F656 in Nebraska. Pick another state for the same tag.
Against expectation — 2025
Nebraska cites F656 less often than its own record predicts
Versus expected share0.54×
0.54 times the national share — cited less often here than elsewhere.
Share of Nebraska citations1.85%
Of every deficiency written in Nebraska in 2025, this is the portion that was F656.
Nebraska1.85%
National3.44%
Share of all citations that were F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nebraska surveyors wrote
F656 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.
G · Actual harm, isolatedAugust 27, 2020
Licensure Reference Number 175 NAC ,d+[DATE].04C3a (5)
Based on staff interviews, record review, and facility investigation, the facility failed to implement the comprehensive care plan for a resident with heart failure by not ensuring the Left Ventricular Assist Device (LVAD) was switched from battery supply to an electrical wall outlet power supply, and failed to follow the care plan to Code the resident without chest compressions. The facility also failed to update the care plan when the resident was put in precautionary isolation. This occurred for 1 of 1 resident (Resident 322) reviewed for death in the facility. …
E · No harm, potential for more than minimal, patternAugust 31, 2026
Licensure Reference Number 175 NAC 12-006.09(E) Based on observation, interview, and record review; the facility failed to ensure Resident 28 and 65's Comprehensive Care Plan (CCP, a document that includes measurable objectives and timetables to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment) included information related to their toileting needs, Resident 18's preference for meals in their room, and Resident 67's hospice care goals and interventions. …
C · No harm, potential for minimal, widespreadOctober 5, 2023
Licensure Reference Number 175 NAC 12.006.09C
Based on observation, interview, and record review, the facility failed to ensure the Comprehensive Care Plan (Care Plan)(the plan of how the facility will care for a resident) included oxygen use and nebulizer (a system used to deliver liquid medications to the lungs) treatments for Residents 18, 41, and 47, nebulizer treatments for Resident 26, non-invasive ventilator (a machine used to assist a resident in breathing by using a mask) for Residents 9 and 13, wound vacuum (vac) system for Resident 13, and oxygen use for Resident 6. This had the potential to affect 7 of 17 sampled residents. …
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