Licensure Reference Number 175 NAC 12-006.09(F)(i) Based on record review and interview, the facility failed to ensure a baseline care plan was completed within the required time frame for 2 (Residents 34 and 73) of 2 sampled residents. The facility identified a census of 67. Findings are: Record Review of the facility's Baseline Care Plan (BCP, a plan of care for the resident that includes the minimum information needed to provide effective, person-centered care immediately upon admission) policy, revised 9/29/2025, revealed the baseline care plan should be developed within 48 hours of a resident's admission. Further review of the BCP policy revealed a supervising nurse should verify within 48 hours that a baseline care plan had been developed. …
F655 citations in Nebraska
Baseline care plan · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Nebraska cites F655 more often than its own record predicts
1.34 times the share F655 takes of citations nationally.
Of every deficiency written in Nebraska in 2025, this is the portion that was F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nebraska surveyors wrote
F655 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.
The short window
Recent years
| Year | Share of Nebraska citations | vs expected |
|---|---|---|
| 2023 | 1.13% | 1.41× |
| 2024 | 0.90% | 1.31× |
| 2025 | 0.88% | 1.34× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska surveyors cite →
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