Licensure Reference Number 175 NAC 12XXX C3a(6) Based on record review and interview the facility failed to notify the resident's physician of a change in condition for 1 resident (Resident1) related to unrepsonsiveness and required emergency transport to the hospital with a [DIAGNOSES REDACTED]. The facility census was 67. Findings are: Record review of Survey Report ADL (Activities of Daily Living) for Resident 1 dated 02/12/20 revealed; on 2/7/20 Resident 1 required limited assistance of 1 person while eating at 8 AM at 5PM Resident 1 required total assistance while eating. On 2/8/20 Resident 1 had not eaten the breakfast and noon meal. …
F580 citations in Nebraska
Notifying of changes · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Nebraska cites F580 more often than its own record predicts
1.77 times the share F580 takes of citations nationally.
Of every deficiency written in Nebraska in 2025, this is the portion that was F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nebraska surveyors wrote
F580 findings written in Nebraska, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Licensure Reference Number 12-006.04(F)(i) Based on record review, and interview, the facility failed to notify the resident's physician of a change in condition, and failed to notify family representative for 1 resident (Resident 2) of 5 sampled residents a change in condition. The facility census was 56.Findings are: A record review of the admission Record revealed Resident 2 was admitted to the facility on [DATE] with the diagnosis of Age-related osteoporosis without current pathological fractures (occurs when bones naturally lose density and mass as you age, becoming weak), Dementia, psychotic disturbance, mood disturbance and anxiety (describes a cognitive decline (such as memory loss and impaired problem-solving) occurring without psychiatric or physical symptoms like aggression,… …
Licensure Reference Number 175 NAC 12-004(F)(i)(5) Based on observation, record review, and interview, the facility failed to notify the provider of a urine culture and sensitivity (C&S, a lab result identifying the organism growing and medication the organism is sensitive to in a urine sample) for Resident 35. This affected 1 of 2 residents sampled for urinary tract infections (UTI-an infection in any part of the urinary system, including the kidneys, bladder, ureters [tubes that lead from the kidneys to the bladder], and urethra [tube that drains the bladder to the outside of the body]). …
The short window
Recent years
| Year | Share of Nebraska citations | vs expected |
|---|---|---|
| 2023 | 3.67% | 2.56× |
| 2024 | 3.61% | 2.37× |
| 2025 | 2.63% | 1.77× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska surveyors cite →
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