Licensure Reference Number 175 NAC 12-007.04CiBased on observation, record review, and interview the facility failed to develop and implement a plan to maintain required safe temperatures in resident rooms to prevent heat-related injury for facility residents. This affected 1 of 3 sampled residents (Resident 1). The facility census was 58.The facility Administrator was notified on 07/01/2026 at 12:45 PM of an Immediate Jeopardy (IJ) which began on 07/01/2026. The IJ was removed on 07/01/2026, as confirmed by surveyor onsite verification. Findings are:Record review of the undated facility admission Agreement revealed that the facility shall provide room, board, linens, bedding, and nursing care to the resident. …
F584 citations in Nebraska
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Nebraska cites F584 less often than its own record predicts
0.83 times the national share — cited less often here than elsewhere.
Of every deficiency written in Nebraska in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nebraska surveyors wrote
F584 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 175 NAC 12-006.19(C)Based on record review and interviews, the facility failed to ensure there was enough linens for each shift for the residents to have a clean bed and washcloths or towels to ensure clean hygiene. This had the potential to affect all residents. The facility identified a census of 90.Findings are:Record review of Resident 44's admission Record, dated 8/31/2026, revealed Resident 44 was admitted to the facility on [DATE] with a diagnosis of osteoporosis (a bone disease that makes bones weak and fragile, so they break easily), mild cognitive impairment, and anxiety.Record review of Resident 44's Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home… …
The short window
Recent years
| Year | Share of Nebraska citations | vs expected |
|---|---|---|
| 2023 | 2.12% | 0.95× |
| 2024 | 2.80% | 1.31× |
| 2025 | 1.75% | 0.83× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska surveyors cite →
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