Deficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Notice
Capacity: 80
Deficiencies: 0
Apr 9, 2019
Visit Reason
The document serves as a licensure renewal application and certificate of occupancy for Westgate Assisted Living, verifying the facility's license renewal and maximum occupancy.
Findings
The facility is licensed as an assisted-living facility with a total licensed capacity of 80 beds. The certificate of occupancy confirms a maximum occupancy of 80 persons/beds as of July 30, 2018.
Report Facts
Total licensed beds: 80
Maximum occupancy: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brad Buschow | Administrator | Named as facility administrator in the licensure renewal application |
| Dan Cosgrove | Inspector who issued the Certificate of Occupancy | |
| Katherine E. Potter | President & Chief Executive Officer | Officer of Five Star Quality Care-NE, LLC, the ownership entity |
| Richard A. Doyle | Executive VP, Chief Financial Officer & Treasurer | Officer of Five Star Quality Care-NE, LLC, the ownership entity |
| Lisa J. Cooney | Vice President, General Counsel & Assistant Secretary | Officer of Five Star Quality Care-NE, LLC, the ownership entity |
| Jennifer B. Clark | Corporate Secretary | Officer of Five Star Quality Care-NE, LLC, the ownership entity |
| Adam D. Portnoy | Director | Director of Five Star Quality Care-NE, LLC, the ownership entity |
| Gerard M. Martin | Director | Director of Five Star Quality Care-NE, LLC, the ownership entity |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 13, 2019
Visit Reason
An unannounced visit was conducted to investigate a complaint at Heritage Crossings on February 13, 2019, regarding failure to identify changes of condition, notify responsible parties of changes, and provide adequate fluid intake to prevent dehydration.
Findings
The facility was found to be in compliance with all relevant regulations related to identifying changes in condition, notifying responsible parties, and providing adequate fluid intake to prevent dehydration.
Complaint Details
The complaint alleged failure to identify a change of condition, failure to notify the responsible party of changes in condition, and failure to provide adequate fluid intake to prevent dehydration. The investigation found the facility compliant with all these allegations.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager | Signed the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health |
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 3, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint that the facility fails to administer medications according to practitioner's orders.
Findings
The facility was found to administer medications according to practitioner's orders based on observations, record reviews, and resident interviews, and was determined to be in compliance with all related regulatory requirements.
Complaint Details
The complaint alleged failure to administer medications according to practitioner's orders. The complaint was not substantiated as the facility was found compliant.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | Program Manager | Signed the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS |
Inspection Report
Complaint Investigation
Census: 60
Deficiencies: 0
Dec 8, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Westgate Assisted Living on December 8-9, 2015 by the Department of Health and Human Services Division of Public Health.
Findings
The facility was found to be in compliance with regulatory guidelines across multiple allegations including residents' property accounting, transfer information completeness, handling of residents' finances, resident service agreements, protection from verbal abuse, call notification response, appropriateness of residents for assisted living, grievance resolution, and provision of a clean and safe environment.
Complaint Details
The complaint investigation included allegations regarding misappropriation of residents' property, incomplete transfer information, unauthorized handling of residents' finances, failure to follow service agreements, failure to protect residents from verbal abuse, and other concerns. All allegations were found to be unsubstantiated with the facility in compliance.
Report Facts
Facility census: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed the inspection report and correspondence |
| Lori Frodsham | Registered Nurse | Conducted the Compliance Inspection on December 9, 2015 |
| Carol Neneman | Social Worker | Conducted the Compliance Inspection on December 9, 2015 |
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 1
Oct 3, 2012
Visit Reason
An unannounced visit was conducted to investigate a complaint survey at Westgate Assisted Living on October 3, 2012, focusing on allegations that the facility failed to prevent accidents and honor resident requests for emergency services.
Findings
The facility was found to have substantiated violations related to failure to prevent accidents for one resident and no violation related to emergency services requests. The investigation included interviews, record reviews, and observations, revealing a failure to securely strap a resident during transport resulting in injury.
Complaint Details
The allegation that the facility failed to prevent accidents was substantiated. The allegation that the facility failed to honor resident requests for emergency services was found to have no violation.
