Deficiencies (last 10 years)
Deficiencies (over 10 years)
8.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
107% worse than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
80% occupied
Based on a August 2018 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Notice
Capacity: 58
Deficiencies: 0
Date: Mar 29, 2024
Visit Reason
This document serves to verify the renewal of the SNF/NF dual certification license for Wilber Care Center and includes the renewal application for the nursing home license.
Findings
The document confirms that Wilber Care Center meets statutory requirements for licensure renewal and provides details about the facility's license, ownership, and services offered.
Report Facts
Total licensed beds: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Lane | Administrator | Named in the nursing home licensure renewal application. |
| Michelene Pruss | Director of Nursing | Named in the nursing home licensure renewal application. |
Notice
Capacity: 58
Deficiencies: 0
Date: Sep 30, 2019
Visit Reason
The document serves to acknowledge the decrease in the number of licensed beds at Wilber Care Center from 60 to 58 effective October 1, 2019, and to amend the Health Insurance Benefits Agreement accordingly.
Findings
The letter confirms the facility's request to reduce licensed beds and updates the certified bed count in the agreement to reflect 58 Medicare certified beds effective October 1, 2019.
Report Facts
Licensed beds decrease: 2
Certified beds: 60
Certified beds: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | Program Manager | Signed letter acknowledging bed decrease and amendment to Health Insurance Benefits Agreement |
Notice
Deficiencies: 0
Date: Oct 2, 2018
Visit Reason
The facility's license was placed on probation for 90 days starting October 2, 2018, due to violations related to failure to implement interventions for falls to prevent injury and reoccurrence.
Findings
The facility violated licensure regulations including resident rights, assessments, care planning, charge nurse requirements, urinary/bowel function, special needs, and infection control, as evidenced by failure to implement fall prevention interventions.
Report Facts
Probation period length: 90
Report submission frequency: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Vogt | RN, BSN, Program Manager | Named as contact for submission of reports and correspondence related to the disciplinary action. |
| Courtney N. Phillips | PhD, Chief Executive Officer | Signed the Notice of Disciplinary Action. |
| Becky Wisell | Administrator, Licensure Unit | Signed the Notice of Disciplinary Action. |
| Linda Stenvers | Staff Assistant II | Certified mailing of the Notice of Disciplinary Action. |
| Barbara Dreyer | Administrator | Facility administrator addressed in the termination of probation letter. |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 60
Deficiencies: 17
Date: Aug 27, 2018
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Wilber Care Center on August 27, 2018-August 30, 2018, by representatives of the Department of Health and Human Services Division of Public Health.
Complaint Details
The complaint investigation was triggered by allegations that the facility failed to report potential misappropriation and failed to investigate causative factors in falls. The facility was found compliant with the first allegation but cited for failure to investigate causal factors in falls.
Findings
The facility was found in compliance with the allegation of failure to report potential misappropriation but was cited for failure to investigate causal factors for resident falls. Multiple deficiencies were identified including failure to ensure dignity for a resident, inaccurate assessments, incomplete baseline and comprehensive care plans, inadequate fall prevention interventions, failure to assess toileting needs after catheter removal, inadequate respiratory care, insufficient staffing in the special care unit, infection control issues, fire safety and maintenance deficiencies.
Deficiencies (17)
Failure to investigate causal factors for resident falls.
Failure to ensure dignity for one resident in the dining room related to exposed sling.
Inaccurate comprehensive assessments for four residents.
Baseline care plan was not accurate for one resident.
Failure to develop and implement comprehensive care plans reflecting overall resident condition for two residents.
Failure to ensure residents environment remains free of accident hazards and adequate supervision to prevent accidents for three residents involved in falls.
Failure to assess toileting needs related to bladder incontinence following removal of indwelling urinary catheter for one resident.
Failure to ensure respiratory care was provided to prevent exacerbation of chronic disease and potential hospitalization for one resident.
Failure to provide sufficient staffing to meet needs of residents in special care unit.
Failure to establish and maintain an infection prevention and control program including failure to report influenza outbreak, improper storage of respiratory therapy devices, inadequate infection control during medication administration.
Exit door to Special Care Unit required two motions to open, causing delay in egress during emergency.
Fire alarm system circuit breaker was not equipped with a lock out device.
Incomplete policy regarding procedures when sprinkler system is out of service for more than 10 hours.
Direct vent gas fireplace lacked supervised carbon monoxide detector.
Fire drills were not conducted under varying conditions.
Incomplete fire door assembly inspection program and failure to inspect basement fire doors annually.
Failure to test diesel fuel for emergency generator annually.
