Accura HealthCare of North Platte

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.17(E)(v) Based on observations and interview, the facility failed to ensure resident bathrooms were well-ventilated for resident rooms on the 100 and 200 halls for 14 sampled residents. The facility identified a census of 55 residents. An observation on 6/4/26 at 10:30 AM in the bathroom of resident room [ROOM NUMBER] revealed the ceiling exhaust vent was not moving any air, as evidenced by no movement of a single ply of a toilet tissue square held up to the vent. No residents were assigned to room [ROOM NUMBER] at that time. An observation on 6/2/2026 at 11:00 AM in the bathroom of resident room [ROOM NUMBER] revealed the ceiling exhaust vent was not moving any air. room [ROOM NUMBER] was occupied by Resident 14. An observation on 6/2/2026 at 11:05 AM in the bathroom of resident room [ROOM NUMBER] revealed the ceiling exhaust vent was not moving any air. room [ROOM NUMBER] was occupied by Resident 46. An observation on 6/4/2026 at 11:10 AM in the bathroom of resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Licensure Reference Number 175 NAC 12-006.09 Based on record review and interview, the facility failed to ensure pre-and post-dialysis assessments were completed as required for one (Resident 30) of one sampled resident. The facility identified a census of 55. A record review of Resident 39's admission Record dated 6/4/2026 revealed an admission date of 5/4/2026. The admission record also revealed the following relevant diagnoses:-End stage renal disease-Malignant neoplasm of left kidney, except renal pelvis-Secondary malignant neoplasm of left kidney and renal pelvis-Dependence on Renal Dialysis-Acquired absence of kidney Record review of Resident 39's Physician's Orders revealed the following:-Assess dialysis site every (q) shift, Assess thrill/bruit (medical terms used to describe the signs of turbulent blood flow, usually related to a narrowed artery or an abnormal connection between an artery and a vein). Chart + if present and - if absent. Notify the dialysis center if absent. Assess access site and document N for normal, B for signs and symptoms (s/sx) bleeding, or I for s/sx…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY L:icensure Reference Number 175 NAC 12-006.18(B)Licensure Reference Number 175 NAC 1-005.06 Based on record review, observation, and interview, the facility failed to ensure catheter bags were maintained in a manner to prevent the potential for cross contamination and/or infection for two (Residents 4 and 13) of three sampled residents. The facility identified a census of 55. Findings are: Record reviews of facility policies related to catheters (including infection control and catheter care) revealed no evidence of an expectation to ensure catheter bags were maintained in a manner to prevent the potential for cross contamination and/or infection. An interview with Infection Preventionist (IP) on 6/03/2026 at 3:14 PM confirmed that catheter bags were to be hung from the side pocket of the recliner when a resident was in their recliner. IP confirmed that when residents were in bed, the catheter bags were to be hung from the side of the bed. A. Record review of Resident 4's admission Record dated 6/4/2026 revealed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(H)(iv)(5) Based on record reviews and interviews, the facility failed to follow their bowel protocol to prevent constipation (a condition characterized by infrequent or difficult bowel movements, resulting in hard, dry, and difficult-to-pass stools) for 3 (Residents 9, 11, and 16) of 6 sampled residents. The facility identified a census of 56. Findings are: A record review of the facility's Bowel Movement Needs List with a date of 5/10/2023 revealed that the night shift nurse is to record all residents who have not had a bowel movement in the last 2, 3, 4, or 5 days and give this list to the next shift. Interventions, assessments, and results will be initiated and recorded by the day and night shift nurses. A record review of an undated facility document, Accura HealthCare Bowel Protocol revealed the following: - Day 3 - MiraLAX 17 grams (g) with morning medications and prune juice at breakfast. - Day 4 - Milk of Magnesia with morning medications. - Day 5 - rectal…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interview, the facility failed to provide a written notice of discharge as required to 1 (Resident 112) of 1 sampled resident or their representative. The facility census was 56. Findings Are: A record review of Resident 112's Progress Notes revealed that on 3/2/25, Resident 112 was sent by the facility to the emergency department due to adverse behaviors toward another resident. Resident 112 was admitted to the hospital due to delirium and hypoxia. Further review of Resident 112's Progress Notes revealed that on 3/3/25, the facility notified Resident 112's child that the facility would not be admitting the resident back to the facility from the hospital due to the potential for putting other residents in harm's way. The notes revealed Resident 112's child voiced