Licensure Reference Number 175 NAC 12-007.04(D) Based on observation, record review, and interview; the facility failed to ensure the bathroom ventilation system was functional for 6 (Residents 1, 2, 6, 63, 75, and 88) of 19 sampled residents. The facility identified a census of 90.Findings Are: A record review of Resident 6's Census List revealed the resident was admitted to room [ROOM NUMBER] on 8/7/2026. An observation on 8/24/2026 at 8:35 AM in room [ROOM NUMBER] revealed the bathroom vent would not pull up a 1-ply piece of toilet paper when held near the vent. A record review of Resident 88's Census List revealed the resident was admitted to room [ROOM NUMBER] on 12/26/2024. …
F923 citations in Nebraska
Environmental Deficiencies
Have enough outside ventilation via a window or mechanical ventilation, or both.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Nebraska cites F923 more often than its own record predicts
31.38 times the share F923 takes of citations nationally.
Of every deficiency written in Nebraska in 2025, this is the portion that was F923.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nebraska surveyors wrote
F923 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 12-007.04(D) Based on observations, record review and interviews, the facility failed to ensure bathroom ventilation system was functioning preventing lingering odors from permeating for 10 occupied resident rooms, and the facility failed to ensure the ventilation system was free of dust in Rooms 103,104, 105, 106,107, 109, 110, 113,115, 117. This had the potential to affect all residents. The facility census was 24. Findings are: An observation on 5/19/25 at 8:59 AM revealed the bathrooms ventilation in rooms103,104,105,106,107,109,110,113,115, and 117 did not have functional ventilation as tested with a 1 ply square of toilet paper held flat against the ventilation cover that did not hold the paper which indicated that there was no air draw and the… …
The short window
Recent years
| Year | Share of Nebraska citations | vs expected |
|---|---|---|
| 2023 | 1.13% | 36.66× |
| 2024 | 0.63% | 28.46× |
| 2025 | 1.07% | 31.38× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska surveyors cite →
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