Licensure Reference 175 NAC 12-006.09(H)Based on observations, interviews, and record review, the facility failed to identify and address uncontrolled pain and withdrawal symptoms when the resident could no longer reliably swallow their oral medications for 1 (Resident 6) of 1 sampled resident. The facility identified a census of 25.Findings are: A record review of the facility's policy, Pain - Clinical Protocol (dated October 2022) revealed the following:- Nursing staff will identify any situation or interventions where an increase in the residents' pain may be anticipated.- Nursing staff will reassess the resident's pain at regular intervals, at least every shift for acute pain or significant changes in levels of chronic pain.- Nursing staff will evaluate and report on the residents' use… …
F675 citations in Nebraska
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Nebraska cites F675 more often than its own record predicts
6.09 times the share F675 takes of citations nationally.
Of every deficiency written in Nebraska in 2025, this is the portion that was F675.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nebraska surveyors wrote
F675 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 12-006.09(H)Based on observations, record review and interview, the facility failed to ensure prompt response to call lights to ensure resident needs were being met for 2 (Residents 1 and 6) out of 6 sampled residents. The facility census was 131.A. A record review of admission Record revealed Resident 1 was admitted to the facility on [DATE] with the diagnosis of Cerebral Infarction (brain tissue death (necrosis) from a blocked blood vessel, cutting off oxygen and nutrients, and is the most common stroke type), Hypertensive Heart Disease (heart problems caused by long-term high blood pressure (hypertension), forcing the heart to work harder), Anxiety Disorder (mental health conditions marked by excessive, persistent fear and worry disproportionate to the… …
The short window
Recent years
| Year | Share of Nebraska citations | vs expected |
|---|---|---|
| 2023 | 0.14% | 3.10× |
| 2025 | 0.29% | 6.09× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska surveyors cite →
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