Deficiencies (1)
| Description |
|---|
| Failure to prevent accidents for one resident of eight sampled residents, specifically failure to securely strap a resident during transport causing injury. |
Report Facts
Resident census: 65
Resident sample size: 6
Number of drivers re-inserviced: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dain Weiss | Registered Nurse | Surveyor conducting complaint investigation |
| Susan Griepestroh | Registered Nurse | Surveyor conducting complaint investigation |
| Brad Buschow | Executive Director | Named in plan of correction and interview regarding findings |
| Van Driver A | Interviewed regarding transport incident and van safety practices | |
| Van Driver B | Interviewed regarding van safety education | |
| Eve Lewis | Administrator | Signed initial letter and noted acceptance of plan of correction |
Notice
Capacity: 80
Deficiencies: 0
APP2017
Visit Reason
This document serves as a licensure renewal application and verification that Westgate Assisted Living is licensed as an assisted-living facility through the indicated expiration date. It also includes certificates of occupancy confirming maximum occupancy limits.
Findings
The documents confirm that Westgate Assisted Living meets statutory requirements for licensure as an assisted-living facility with a total licensed capacity of 80 beds. Certificates of occupancy issued by the Nebraska State Fire Marshal verify the maximum occupancy of 80 beds/persons.
Report Facts
Total licensed beds: 80
Maximum occupancy: 80
Maximum occupancy: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brad Buschow | Administrator | Named as facility administrator in licensure renewal application |
| Captain Chris Hopkins | Fire Inspector | Inspected facility for Certificate of Occupancy dated April 20, 2015 |
| Dan Cosgrove | Fire Inspector | Inspected facility for Certificate of Occupancy dated September 07, 2016 |
Notice
Capacity: 80
Deficiencies: 0
APP2016
Visit Reason
This document serves as a licensure renewal application and verification for Westgate Assisted Living, confirming the facility's license status and renewal through the indicated expiration date.
Findings
The documents confirm that Westgate Assisted Living meets statutory requirements for licensure as an assisted-living facility, with a maximum licensed capacity of 80 beds, and includes ownership and corporate structure details along with fire marshal occupancy certification.
Report Facts
Total licensed beds: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brad Buschow | R.N. Administrator | Named as the facility administrator in the licensure renewal application. |
| Richard A. Doyle | Treasurer & Chief Financial Officer | Named in ownership and certification documents. |
| Bruce J. Mackey Jr. | President & Chief Executive Officer | Listed as an officer in the ownership control document. |
| R. Scott Herzig | Senior Vice President & Chief Operating Officer | Listed as an officer in the ownership control document. |
| Katherine E. Potter | Vice President, General Counsel & Assistant Secretary | Listed as an officer in the ownership control document. |
| Jennifer B. Clark | Corporate Secretary | Listed as an officer in the ownership control document. |
| Barry M. Portnoy | Director | Listed as a director/trustee in the ownership control document. |
| Gerard M. Martin | Director | Listed as a director/trustee in the ownership control document. |
Notice
Capacity: 80
Deficiencies: 0
APP2018
Visit Reason
This document serves as a licensure renewal application and verification for Westgate Assisted Living, confirming the facility's license status and renewal fees.
Findings
The document confirms that Westgate Assisted Living is licensed as an assisted-living facility with a total licensed capacity of 80 beds. It includes ownership and corporate structure details, renewal fees, and certification of compliance with state regulations.
Report Facts
Total licensed beds: 80
Renewal fees: 1950
Maximum occupancy: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brad Buschow | Administrator | Named as facility administrator in the licensure renewal application |
| Richard A. Doyle | Treasurer & Chief Financial Officer | Named as Treasurer & CFO in corporate officers list |
| Bruce J. Mackey Jr. | President & Chief Executive Officer | Named as President & CEO in corporate officers list |
| R. Scott Herzig | Senior Vice President & Chief Operating Officer | Named as Senior VP & COO in corporate officers list |
| Katherine E. Potter | Vice President, General Counsel & Assistant Secretary | Named as VP, General Counsel & Assistant Secretary in corporate officers list |
| Jennifer B. Clark | Corporate Secretary | Named as Corporate Secretary in corporate officers list |
| Adam D. Portnoy | Director | Named as Director in corporate officers list |
| Gerard M. Martin | Director | Named as Director in corporate officers list |
Notice
Capacity: 80
Deficiencies: 0
APP2020
Visit Reason
The document serves as a license renewal verification and application for Westgate Assisted Living, confirming licensure through the renewal date and providing ownership and facility information.
Findings
The document confirms that Westgate Assisted Living meets statutory requirements for licensure as an assisted-living facility and includes ownership details, capacity, and a certificate of occupancy.