Report Facts
Facility census: 48
Total licensed capacity: 60
Number of falls Resident 2: 19
Number of falls Resident 43: 17
Fire drills conducted: 13
Fire drills conducted at end of month: 8
Generator weekly inspections: 52
Generator load exercises: 12
Generator 4 hour exercise: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Dreyer | Administrator | Named in complaint letter and regulatory correspondence |
| Dan Taylor | RN, Training Coordinator | Signed complaint investigation letter |
| Director of Nursing | Interviewed regarding multiple findings including fall prevention, care plans, respiratory care | |
| LPN-D | Licensed Practical Nurse | Interviewed regarding care plan and respiratory care |
| RN-C | Registered Nurse | Interviewed regarding respiratory care and MDS documentation |
| CMA-B | Certified Medication Aide | Observed and interviewed regarding medication administration and resident supervision |
| Housekeeping Staff Member A | Observed providing resident supervision during bathing | |
| Maintenance Staff A | Interviewed regarding fire safety and maintenance issues | |
| Administrator | Interviewed regarding staffing and fire safety |
Inspection Report
Life Safety
Deficiencies: 8
Date: Sep 28, 2017
Visit Reason
The survey was conducted to assess compliance with Medicare/Medicaid participation requirements, specifically focusing on life safety code compliance and fire protection standards.
Findings
The facility was found not in compliance with life safety code requirements, including issues with fire barrier separations, delayed-egress door locks, emergency lighting, hazardous area enclosures, sprinkler system maintenance, corridor door smoke resistance, and generator maintenance.
Deficiencies (8)
The 90-minute rated fire doors between the Nursing Home and Assisted Living failed to have latching hardware to provide a true 2-hour fire barrier separation.
Delayed-egress door locks were not maintained in operating condition, including a door requiring two motions to open, failure of magnetic lock release, and lack of keys for key-locked doors.
Emergency lighting was not provided in a portion of the 400 Hall, causing potential confusion and delay during emergencies.
Hazardous area doors failed to close and latch properly, had unsealed penetrations, and excessive door undercuts, compromising smoke resistance.
Sprinkler heads in resident rooms had obstructions within the required 18 inch clearance, delaying sprinkler response.
The facility lacked a complete written policy for sprinkler system impairment procedures, including notification requirements.
Corridor doors failed to resist passage of smoke due to failure to latch, excessive gaps, and improper hardware.
Emergency generator maintenance logs lacked documentation for required weekly/monthly inspections of lubrication, exhaust, electrical systems, belts, hoses, oil level, and cool down period.
Report Facts
Facility census: 87
Licensed capacity: 60
Number of smoke compartments affected: 8
Number of residents affected by delayed-egress door locks: 40
Number of residents affected by emergency lighting deficiency: 12
Number of residents affected by hazardous area door deficiencies: 25
Number of residents affected by corridor door deficiencies: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Staff A | Confirmed findings related to door locks, emergency lighting, sprinkler obstructions, fire watch policy, and generator maintenance | |
| Administrative Staff A | Confirmed findings related to door locks and fire watch policy |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 30, 2017
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging the facility fails to put interventions in place to prevent injuries.
Complaint Details
The complaint alleged the facility failed to put interventions in place to prevent injuries. The investigation found the allegation unsubstantiated as the facility was compliant.
Findings
The facility was found to use appropriate interventions to prevent injuries. Incident reports showed falls were evaluated and care plans were adjusted to prevent reoccurrences. Staff were knowledgeable about fall interventions, and the facility was in compliance with regulatory requirements.
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
Renewal
Capacity: 66
Deficiencies: 0
Date: Feb 22, 2017
Visit Reason
The document is a renewal license application and certification for Wilber Care Center, verifying the facility's Skilled Nursing Facility/Nursing Facility dual certification and renewal of license.
Findings
The documents confirm that Wilber Care Center meets statutory requirements for licensure as a Skilled Nursing Facility/Nursing Facility with a licensed capacity of 66 beds. The facility includes an Alzheimer's/Special Care Unit with detailed disclosures about care philosophy, staffing, environment, and family support.
Report Facts
Number of beds to be relicensed: 60
Maximum occupancy: 66
Maximum endorsed capacity: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Dreyer | Administrator | Named as facility administrator in the Nursing Home Licensure Renewal Application and Alzheimer's Special Care Unit Disclosure. |
| Michele Vana | Director of Nursing | Named as Director of Nursing in the Nursing Home Licensure Renewal Application. |
| Susen Lindner | Deputy State Fire Marshal | Named as inspector on the Nebraska State Fire Marshal Occupancy Permit. |
Inspection Report
Annual Inspection
Census: 52
Capacity: 66
Deficiencies: 17
Date: Jun 20, 2016
Visit Reason
Annual survey and inspection of Wilber Care Center to assess compliance with health, safety, and regulatory standards including fire safety and resident care.
