LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D6 Based on observation and interviews, the facility failed to ensure supplies necessary to care for a 2 residents (Resident 3 and Resident 2) with a [CONDITION(S)] were available prior to the admission of a resident with a [CONDITION(S)] (an incision in the windpipe made to relieve an obstruction to breathing). Facility census was 70. Findings are: A. An observation on 11/12/20 at 09:47 AM revealed Resident 3 to have oxygen connected directly to the external [CONDITION(S)] tube and being held in place with tape. An interview on 11/12/20 at 09:47 AM with Resident 3 revealed that the night nurse had taped the oxygen tubing to the external [CONDITION(S)] tube as the facility did not have an adapter. …
F695 citations in Nebraska
Respiratory care · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Nebraska cites F695 less often than its own record predicts
0.71 times the national share — cited less often here than elsewhere.
Of every deficiency written in Nebraska in 2025, this is the portion that was F695.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nebraska surveyors wrote
F695 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 12-006.09D6 Based on record review and interview, the facility failed to provide comfort cares to include oxygen for one resident (Resident 4). The facility sample size was 4. The facility identified a census of 41. Findings are: A record review of the Progress Notes dated 09/18/20 through 10/5/20 revealed that Resident 4 had received a Covid-19 (a mild to severe respiratory illness that is caused by a coronavirus) test with a negative result on 9/19/20. The record review revealed that Resident 4 had been tested for Covid-19 again on 9/23/20 with positive results. …
Based on observation, interview, and record review, the facility failed to ensure staff followed provider's order related to 1 (Resident 5) of 1 sampled resident's flutter valve and oxygen. The facility census was 84. Findings are:A.A record review of Resident 5's Resident Census Periods dated 06.25.2026 revealed the resident was admitted to the facility 12/10/2024. A record review of Resident 5's Client Diagnosis Report dated 06/25/2026 revealed the resident had diagnoses of Unspecified systolic (congestive) heart failure (CHF), Pneumonia, Chronic Respiratory Failure, and Chronic Obstructive Pulmonary Disease (COPD). …
The short window
Recent years
| Year | Share of Nebraska citations | vs expected |
|---|---|---|
| 2023 | 0.99% | 0.42× |
| 2024 | 1.98% | 0.90× |
| 2025 | 1.56% | 0.71× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska surveyors cite →
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