Heritage Crossings

In the surveyor’s words

From the most serious findings on record at Heritage Crossings, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF728Jun 30, 2021

  Based on record review and interview, the facility failed to ensure 1 (NA - C) staff member working in the facility as a temporary NA (nurse aide) was assessed for competency prior to working with residents. This had the potential to affect all residents residing in the facility. The facility had a total census of 53 residents. The findings are: A review of NA - C's personnel file revealed NA - C had a hire date of 9/1/2020. Further review of NA - C's personnel file did not reveal verification that NA - C was active on the Nebraska Nurse Aide Registry. A review of the Nebraska Nurse Aide Registry database, accessed on 7/1/21, revealed NA - C was not listed in the database as a nurse aide. […]

• No harm, potential for more than minimal, patternF609Jun 30, 2021

  Licensure Reference Number 175 NAC 12-006.02(8) Based on observation, interview, and record review, the facility failed to ensure resident-to-resident sexual behaviors were reported to the required state agencies for 4 (Residents 2, 27, 29, and 53) sampled residents. The facility had a total census of 53 residents. The findings are: A. A review of Resident 27's progress notes revealed the following: -4/23/2021 at 9:14 PM - (Resident 27) observed in other residents rooms and inappropriately touching them, this nurse had to remind (Resident 27) that isn't appropriate behavior and that it would be better to go back to (Resident 27's) own room. -4/24/2021 at 6:26 AM - Sexually acting out behavior continues. […]

• No harm, potential for more than minimal, patternF610Jun 30, 2021

  Licensure Reference Number 175 NAC 12-006.02(8) Based on interview and record review, the facility failed to ensure resident-to-resident sexual behaviors were investigated for 4 (Residents 2, 27, 29, and 53) sampled residents. The facility had a total census of 53 residents. The findings are: A. A review of Resident 27's progress notes revealed the following: -4/23/2021 at 9:14 PM - (Resident 27) observed in other residents rooms and inappropriately touching them, this nurse had to remind (Resident 27) that isn't appropriate behavior and that it would be better to go back to (Resident 27's) own room. -4/24/2021 at 6:26 AM - Sexually acting out behavior continues. […]

• No harm, potential for more than minimal, patternF880Jun 30, 2021

  Licensure Reference Number 175 NAC 12-006.17D Based on observation, record review, and interview; the facility failed to ensure sanitation of the staffs' hands and prevent cross contamination during meal times in the dining room, when staff was working with their masks, touching their faces, and hair, and not providing hand hygiene. This had the potential of affecting 46 of 53 residents. The facility census was 53. Findings are: A. Observation on 06/23/2021 at 12:10 PM revealed kitchen/dining staff and nursing staff in the dining room to pass trays, found DM-G, DM-F and DM-C, and staff helping to pass trays from the dining room, pulling their masks up, and they kept touching their masks and did not hand sanitize. […]

• No harm, potential for more than minimal, patternF921Jun 30, 2021

  Licensure Reference Number 175 NAC 12-006.18 Based on observation and interview, the facility failed to ensure that the vents in the bathrooms of the residents' rooms were cleaned; Room 204,102, 202, 203, 204, 312, 104, 107 and 313. This affected 9 of 9 sampled residents bathroom vents and had fuzzy gray matter in the vent grooves. The facility census at the time of survey was 53. Findings are: Observation on 6/24/21 at 09:47 AM revealed fuzzy gray matter in the vent grooves of the residents bathroom vents, of rooms 204, 102, 202, 204, 203,213, 104, 107, and 313. […]