Holdrege Memorial Homes, Inc

In the surveyor’s words

From the most serious findings on record at Holdrege Memorial Homes, Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF607Aug 5, 2025

  Licensure Reference Number 175NAC 12-006.04(A)(iii)(2)(c)Licensure Reference Number 175NAC 12-006.04(A)(iii)(3)Based on record review and interview the facility failed to ensure that required registry checks (Child/adult abuse and neglect central registry checks, maintained by the Nebraska Department of Health and Human Services (DHHS), identify individuals with substantiated cases of abuse or neglect) were completed for new staff prior to working in the facility for 5 of 6 sampled staff. This had the potential for residents to be at risk of abuse and neglect. The facility census was 73. […]

• No harm, potential for more than minimal, widespreadF732Aug 5, 2025

  Based on observation, record review, and interview the facility failed to ensure that the Direct Care Daily Staffing posting (a required daily posting of facility nurse staffing information) included the required actual hours worked for each staff category. The facility census was 73. Findings are:Record review of the undated facility policy titled Posting Direct Care Daily Staffing Numbers revealed that the facility will post the number of nursing personnel responsible for providing direct care to residents on a daily basis for each shift. The information recorded on the form shall include the actual time worked during that shift for each category and type of nursing staff. […]

• No harm, potential for more than minimal, widespreadF880Aug 5, 2025

  Licensure Reference Number 175NAC 1-005.06(D) Licensure Reference Number 175NAC 12-006.18(B)Licensure Reference Number 175NAC 12-006.18(C) Based on observation, record review, and interview the facility failed to ensure that pre-employment health screens were completed for 1 of 6 sampled staff to prevent the potential for communicable diseases, failed to maintain fingernails while working with exposed foods that affected all facility residents, failed to ensure oxygen delivery devices were stored in a sanitary manner for 2 of 3 sampled residents (Resident 37 and 46), and failed to ensure the required PPE (Personal Protective Equipment) was available and used during care for 2 of 2 sampled residents (Resident 2 and 85). The facility census was 73. […]

• No harm, potential for more than minimal, widespreadF880Jan 11, 2021

  LICENSURE REFERENCE NUMBER: 175 NAC 12-006.17B Based on observation and interview the facility failed to ensure laundry staff performed hand hygiene when delivering linen and personal clothing to resident's rooms to prevent cross contamination. This had the potential to affect all residents in the facility. Facility census was 72 at the time of the survey. Findings Are: On 1/05/21 at 11:51 AM an observation of LS-B (Laundry Staff) taking laundry to rooms on the east hallway which is classified as a Green Zone revealed LS-B entered the hallway with the laundry carts covered. LS-B opened the cover of each cart and placed the carts against the wall. LS-B did not use hand sanitizer before removing hangers of clothing for Room167 for Resident #67. […]

• No harm, potential for more than minimal, patternF640Aug 5, 2025

  The facility failed to ensure that all Minimum Data Set transmissions for each resident were submitted within 14 days after completion. This affected 7 of 7 residents (Residents 20, 53, 8, 55, 62, 68 and 70) sampled. The facility census was 73. Based on record review and interviews, the facility failed to ensure that all Minimum Data Set assessments (MDS - information which provides a comprehensive overview of a resident's functional status, diagnoses, and treatments used for resident care planning and quality monitoring in the long term care setting) was submitted within 14 days of completing the resident assessments. This affected 7 residents (Residents 20, 53, 8, 55, 62, 68 and 70) of 7 residents sampled. The facility census was 73. […]