensure renewal status, ownership information, and occupancy permit with a maximum capacity of 60 beds. No inspection findings or deficiencies are reported.