understanding and declined a bed hold. A record review of Resident 112's electronic medical records revealed no evidence that a written notice of discharge had been given to the resident or the resident representative. An interview on 4/1/25 at 3:10 PM with the SSD confirmed that a written notice…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record reviews and interview, the facility failed to ensure the physician had documented a clinical rationale for not taking action regarding the pharmacist's identified medication irregularity as required of 1 (Resident 11) of 5 sampled residents. The facility identified a census of 56. Findings are: A record review of the facility's undated policy Medication Regimen Review Policies and Procedures defined Medication Regimen Review (MRR) as a thorough evaluation of the medication regimen of a resident by a consultant pharmacist, with the goal of promoting positive outcomes and minimizing adverse consequences associated with medication. The review includes preventing, identifying, reporting, and resolving medication-related problems, medication errors, or other irregularities, and collaborating with other members of the interdisciplinary team. Additionally, the policy revealed a report of the MRR with any irregularities will be sent to the Director of Nursing (DON), the Medical Director, and the Attending Physician. The policy did not include information regarding the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Licensure Reference Number 175 NAC 12-006.11E Based on observation, record review and interviews, the facility failed to ensure food was labeled and dated to prevent the potential of food borne illness. This had the potential to affect all residents who consumed food from the kitchen. The facility census was 60. Findings are: A. An observation on March 18, 2024, at 10:45 AM during the initial walk through of the kitchen walk through revealed: - One open plastic bag of spaghetti with no listed expiration date or open date. The bag of spaghetti was within a box which also did not contain an opened or expiration date. - One open plastic bag of elbow macaroni with no expiration date or open date. The bag of elbow macaroni was within a box which also did not contain an opened or expiration date. - One open plastic bag of long grain rice with no expiration date or open date. The long grain rice was within a box which also did not contain an opened or expiration date. - One bottle of soy sauce was open without an opened date or expiration date. An observation on March 18, 2024, at 10:45 AM…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Licensure Reference Number 175 NAC 12.006.18A Based on observations and interviews, the facility failed to ensure garbage was stored in a manner to prevent harborage and feeding of pests by failing to ensure trash receptacles were covered and not open. This had the potential to affect all the facility's residents. The facility identified a census of 60 at the time of survey. An observation on March 18, 2024 at 10:45 AM of the facility outside of the back entry to the kitchen revealed the following: - 1 trash receptable which had the back of the receptable open with no coverings and trash was visible inside, - 1 trash receptable which had the front and the back of the receptable open with no coverings and trash was visible inside. Interview with Dietary superviosor (DS) on March 20, 2024, at 10:45 AM confirmed the lids the 2 trash receptables were uncovered with trash inside. The DS confirmed the facility had called the trash company but was unaware of a delivery date to replace the coverings.

Licensure Reference Number 175 NAC 12-006.09D5b Based on observations, interviews, and record review, the facility failed to provide activities of choice to 1 (Resident 9) of 1 sampled residents. The facility identified a census of 60. The findings are: A record review of Resident 9's Medical Diagnosis revealed the facility had admitted Resident 9 on 10/12/2019 with diagnoses of: major depressive disorder, Dementia, chronic obstructive pulmonary disease, insomnia, retention of urine, and constipation. A record review of Resident 9's significant change Minimum Data Set (MDS, a standardized assessment tool that measures health status in nursing home residents), dated 2/26/2024, revealed Resident 9 had a Brief Interview for Mental Status (BIMS) score of 15/15, which revealed the resident was cognitively intact. The MDS also indicated Resident 9's activity preference for doing things with groups of people was very important and doing Resident 9's activity preference for doing favorite activities and going outside was somewhat important. A record review of Resident 9's Care Plan revealed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09 Based on record review and interviews, the facility failed to follow physician's orders regarding daily weights for 1 (Resident 36) of 1 sampled resident. The facility census was 60. The Findings Are: A record review of Resident 36's admission record revealed the resident was admitted to the facility on [DATE] with a primary diagnosis of pneumonia, unspecified