Findings
The facility was found deficient in multiple areas including failure to implement pain management orders, inadequate fall prevention interventions, infection control lapses, fire safety code violations such as improper fire door hardware, non-flame retardant construction materials, obstructed exits, inadequate lighting, and improper storage of oxygen cylinders. Plans of correction were provided for each deficiency.
Deficiencies (17)
Failed to implement orders for gentle stretching and range of motion to manage neck pain for one resident.
Failed to implement interventions to prevent falls for one resident, including call light not within reach and bed alarm not properly used.
Failed to provide peri-care in a manner to prevent cross contamination for one resident.
90-minute rated fire doors between Nursing Home and Assisted Living lacked latching hardware to provide true 2-hour fire barrier.
Corridors and exit ways had interior wall finish with non-flame retardant plastic used as dust containment during construction.
Doors to corridor failed to resist passage of smoke and lacked latching devices.
Vertical openings such as dumb waiter and stair tower were not properly enclosed or maintained free of combustible items.
Doors to hazardous areas failed to latch properly or were blocked open.
Exit door in Alzheimer's Hall lacked signage explaining operation of magnetic lock; no sidewalk from basement exit door to public way.
Exit discharge lighting failed to provide adequate illumination to prevent darkness in case of single bulb failure.
Exit signs obstructed or missing in Alzheimer's Unit and Assisted Living Desk area.
Sprinkler heads were covered with paint, impairing function.
Wheeled cooking appliance under kitchen hood was not properly positioned to allow fire suppression nozzles to cover appliance.
Means of egress obstructed by unattended rolling kitchen cart in corridor.
Oxygen cylinders were not separated or labeled as full or empty in storage room.
Emergency generator lacked remote manual shutdown station outside generator room in weatherproof enclosure.
Oxygen in use signs were not posted on resident doors where oxygen was administered.
Report Facts
Facility census: 52
Facility census: 53
Licensed capacity: 66
Deficiency count: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Dreyer | Administrator | Named as Administrator in civil rights compliance form and interviewee for multiple findings |
| Don Fritz | Assistant State Fire Marshal | Signed fire safety waiver documents |
Inspection Report
Complaint Investigation
Census: 55
Deficiencies: 1
Date: May 2, 2016
Visit Reason
An unannounced visit was conducted to investigate a complaint at Wilber Care Center on May 2, 2016, by representatives of the Department of Health and Human Services Division of Public Health. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.
Complaint Details
The complaint alleged that staff lacked appropriate credentials for dressing changes, failure to report abuse allegations to Adult Protective Services, failure to monitor outside agency services to protect residents, and failure to implement new interventions after accidents with injury. The investigation substantiated only the failure to implement new interventions after accidents with injury.
Findings
The investigation found no violations regarding staff credentials for dressing changes, reporting allegations of abuse, or monitoring outside agency services. However, the facility failed to implement new interventions after accidents with injury for two residents, which was a violation of federal and state regulations.
Deficiencies (1)
Failure to implement new interventions after accidents with injury for residents, including not adjusting bed height for Resident 1 and not developing interventions after Resident 4 spilled hot soup.
Report Facts
Facility census: 55
Date of injury report: Apr 10, 2016
Date of survey completion: May 2, 2016
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dan Taylor | RN, Training Coordinator - Office of LTC Facilities - Licensure Unit - Division of Public Health | Signed the complaint investigation report |
| Barbara Dreyer | Administrator | Facility administrator addressed in the report |
| Licensed Practical Nurse A | LPN | Interviewed regarding bed height for Resident 1 |
| Nursing Assistant B | NA | Interviewed regarding bed height for Resident 1 |
| LPN C | LPN | Interviewed regarding bed height for Resident 1 |
| Director of Nursing | DON | Interviewed regarding bed height and care plan changes for Resident 1 and Resident 4 |
Inspection Report
Annual Inspection
Census: 48
Deficiencies: 9
Date: Jul 23, 2015
Visit Reason
The inspection was conducted as an annual survey of Wilber Care Center to assess compliance with regulatory requirements including resident rights, housekeeping, maintenance, and care services.
Findings
The facility was found deficient in providing resident choice related to bathing for one resident, maintaining housekeeping and maintenance standards in six resident rooms, and failing to assess and monitor bruising for two residents. Additional life safety code deficiencies were noted in a separate life safety inspection conducted on 2015-08-06.
Deficiencies (9)
Failed to provide choices related to bathing for 1 resident (Resident 26).
