Kimball County Manor

In the surveyor’s words

From the most serious findings on record at Kimball County Manor, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Apr 21, 2025

  Licensure Reference Number 175 NAC 12-006.05 (H) Based on observation, record reviews, and interviews, the facility failed to protect 1 (Resident 39) of 1 sample resident after receiving an allegation of staff-to-resident abuse. The facility identified a census of 39. The facility was notified on 4/15/2025 at 5:00 PM of an Immediate Jeopardy (IJ) which began on 4/11/2025. The IJ was removed on 4/15/2025, as confirmed by the surveyor's onsite verification. Findings are: A record review of the facility's policy Abuse Prohibition Polices and Procedures, with a date of 1/11/2017, revealed the following: - The purpose of the policy is to ensure all residents in the facility are free from verbal, physical, sexual and mental abuse, involuntary seclusion, neglect or mistreatment. […]

• No harm, potential for more than minimal, widespreadF812Jun 25, 2026

  Licensure Reference Number 175 NAC 12-006.11(E)Based on observation, record review, and interview, the facility failed to date stored foods, and failed to ensure proper hand hygiene was performed to prevent the potential for cross contamination and food borne illness. Findings are: Observations made at 8:00 AM on 6/22/26 during the initial kitchen tour revealed the following:-A container of chicken base with no open, use by, or expiration date.-10 ceiling panels with water damage and staining and 1 ceiling tile with a hole in it-1 box baking soda w/o open date in a sealed Ziploc bag-4 boxes of krusteaz cornbread mix with no best by date, received date or expiration date.-1 box buttermilk biscuit mix open without an opened date marked-8 bottles of ketchup with no receive date or expiration… […]

• No harm, potential for more than minimal, widespreadF607Apr 21, 2025

  Licensure Reference Number 175 NAC 12-006.04(A)(iii) Based on record reviews and interviews, the facility failed to implement their policies and procedures related to screening potential employees prior to employment for 3 [Housekeeper (HSKPG) - U, Actvities Supervisor (AS) - S, and Dietary Aide (DA) - T] of 5 sampled employees. This had the potential to affect all residents who reside within the facility. The facility identified a census of 39. Findings are: A record review of a facility policy Abuse Prohibition Policies and Procedures with a last revised date of 1/11/2017 revealed all potential employees will be screened for a history of abuse, neglect or mistreatment of residents by checking criminal prosecution history by: 1) reviewing the Nebraska License Information System for… […]

• No harm, potential for more than minimal, widespreadF730Apr 21, 2025

  Licensure Reference Number 175 NAC 12-006.04(B)(ii)(1) Based on record reviews and interviews, the facility failed to ensure 5 [Nurse Aide (NA) - P, NA-L, NA-O, NA-N, and NA-K] of 5 sampled nurse aides (NA) had completed at least 12 hours of ongoing training annually based upon their employment date as required. This had the potential to affect all residents who reside within the facility. The facility identified a census of 39. Findings are: A record review of the facility's Facility Assessment with a date of 4/1/2025 revealed all staff would have training on resident transfers, infection control, disaster/emergency preparedness, resident rights, abuse and neglect, dementia, oxygen, Activities of Daily Living, and Hospice/Comfort Care. […]

• No harm, potential for more than minimal, widespreadF880Apr 21, 2025

  Licensure Reference Number NAC 175 12.006.18 Based on observations and interviews the facility failed to develop Enhanced Barrier Precautions (EBP) policies and procedures and implement EBP for Residents 10, 21, and 27. The facility identified a census of 39. Findings are: A record review of Resident 21's Minimum Data Set (MDS- a federally mandated assessment tool used in Long Term Care) dated 4/10/25 revealed in Section H that Resident 21 had an indwelling catheter. A record review of Resident 27's MDS dated [DATE] revealed in Section M that Resident 27 had unresolved wounds. A record review of Resident 10's MDS dated [DATE] revealed in Section M that Resident 10 had one unresolved stage III pressure ulcer. […]