Northfield Retirement Communities Care Center

In the surveyor’s words

From the most serious findings on record at Northfield Retirement Communities Care Center, in the surveyor’s own words.

• Actual harm, isolatedF692Jul 9, 2026

  Licensure Reference Number 175 NAC 12-006.09(J) Based on record review, observation, and interview, the facility failed to ensure 1 (Resident 46) of 2 sampled residents' nutritional needs were met per their orders and plan of care. The facility identified a census of 60.Findings Are:A.A record review of Resident 46's Facesheet dated 7/9/2026 revealed the resident was admitted to the facility on [DATE] and had diagnoses of dementia (a usually progressive condition marked by the development of multiple cognitive deficits (such as memory impairment, aphasia, and the inability to plan and initiate complex behavior)) with behavioral disturbances, nausea, and progressive supranuclear ophthalmoplegia (a rare brain disease that affects movement, balance, vision, and swallowing).A record review of… […]

• No harm, potential for more than minimal, widespreadF812Jul 9, 2026

  Licensure Reference Number 175 NAC 12-006.11(E)Based on observations, interviews, and record review, the facility failed to date and seal opened food items and failed to perform proper hand hygiene and change gloves while preparing and distributing food to prevent the potential for cross contamination and food-borne illness. The facility identified a census of 60. This had the potential to affect all residents who ate out of the kitchen. Findings are:A.During initial tour on 7/5/2026 from 6:10 PM until 6:53 PM, the following concerns were identified:-The walk-in refrigerator was found to have an opened, and sealed, block of sliced orange cheese with no expiration or opened date located.-The walk-in freezer was found to have a box of breakfast sausage links with the cardboard and plastic… […]

• No harm, potential for more than minimal, widespreadF947Jul 9, 2026

  Licensure Reference Number 175 NAC 12-006.04(B)(ii)(1) Based on record review and interview, the facility failed to ensure 2 of 5 sampled Nurse Aides completed 12 hours of ongoing in-service training and at least 4 hours of dementia care training. This had the potential to affect all residents who resided within the facility. The facility identified a census of 60.Findings Are:A record review of the Facility Assessment Tool, last updated on 7/3/26 revealed that Nurse Aides (NA) must complete no less than 12 hours of in-service training per year and the training would include dementia management training. […]

• No harm, potential for more than minimal, widespreadF727May 8, 2025

  Nebraska Revised Statute 71-6018.02(2)(a) Based on record reviews and interviews, the facility failed to ensure the services of a Registered Nurse (RN) for at least 8 consecutive hours a day, 7 days a week as required. This had the potential to affect all residents who reside within the facility. The facility identified a census of 45. Findings are: A record review of a Payroll-Based Journal Staffing Data Report (PBJ, a system analysis report of staffing metrics, such as excessively low weekend staffing, no RN hours, and failure to have licensed nursing coverage 24 hours/day, that is based off payroll information submitted by the nursing homes) from July 1 - September 30, 2024, revealed the facility had triggered for four or more days within the quarter for no RN hours. […]

• No harm, potential for more than minimal, widespreadF812May 8, 2025

  Licensure Reference Number NAC 175 ,d+[DATE].11(E) Based on record review, interviews, and observations the facility failed to identify and dispose of spoiled fruits and vegetables stored in the walk-in refrigerator. This had the potential to affect all residents who resided within the facility. The facility identified a census of 45. Findings are: A record review of the facility policy Dietary Policy dated [DATE] revealed staff will check for expiration dates when getting food. If food is found to be expired, discard immediately. