Linden Court

In the surveyor’s words

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

• Immediate jeopardy, patternF689May 1, 2025

  Licensure Reference Number 175 NAC 12.006.09(I) Based on observations, interviews and record reviews, the facility failed to provide a safe environment when residents have been identified at risk for elopement. This affected 10 (Residents 1, 4, 5, 7, 8, 9, 10, 11, 12, and 13) of 12 sampled residents. The facility census was 105. The facility Administrator (ADM) was notified on 04/30/2025 at 6:00 PM of an Immediate Jeopardy (IJ) which began on 04/20/2025. The IJ was removed on 04/30/2025, as confirmed by surveyor onsite verification. Findings are: A record review of a policy titled Elopement Prevention and Management dated 3/2024 revealed: Key elements: -Every building must have a current Elopement Risk Manual, located at the nurse's station. […]

• Immediate jeopardy, patternF600Jan 26, 2023

  LICENSURE REFERENCE NUMBER 175 NAC ,d+[DATE].05(9) Based on observation, interview, and record review; the facility failed to protect the facility residents from abuse by failing to provide supervision to prevent a resident with a history of abusing other residents, Resident 87, from abusing the facility residents. This affected 4 residents who were abused by Resident 87; (Resident 93, 154, 81, and 58) and had the potential to affect 9 residents who resided on the secure unit with Resident 87; (Residents 34, 80, 70, 95, 17, 98, 26, 9, and 54). This affected 13 of 17 residents reviewed. The facility identified a census of 100 at the time of survey. Findings are: A. -Review of Resident 17's Admission Record dated [DATE] revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Apr 16, 2026

  Licensure Reference Number 175 NAC 12-006.11(E) Based on observations, interviews and record review, the facility failed to ensure outdated food items were not available for use, opened items were dated, and failed to do to complete hand hygiene and change gloves while preparing food to prevent potential cross contamination and food-borne illness. The facility identified a census of 113. This had the potential to affect all residents who ate out of the kitchen.Findings are: A. During the initial tour on 4/13/2026 from 11:21 AM until 12:00 PM, the following concerns were identified: -Walk-in refrigerated was found to have a half gallon bottle of buttermilk dated best by 4/11/2026. […]

• No harm, potential for more than minimal, widespreadF880Apr 16, 2026

  Licensure Reference Number 175 NAC 1-005.06(E&F), 12-006.18(B), and 1-005.06(D) Based on record review, interview, and observation, the facility failed to change their personal protective equipment when transitioning from infectious rooms to non-infectious rooms, failed to perform hand hygiene, and failed to ensure housekeeping services were provided to non-infectious rooms prior to infectious rooms. This had the potential to affect all residents residing within the facility. The facility census was 113. Findings Are: A. A record review of the Nebraska Infection Control Assessment and Promotion Program (ICAP) Nebraska Medicine 2026 website revealed a hyperlink in the COVID-19 Resources for Healthcare Settings section. […]

• No harm, potential for more than minimal, widespreadF812Jan 30, 2025

  Licensure Reference Number NAC 175 12-006.11E Based on observations, interviews, and record review, the facility failed to perform hand hygiene as required after handling uncooked meat and failed to wear hair restraints in the kitchen as required to prevent the potential for food-borne illness. This had the potential to affect all 104 residents who resided within the facility and were served out of the kitchen. Findings are: A. Record review of an undated facility policy titled, Hand Washing Importance and Technique, revealed that hand washing was indicated after handling uncooked foods including raw meat, fish, poultry, and produce. An observation on 1/28/25 at 7:37 AM revealed Culinary Lead-B (CL-B) was preparing the ingredients for meat loaf. […]