Failed to ensure resident room doors, walls, bathroom trim, paint, floors, countertops and bathroom ceilings were maintained in good repair affecting six resident rooms.
Failed to assess and monitor bruising for two residents (Resident 51 and Resident 38).
The 90-minute rated fire doors between the Nursing Home and the Assisted Living failed to have latching hardware installed to provide a true 2-hour fire barrier building separation.
Failed to conduct fire drills for 3 of 3 shifts in accordance with NFPA 101.
Failed to maintain the sprinkler system in accordance with NFPA 13 for 1 of 5 smoke compartments due to items hanging from sprinkler pipes.
Failed to maintain corridors free of obstructions in 2 of 5 smoke compartments.
Failed to secure oxygen bottles to prevent tipping over in 1 of 5 smoke compartments.
Failed to use electrical wiring and equipment in accordance with NFPA 70 including improper use of power strips and missing junction box covers.
Report Facts
Facility census: 48
Number of affected resident rooms: 6
Number of residents affected by bruising deficiency: 2
Facility census: 47
Inspection Report
Complaint Investigation
Census: 51
Deficiencies: 13
Date: Aug 11, 2014
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at Wilber Care Center on August 11, 2014-August 14, 2014, to determine if the facility ensures residents are not restrained.
Complaint Details
The complaint alleged the facility fails to ensure residents are not restrained. The investigation found the facility does ensure residents are not restrained.
Findings
The facility does ensure residents are not restrained. Observations, resident record reviews, and interviews with nursing and therapy staff found no concerns regarding restraint use. The facility census was 51.
Deficiencies (13)
Failed to maintain one resident's dignity during dining and two residents' dignity related to grooming and hygiene.
Failed to develop comprehensive dietary care plans for residents with weight loss and ongoing nausea symptoms.
Failed to maintain nutrition status by addressing significant weight loss for residents.
Failed to provide a true 2-hour fire barrier separation between Nursing Home and Assisted Living buildings due to missing latching hardware on fire doors.
Failed to seal smoke barrier penetrations in 2 of 7 smoke barriers, allowing potential smoke migration affecting 23 residents.
Failed to separate hazardous area from exit corridor due to manual roll-down fire shutter not tied into fire alarm system.
Failed to maintain horizontal exit doors to resist smoke passage due to gaps exceeding 1/8 inch.
Failed to maintain internally illuminated exit sign in one exit smoke compartment.
Failed to provide fire sprinkler protection in 3 of 6 crawl space access tunnels in otherwise fully sprinkled facility.
Used decorations of highly flammable character throughout the facility without flame retardant documentation.
Failed to provide documentation that window dressings (vinyl mini-blinds) in 2 smoke compartments were flame retardant.
Failed to provide a 1-hour fire rated oxygen transfer room door with verified fire resistance rating.
Failed to use electrical wiring in accordance with NFPA 70; non-medical grade power strip and use of extension cord in resident rooms.
Report Facts
Facility census: 51
Weight loss percentage: 6.9
Weight loss in pounds: 15
Facility census: 88
Residents affected by smoke barrier penetration: 23
Residents affected by hazardous area: 48
Residents affected by horizontal exit door gap: 11
Residents affected by exit sign outage: 11
Residents affected by flammable decorations: 88
Residents affected by flame retardant window dressing issue: 2
Residents affected by oxygen transfer room door issue: 22
Residents affected by electrical wiring issue: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Dreyer | Administrator | Named in complaint investigation letter |
| Eve Lewis | Program Manager, Office of Long Term Care Facilities | Signed complaint investigation letter |
| Kathleen Philippi | Registered Nurse Surveyor | Conducted complaint investigation and annual survey |
| Victoria Smith | Registered Nurse Surveyor | Conducted complaint investigation and annual survey |
| Rebecca Young | Registered Nurse Surveyor | Conducted complaint investigation and annual survey |
| Maintenance A | Interviewed regarding fire safety deficiencies | |
| Administrator A | Interviewed regarding fire safety deficiencies | |
| Dietary Manager | Interviewed regarding dietary care plan deficiencies | |
| Director of Nursing (DON) | Interviewed regarding resident dignity and nausea care | |
| Dietician | Interviewed regarding dietary assessments and care plans | |
| Certified Dietary Manager | Interviewed regarding dietary care plan development | |
| Medication Aide (MA) C | Interviewed regarding resident nausea complaint |
Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 2
Date: Oct 21, 2013
Visit Reason
An unannounced visit was conducted to investigate a complaint and perform an annual survey at Wilber Care Center from October 15, 2013 to October 21, 2013.
