Licensure reference number 175 NAC 12-006.09(F)Based on interviews and record reviews the facility failed to involve Resident 2 or 26's representatives in the development of the residents' care plans; failed to revise Resident 54's care plan related to their need to utilize a wheelchair for mobility, and Resident 21's care plan related to their pressure wounds. The sample size was 19. The facility identified a census of 90. Findings Are: A record review of the facility policy Care Plans- Comprehensive with a revision date of April 2010 revealed the facility's Care Planning/Interdisciplinary Team, in coordination with the resident, his/her family or representative (sponsor), develops and maintains a comprehensive care plan for each resident that identifies the highest level of functioning… …
F657 citations in Nebraska
Care plan timing and revision · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Nebraska cites F657 more often than its own record predicts
1.15 times the share F657 takes of citations nationally.
Of every deficiency written in Nebraska in 2025, this is the portion that was F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nebraska surveyors wrote
F657 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 12-006.09C1c Based on observations, interviews, and record review the facility failed to review and revise 1 (Resident 23) of 1 sampled resident's care plan to meet the resident's needs. The facility census was 47. The findings are: A record review of Resident 23's Face Sheet dated 9/21/23, revealed the Resident was admitted on [DATE] with a diagnosis of Personal History of Traumatic Brain Injury. A record review of Resident 23's Minimum Data Set (MDS) dated [DATE] Section C revealed Resident 23's Brief Interview for Mental Status (BIMS) score was 11 out of 15, indicating moderately impaired cognition. Section G revealed Resident 23 required extensive assistance of one staff for transfers, walking, and toilet use. …
The short window
Recent years
| Year | Share of Nebraska citations | vs expected |
|---|---|---|
| 2023 | 1.27% | 0.59× |
| 2024 | 1.89% | 0.99× |
| 2025 | 2.14% | 1.15× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska surveyors cite →
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