Report Facts
Total licensed beds: 80
Maximum occupancy: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracey Gabehart | Administrator | Named as the facility administrator in the renewal application on page 2. |
| Jennifer F. Francis | President & COO | Authorized representative signing the renewal application on page 2 and listed as an owner/officer/director on page 3. |
| Richard W. Siedel Jr. | Treasurer & CFO | Authorized representative signing the renewal application on page 2 and listed as an owner/officer/director on page 3. |
| Jennifer B. Clark | Secretary, Director | Listed as an owner/officer/director on page 3. |
| Adam D. Portnoy | Director | Listed as an owner/officer/director on page 3. |
Notice
Capacity: 80
Deficiencies: 0
APP2021
Visit Reason
This document serves to verify that Westgate Assisted Living is licensed through the date indicated on the renewal card and includes a renewal application for the facility license.
Findings
The document confirms the facility meets statutory requirements as an assisted-living facility and provides ownership and business organization details. It also includes a fire marshal certificate of occupancy with a maximum occupancy of 80 persons/beds.
Report Facts
Total licensed beds: 80
Maximum occupancy: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer F. Francis | President & COO | Signed the renewal application as authorized representative. |
| Richard W. Siedel Jr. | Treasurer & CFO | Signed the renewal application as authorized representative. |
| Mike Schmitz | Inspector on the Nebraska State Fire Marshal Certificate of Occupancy. |
Notice
Capacity: 80
Deficiencies: 0
APP2022
Visit Reason
The document serves to verify that Westgate Assisted Living is licensed through the date indicated on the renewal card and includes a renewal application for the assisted-living facility license.
Findings
No inspection findings are reported; the document confirms licensure status and provides renewal application details including facility ownership and capacity.
Report Facts
Total licensed beds: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Schultz | Administrator | Named as administrator on the renewal application. |
| Richard W. Stedelin Jr. | Authorized Representative | Signed the renewal application. |
| Jennifer E. Francis | Authorized Representative | Signed the renewal application. |
Notice
Capacity: 80
Deficiencies: 0
APP2023
Visit Reason
This document serves to verify that Westgate Assisted Living is licensed through the date indicated on the renewal card and includes the renewal application for the facility license.
Findings
The document confirms that Westgate Assisted Living meets statutory requirements as an assisted-living facility and provides ownership and licensing information. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 80
Notice
Capacity: 80
Deficiencies: 0
APP2024
Visit Reason
This document serves to verify the licensing status of Westgate Assisted Living and includes the renewal application for the facility's assisted-living license.
Findings
The document confirms that Westgate Assisted Living meets statutory requirements as an assisted-living facility and provides ownership and management information along with licensing details.
Report Facts
Total licensed beds: 80
Maximum occupancy: 80
License expiration date: Apr 30, 2025
Notice
Capacity: 80
Deficiencies: 0
APP2025
Visit Reason
The document serves as a renewal license application and certification for Westgate Assisted Living, verifying the facility's licensure through the renewal date and providing ownership and occupancy information.
Findings
No inspection findings or deficiencies are reported; the document confirms licensure status, ownership details, and maximum occupancy certification.
Report Facts
Total licensed beds: 80
Maximum occupancy: 80
Renewal license expiration date: License expiration date shown as 4/30/2026 on renewal card.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer F. Francis | Authorized Representative | Signed renewal application as authorized representative. |
| Richard W. Siedel Jr. | Authorized Representative | Signed renewal application as authorized representative. |
Notice
Deficiencies: 0
DAN100312
Visit Reason
Notification of disciplinary action against Westgate Assisted Living for violation of licensure regulations related to failure to implement interventions to prevent accidents resulting in fractures.
Findings
The facility was fined $5000 and placed on probation for 180 days starting November 8, 2012, due to failure to implement required interventions to prevent accidents. The facility must submit a Plan of Correction and weekly reports documenting implementation and any accidents during probation.
Report Facts
Fine amount: 5000
Probation period days: 180
Report due date: First report due November 23, 2012 and every other week thereafter during probation
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | RNC, Administrator | Administrator named as recipient for reports and correspondence |
| Joann Schaefer | M.D., Chief Medical Officer, Director, Division of Public Health | Signed the Notice of Disciplinary Action |
| Helen L. Meeks | Administrator, Licensure Unit | Signed the Notice of Disciplinary Action |
| Linda Stenvers | Staff Assistant II | Certified mailing of the Notice |
| Brad Buschow | Administrator | Facility administrator addressed in follow-up letter |
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