Complaint Details
The complaint alleged failure to notify family or responsible party of change in condition, failure to follow residents' directions for medication administration, failure to ensure residents are appropriate for assisted living, and failure to protect residents from misappropriation. The investigation found no violations for the first three allegations but substantiated failure to protect residents from misappropriation.
Findings
The facility was found to have no violations related to notification of change in condition, medication administration, or appropriateness of residents for assisted living. However, the facility failed to protect residents from misappropriation of personal property and did not complete an investigation on suspected neglect/misappropriation of money from two residents.
Deficiencies (2)
No locking system was identified or found in place for residents to secure money or valuables to protect from misappropriation.
Facility failed to complete an investigation on suspected neglect/misappropriation of money from two residents.
Report Facts
Facility census: 38
Observation of medication administrations: 20
Investigation dates: October 15, 2013 to October 21, 2013
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jean Obermier | Registered Nurse | Surveyor conducting the inspection and complaint investigation |
| Frances Prokop | Registered Nurse | Surveyor conducting the inspection and complaint investigation |
| Susan Griepenstroh | Registered Nurse | Surveyor conducting the inspection and complaint investigation |
| Barbara Dreyer | Administrator | Named in statement of compliance regarding corrective actions |
Inspection Report
Routine
Census: 43
Deficiencies: 11
Date: Jun 20, 2013
Visit Reason
The inspection was conducted to assess compliance with state and federal regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.
Findings
The facility was found deficient in developing comprehensive care plans addressing psychoactive medication use, revising care plans to reflect actual care provided, monitoring and evaluating causes of bruising, ensuring drug regimens are free from unnecessary drugs, performing infection control hand hygiene properly, and maintaining operable call systems and life safety code compliance.
Deficiencies (11)
Failed to develop comprehensive care plans addressing use and monitoring of psychoactive medications for 5 residents.
Failed to revise care plans for two residents related to falls, toileting, and transfers.
Failed to monitor and evaluate causes of new bruising for one resident.
Failed to ensure drug regimens were free from unnecessary drugs and failed to attempt gradual dose reductions for two residents.
Pharmacist failed to address gradual dose reductions of psychoactive medications for three residents.
Failed to perform hand hygiene properly to prevent cross contamination during resident care and medication administration.
Special Care Unit call system was not operable from resident beds affecting all 10 rooms.
Corridor doors were obstructed from closing and latching properly to resist passage of smoke.
Hazardous areas were not separated from other areas by smoke resisting partitions due to an access hole without cover.
Delayed egress device on Specialty Care Unit exit door failed to release within required time.
Use of power strips as substitute for permanent wiring in activities/dining room did not meet electrical code.
Report Facts
Facility census: 43
Residents affected by psychoactive medication care plan deficiency: 5
Residents affected by care plan revision deficiency: 2
Residents affected by bruising monitoring deficiency: 1
Residents affected by drug regimen deficiency: 2
Residents affected by pharmacist review deficiency: 3
Residents affected by hand hygiene deficiency: 3
Residents affected by call system deficiency: 10
Residents affected by corridor door obstruction: 24
Residents affected by hazardous area separation deficiency: 46
Residents affected by delayed egress device deficiency: 8
Facility census: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Don Fritz | Director of Nursing | Signed plan of correction approval on 2013-07-26 |
| Maintenance Staff A | Confirmed door obstructions and magnetic lock issues | |
| Registered Nurse C | Interviewed regarding care plan and medication monitoring | |
| Medication Aide G | Observed not performing hand hygiene between residents | |
| Administrator | Interviewed about call light system status | |
| Medication Aide H | Interviewed about call light system in SCU | |
| Assistant Director of Nursing | Observed improper hand hygiene by staff | |
| Registered Pharmacist | Interviewed about gradual dose reduction recommendations |
Inspection Report
Routine
Deficiencies: 0
Date: May 21, 2012
Visit Reason
The inspection was a Compliance Inspection conducted at the facility to assess adherence to regulations governing licensure of Assisted-Living Facilities.
Findings
The facility was found to be in compliance with the applicable regulations, and the results of the inspection were commendable with efforts to maintain compliance applauded.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dain Weiss | Registered Nurse | Conducted the Compliance Inspection |
| Susan Griepenstroh | Registered Nurse | Conducted the Compliance Inspection |
| Sharon Wellensiek | Registered Nurse | Conducted the Compliance Inspection |
| Nancy Hauschild | Nutrition/Dietitian | Conducted the Compliance Inspection |
| Eve Lewis | RN-C, Administrator | Signed the letter acknowledging the inspection results |
Inspection Report
Routine
Census: 47
Deficiencies: 4
Date: May 21, 2012
Visit Reason
Routine inspection to assess compliance with regulations governing licensure of skilled nursing facilities, nursing facilities, and intermediate care facilities.
