Inspection Reports for Westgate Assisted Living

NE, 68124

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 0.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

93% better than Nebraska average
Nebraska average: 4.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2012
2015
2016
2019

Census

Latest occupancy rate 60 residents

Based on a December 2015 inspection.

This facility has shown a decline in demand based on occupancy rates.

Census over time

52 56 60 64 68 72 Oct 2012 Dec 2015

Notice

Capacity: 80 Deficiencies: 0 Date: 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
NameTitleContext
Brad BuschowAdministratorNamed as facility administrator in the licensure renewal application
Dan CosgroveInspector who issued the Certificate of Occupancy
Katherine E. PotterPresident & Chief Executive OfficerOfficer of Five Star Quality Care-NE, LLC, the ownership entity
Richard A. DoyleExecutive VP, Chief Financial Officer & TreasurerOfficer of Five Star Quality Care-NE, LLC, the ownership entity
Lisa J. CooneyVice President, General Counsel & Assistant SecretaryOfficer of Five Star Quality Care-NE, LLC, the ownership entity
Jennifer B. ClarkCorporate SecretaryOfficer of Five Star Quality Care-NE, LLC, the ownership entity
Adam D. PortnoyDirectorDirector of Five Star Quality Care-NE, LLC, the ownership entity
Gerard M. MartinDirectorDirector of Five Star Quality Care-NE, LLC, the ownership entity

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: 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.

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.
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.

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: 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.

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.
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.

Employees mentioned
NameTitleContext
Eve LewisProgram ManagerSigned the report as Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS

Inspection Report

Complaint Investigation
Census: 60 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Facility census: 60

Employees mentioned
NameTitleContext
Dan TaylorRN, Training Coordinator - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHSSigned the inspection report and correspondence
Lori FrodshamRegistered NurseConducted the Compliance Inspection on December 9, 2015
Carol NenemanSocial WorkerConducted the Compliance Inspection on December 9, 2015

Inspection Report

Complaint Investigation
Census: 65 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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
NameTitleContext
Dain WeissRegistered NurseSurveyor conducting complaint investigation
Susan GriepestrohRegistered NurseSurveyor conducting complaint investigation
Brad BuschowExecutive DirectorNamed in plan of correction and interview regarding findings
Van Driver AInterviewed regarding transport incident and van safety practices
Van Driver BInterviewed regarding van safety education
Eve LewisAdministratorSigned initial letter and noted acceptance of plan of correction

Notice

Capacity: 80 Deficiencies: 0 Date: 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
NameTitleContext
Brad BuschowAdministratorNamed as facility administrator in licensure renewal application
Captain Chris HopkinsFire InspectorInspected facility for Certificate of Occupancy dated April 20, 2015
Dan CosgroveFire InspectorInspected facility for Certificate of Occupancy dated September 07, 2016

Notice

Capacity: 80 Deficiencies: 0 Date: 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
NameTitleContext
Brad BuschowR.N. AdministratorNamed as the facility administrator in the licensure renewal application.
Richard A. DoyleTreasurer & Chief Financial OfficerNamed in ownership and certification documents.
Bruce J. Mackey Jr.President & Chief Executive OfficerListed as an officer in the ownership control document.
R. Scott HerzigSenior Vice President & Chief Operating OfficerListed as an officer in the ownership control document.
Katherine E. PotterVice President, General Counsel & Assistant SecretaryListed as an officer in the ownership control document.
Jennifer B. ClarkCorporate SecretaryListed as an officer in the ownership control document.
Barry M. PortnoyDirectorListed as a director/trustee in the ownership control document.
Gerard M. MartinDirectorListed as a director/trustee in the ownership control document.

Notice

Capacity: 80 Deficiencies: 0 Date: 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
NameTitleContext
Brad BuschowAdministratorNamed as facility administrator in the licensure renewal application
Richard A. DoyleTreasurer & Chief Financial OfficerNamed as Treasurer & CFO in corporate officers list
Bruce J. Mackey Jr.President & Chief Executive OfficerNamed as President & CEO in corporate officers list
R. Scott HerzigSenior Vice President & Chief Operating OfficerNamed as Senior VP & COO in corporate officers list
Katherine E. PotterVice President, General Counsel & Assistant SecretaryNamed as VP, General Counsel & Assistant Secretary in corporate officers list
Jennifer B. ClarkCorporate SecretaryNamed as Corporate Secretary in corporate officers list
Adam D. PortnoyDirectorNamed as Director in corporate officers list
Gerard M. MartinDirectorNamed as Director in corporate officers list

Notice

Capacity: 80 Deficiencies: 0 Date: 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
NameTitleContext
Tracey GabehartAdministratorNamed as the facility administrator in the renewal application on page 2.
Jennifer F. FrancisPresident & COOAuthorized representative signing the renewal application on page 2 and listed as an owner/officer/director on page 3.
Richard W. Siedel Jr.Treasurer & CFOAuthorized representative signing the renewal application on page 2 and listed as an owner/officer/director on page 3.
Jennifer B. ClarkSecretary, DirectorListed as an owner/officer/director on page 3.
Adam D. PortnoyDirectorListed as an owner/officer/director on page 3.

Notice

Capacity: 80 Deficiencies: 0 Date: 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
NameTitleContext
Jennifer F. FrancisPresident & COOSigned the renewal application as authorized representative.
Richard W. Siedel Jr.Treasurer & CFOSigned the renewal application as authorized representative.
Mike SchmitzInspector on the Nebraska State Fire Marshal Certificate of Occupancy.

Notice

Capacity: 80 Deficiencies: 0 Date: 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
NameTitleContext
Jacob SchultzAdministratorNamed as administrator on the renewal application.
Richard W. Stedelin Jr.Authorized RepresentativeSigned the renewal application.
Jennifer E. FrancisAuthorized RepresentativeSigned the renewal application.

Notice

Capacity: 80 Deficiencies: 0 Date: 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 Date: 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 Date: 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
NameTitleContext
Jennifer F. FrancisAuthorized RepresentativeSigned renewal application as authorized representative.
Richard W. Siedel Jr.Authorized RepresentativeSigned renewal application as authorized representative.

Notice

Deficiencies: 0 Date: 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
NameTitleContext
Eve LewisRNC, AdministratorAdministrator named as recipient for reports and correspondence
Joann SchaeferM.D., Chief Medical Officer, Director, Division of Public HealthSigned the Notice of Disciplinary Action
Helen L. MeeksAdministrator, Licensure UnitSigned the Notice of Disciplinary Action
Linda StenversStaff Assistant IICertified mailing of the Notice
Brad BuschowAdministratorFacility administrator addressed in follow-up letter

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