organism. A record review of Resident 36's undated Care Plan revealed the resident had a diagnosis of congestive heart failure and had an intervention in place for weight monitoring. A record review of Resident 36's Physician's Orders revealed an order for daily weights to be obtained on the day shift related to their diagnosis of Unspecified Diastolic (Congestive) Heart Failure. The order also stated to give PRN (as needed) Lasix if the resident had a weight gain of 4 to 5 pounds, and to call the Primary Care Provider (PCP). The start date for this order was 12/21/2023. A record review of Resident 36's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Licensure Reference Number 175 NAC 12-006.09D2b Based on observations, interviews, and record review, the facility failed to provide treatment of a pressure ulcer for 1 (Resident 9) of 4 sampled residents. The facility identified a census of 60. The findings are: A record review of Resident 9's Medical Diagnosis revealed the facility had admitted Resident 9 on 10/12/2019 with diagnoses of: major depressive disorder, Dementia, chronic obstructive pulmonary disease, and Diabetes Mellitus. A record review of Resident 9's significant change Minimum Data Set (MDS, a standardized assessment tool that measures health status in nursing home residents) dated 2/26/2024, revealed Resident 9 had a Brief Interview for Mental Status (BIMS) score of 15/15, which revealed the resident was cognitively intact. The MDS also indicated Resident 9 was at risk for pressure ulcers with a pressure ulcer present. A record review of Resident 9's Weekly Skin Assessment with a date of 3/5/2024 revealed Resident 9 had an unstageable pressure sore to the right great toe. A record review of Resident 9's Care Plan…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09D6 (7) Based on observation, record review and interview; the facility staff failed to change oxygen tubing for 2 (Resident 10 and 49) of 2 sampled residents and failed to change the nebulizer mask with tubing for 1 (Resident 49) of 1 sampled resident which had the potential to cause infection. The facility census was 60. Findings are: A. A record review of Resident 10's Medical Diagnosis printed 3/18/2024 revealed Resident 10 was re-admitted to the facility on [DATE] with diagnoses of: congestive heart failure (CHF-the heart does not pump blood as well as it should), obstructive sleep apnea (intermittent airflow blockage during sleep), morbid obesity, pulmonary hypertension (a type of high blood pressure that affects the arteries in the lungs and the right side of the heart), paranoid schizophrenia (a mental disorder in which the person has irrational thoughts, delusions and hallucinations). A record review of Resident 10's Clinical Physician Orders printed 3/18/2024…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Licensure Reference Number 175 NAC 12-006.10 Based on interviews and record review, the facility failed to ensure an as needed antipsychotic medication was limited to 14 days and had a physician documented rationale for continuance. This affected 1 (Resident 114) of 6 sampled residents. The facility identified a census of 60. The findings are: A record review of Resident 114's Face Sheet revealed the facility admitted Resident 114 on 2/28/2024 with diagnoses of: altered mental status, adult failure to thrive, hallucinations, Dementia with moderate behavioral disturbance, and cognitive communication deficit. A record review of Resident 114's significant change Minimum Data Set (MDS, a standardized assessment tool that measures health status in nursing home residents) dated 3/9/2024, revealed Resident 114 had a Brief Interview for Mental Status (BIMS) score of 4/15, which revealed the resident had severe cognitive impairment. The MDS also indicated Resident 114 had physical (hitting, kicking, grabbing, etc.) and verbal (threatening, screaming, cursing, etc.) behavioral symptoms 4 to 6…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Licensure Reference Number 175 NAC 12-006.17D Based on observation, record review and interview; the facility failed to ensure hand hygiene was performed to prevent the spread of infection or prevent cross contamination during and after incontinence care with appropriate change of gloves for 1 (Resident 49) of 1 sampled resident. The facility census was 60. Findings are: An observation on 3/20/2024 at 11:00 AM of personal cares were completed on Resident 49 by NA-D (nursing assistant) and NA-F revealed the following: Resident 49 was lying on [gender] back in bed. NA-D performed hand hygiene (HH) with soap and water at the resident's sink for 20 seconds. NA-F performed HH for 30 seconds with soap and water at the sink. Both nursing assistants applied gloves and the privacy curtain was pulled. NA-D began to pull the covers down the resident. NA-F pulled the window blinds. NA-D undid the tabs on the incontinence brief and removed the pillow from under the resident's legs. NA-D then pulled multiple incontinence wipes from the package and set them on top of the package. NA-D then wiped…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.