Findings
The facility failed to implement a bowel care/elimination plan for one resident with documented constipation issues, failed to provide perineal care in a manner to prevent urinary tract infections for one resident, and failed to maintain infection control practices including proper cleanup of body fluid spills and catheter bag placement. Additionally, a life safety code deficiency was found related to sprinkler coverage in one smoke compartment.
Deficiencies (4)
Failed to implement bowel care/elimination plan for one resident with constipation issues.
Failed to provide perineal care to prevent urinary tract infections for one resident.
Failed to maintain infection control by improper cleanup of body fluid spill and catheter drainage bag placement.
Failed to maintain sprinkler coverage in accordance with NFPA 13 in one of four smoke compartments.
Report Facts
Facility census: 47
Survey sample size: 30
Facility census: 49
Facility capacity: 66
Distance from sprinkler heads to ceiling deck: 31
Distance from sprinkler heads to sheetrock ceiling: 12
Inspection Report
Routine
Census: 53
Deficiencies: 5
Date: Jun 20, 2011
Visit Reason
The inspection was conducted to assess compliance with regulations governing licensure of skilled nursing facilities, including medication management and life safety code compliance.
Findings
The facility was found deficient for failing to notify physicians of duplicate medication therapies for three residents, and for multiple life safety code violations including doors not closing or latching properly, unsealed holes in hazardous areas, obstructed sprinkler heads, and inadequate signage on delayed egress doors.
Deficiencies (5)
Failure to ensure physician notification of duplicate medication therapy for 3 residents.
Doors protecting corridor openings failed to close and latch properly, including a door held open with a rubber chock and double doors lacking automatic flush bolts.
Failure to provide separation of hazardous areas from other compartments; door to Central Supply Storage room failed to close and latch; unsealed hole in elevator control room.
Exit access door from SCU contained a magnetic lock with delayed egress but lacked a visible sign explaining operation.
Sprinkler head in kitchen janitor's closet was blocked by storage, obstructing spray.
Report Facts
Facility census: 53
Sample size: 27
Facility capacity: 66
Residents affected by door deficiencies: 42
Residents affected by delayed egress door deficiency: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance A | Confirmed observations of door and sprinkler deficiencies | |
| LPN A | Licensed Practical Nurse | Interviewed regarding failure to notify physician of duplicate medication therapy |
| DON | Director of Nursing | Interviewed regarding medication notification process |
Notice
Capacity: 66
Deficiencies: 0
Visit Reason
This document set serves to verify the license renewal for Wilber Care Center's Skilled Nursing Facility and includes the renewal application, occupancy permit, and a letter describing the Special Care Unit.
Findings
The documents confirm the facility's license renewal through March 31, 2017, with a total licensed capacity of 66 beds. The Special Care Unit is described as providing a safe, secure environment for residents with Alzheimer's or dementia, emphasizing family involvement and staff training.
Report Facts
Total licensed beds: 66
Renewal fee: 1550
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Dreyer | Administrator | Named in the renewal application and letter describing the Special Care Unit. |
| Michele Vana | Director of Nursing | Named in the renewal application. |
Notice
Capacity: 60
Deficiencies: 0
Visit Reason
This document serves as verification of the renewal of the SNF/NF dual certification license for Wilber Care Center and includes the Alzheimer's Special Care Unit Disclosure form as part of the renewal process.
Findings
The document confirms the facility's license renewal through the indicated date and provides detailed disclosure information about the Alzheimer's/Special Care Unit, including philosophy, admission criteria, staffing, training, physical environment, resident activities, family support, and cost of care.
Report Facts
Licensed bed capacity: 60
Renewal license number: 674002
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Dreyer | Administrator | Named as facility administrator in licensing and disclosure documents |
| Michele Vana | Director of Nursing | Named as Director of Nursing in licensing documents |
Notice
Capacity: 60
Deficiencies: 0
Visit Reason
The document serves to verify the licensure renewal of Wilber Care Center's SNF/NF dual certification and includes the Nursing Home Licensure Renewal Application for the facility.
Findings
The documents confirm that Wilber Care Center meets statutory requirements for licensure renewal as a skilled nursing and nursing facility with physical, occupational, and speech therapy services. The renewal application indicates the facility has 60 licensed beds.
Report Facts
Total licensed beds: 60
Renewal fees: 1550
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Dreyer | Administrator | Named on Nursing Home Licensure Renewal Application. |
| Michele Vana | Director of Nursing | Named on Nursing Home Licensure Renewal Application. |
Notice
Capacity: 58
Deficiencies: 0
Visit Reason
This document serves as a licensure renewal application and verification of licensure status for Wilber Care Center, including occupancy permit and facility information.
Findings
The documents confirm the facility's licensure renewal status, maximum licensed capacity of 58 beds, and occupancy permit issued by the Nebraska State Fire Marshal.
Report Facts
Total licensed beds: 58
Renewal license fees: 1550
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Dreyer | Administrator | Named in the Nursing Home Licensure Renewal Application. |
| Michele Vana | Director of Nursing | Named in the Nursing Home Licensure Renewal Application. |
| Roger Chrans | Authorized Representative | Signed the Nursing Home Licensure Renewal Application. |
| Susen Lindner | Deputy State Fire Marshal | Issued the Nebraska State Fire Marshal Occupancy Permit. |
Notice
Capacity: 68
Deficiencies: 0
Date: APP2016
Visit Reason
This document serves as a licensure renewal application and verification for the Wilber Care Center assisted-living facility license renewal.
Findings
The documents confirm the facility meets statutory requirements for licensure renewal and include occupancy permit details with a maximum capacity of 68 beds.
Report Facts
Total licensed beds: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Dreyer | Administrator | Named as the facility administrator in the licensure renewal application. |
| Roger L. Chrans | Authorized Representative | Signed the licensure renewal application as authorized representative. |
Notice
Capacity: 68
Deficiencies: 0
Date: APP2017
Visit Reason
This document serves to verify that Wilber Care Center is licensed as an assisted-living facility through the expiration date indicated on the renewal card and includes the renewal application for relicensing the facility.
Findings
The document confirms the facility meets statutory requirements for licensure as an assisted-living facility and provides details on ownership, capacity, and renewal fees. It also includes the Nebraska State Fire Marshal occupancy permit confirming maximum occupancy of 68 beds.
Report Facts
Total licensed beds: 68
Renewal expiration date: Apr 30, 2018
Occupancy permit issue date: Apr 12, 2016
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Dreyer | Administrator | Named as facility administrator in renewal application |
| Clint Rossman | Deputy State Fire Marshal | Inspected facility and signed occupancy permit |
Document
Capacity: 68
Deficiencies: 0
Date: APP2018
Visit Reason
The document serves as a licensure renewal application and certification for the Wilber Care Center Assisted-Living Facility, including an occupancy permit issued by the Nebraska State Fire Marshal.
Findings
The documents verify that Wilber Care Center is licensed as an assisted-living facility with a total licensed capacity of 68 beds and holds a valid occupancy permit issued on 2017-10-11 by the State Fire Marshal.
Report Facts
Total licensed beds: 68
Occupancy permit issue date: Oct 11, 2017
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Dreyer | Administrator | Named as the facility administrator on the licensure renewal application. |
Notice
Capacity: 68
Deficiencies: 0
Date: APP2019
Visit Reason
This document serves as a licensure renewal notice for Wilber Care Center, an assisted-living facility, confirming its license renewal through the indicated expiration date and providing related occupancy permit information.
Findings
The document confirms that Wilber Care Center meets statutory requirements as an assisted-living facility and is licensed through the renewal date. It includes an occupancy permit issued by the Nebraska State Fire Marshal with a maximum occupancy of 68 beds.
Report Facts
Total licensed beds: 68
Renewal expiration date: Apr 30, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Dreyer | Administrator | Named as facility administrator on renewal application. |
| Bo Botelho | Interim CEO and Interim Director of Public Health | Signed renewal notice as Interim CEO and Interim Director of Public Health. |
| Susen Lindner | Deputy State Fire Marshal | Inspected facility and issued occupancy permit. |
Document
Capacity: 68
Deficiencies: 0
Date: APP2020
Visit Reason
This document set includes the renewal application for licensure of the Wilber Care Center Assisted-Living Facility, along with the occupancy permit and licensing verification.
Findings
No inspection findings or deficiencies are reported in these documents; they primarily serve to verify licensure status, renewal application details, and occupancy capacity.
Report Facts
Total licensed beds: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Dreyer | Administrator | Named as the facility administrator in the renewal application. |
| Susen Lindner | Deputy State Fire Marshal | Inspected the facility for the occupancy permit. |
Notice
Capacity: 68
Deficiencies: 0
Date: APP2021
Visit Reason
The document serves as a renewal application for the assisted-living facility license of Wilber Care Center and includes related licensing and occupancy permit information.
Findings
The documents confirm that Wilber Care Center meets statutory requirements as an assisted-living facility and is licensed through the renewal date indicated. The occupancy permit allows a maximum of 68 beds.
Report Facts
Total licensed beds: 68
Notice
Capacity: 68
Deficiencies: 0
Date: APP2022
Visit Reason
The document serves as a renewal license notice and application for the Wilber Care Center assisted-living facility, confirming licensure status and providing occupancy permit details.
Findings
No inspection findings or deficiencies are reported; the documents confirm licensure renewal and occupancy permit approval.
Report Facts
Total licensed beds: 68
Occupancy maximum: 68
Notice
Capacity: 68
Deficiencies: 0
Date: APP2023
Visit Reason
This document set serves to verify the licensure renewal of Wilber Care Center as an assisted-living facility and includes the renewal application, license card, and occupancy permit.
Findings
The documents confirm that Wilber Care Center meets statutory requirements for licensure renewal as an assisted-living facility with a maximum occupancy of 68 beds. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 68
Renewal license expiration date: License expires 4/30/2024 as shown on renewal card
Notice
Capacity: 68
Deficiencies: 0
Date: APP2024
Visit Reason
This document serves to verify that Wilber Care Center is licensed as an assisted-living facility through the renewal date indicated and includes the renewal application for the facility license.
Findings
The document confirms the facility meets statutory requirements for licensing as an assisted-living facility and provides occupancy and ownership information. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 68
Notice
Capacity: 68
Deficiencies: 0
Date: APP2025
Visit Reason
The document serves as a licensure renewal application and verification for the Wilber Care Center assisted-living facility, including renewal of the facility license and occupancy permit.
Findings
The documents confirm that Wilber Care Center meets statutory requirements for licensure as an assisted-living facility, with no inspection findings or deficiencies noted.
Report Facts
Total licensed beds: 68
Renewal license date: 2026
Occupancy permit issue date: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Lane | Administrator | Named as the facility administrator on the renewal application. |
| Roger Chrans | Authorized Representative | Signed the renewal application as authorized representative. |
| Brandon Lubke | Deputy State Fire Marshal | Inspected the facility for the occupancy permit. |
Notice
Census: 58
Capacity: 58
Deficiencies: 0
Visit Reason
This document set includes a Nursing Home Licensure Renewal Application for Wilber Care Center, verifying licensure and renewal status, and related occupancy permit information.
Findings
The documents certify that Wilber Care Center meets statutory requirements for licensure renewal and occupancy with a licensed capacity of 58 beds. No inspection findings or deficiencies are reported.
Report Facts
Licensed beds: 58
Renewal Licensure Fee: 1550
Notice
Capacity: 58
Deficiencies: 0
Visit Reason
This document set serves to verify the renewal of the SNF/NF dual certification license for Wilber Care Center and includes the nursing home licensure renewal application and occupancy permit.
Findings
The documents confirm that Wilber Care Center meets statutory requirements for licensure renewal and holds an occupancy permit for 58 beds. No inspection findings or deficiencies are reported.
Report Facts
Total licensed capacity: 58
Renewal license expiration date: Mar 31, 2023
Occupancy permit issue date: Dec 9, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Dreyer | Administrator | Named as administrator on the Nursing Home Licensure Renewal Application. |
| Carin Jelinek | Director of Nursing | Named as Director of Nursing on the Nursing Home Licensure Renewal Application. |
| Roger L Chrans | Authorized Representative | Signed the Nursing Home Licensure Renewal Application as authorized representative. |
Notice
Capacity: 58
Deficiencies: 0
Visit Reason
This document serves as a license renewal verification for Wilber Care Center and includes an occupancy permit indicating the maximum licensed capacity of the facility.
Findings
The documents confirm that Wilber Care Center meets statutory requirements for SNF/NF dual certification and holds a valid occupancy permit with a maximum capacity of 58 beds.
Report Facts
Total licensed capacity: 58
Renewal license expiration date: Expires 3/31/2024 as shown on the renewal card.
Notice
Capacity: 58
Deficiencies: 0
Visit Reason
This document serves as a license renewal application and renewal card for Wilber Care Center, verifying the facility's SNF/NF dual certification and license renewal through 3/31/2026.
Findings
The documents confirm the facility's licensure status, renewal fees based on bed count, and occupancy permit issued by the Nebraska State Fire Marshal with a maximum occupancy of 58 beds.
Report Facts
Total licensed beds: 58
Renewal license fees: 1550
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Lane | Administrator | Named on Nursing Home Licensure Renewal Application. |
| Micheleene Pruss | Director of Nursing | Named on Nursing Home Licensure Renewal Application. |
| Roger Chrans | Named as City Council member and authorized representative on renewal application. | |
| Susen Lindner | Deputy State Fire Marshal | Approved occupancy permit for Wilber Care Center. |
Viewing
Loading inspection reports...
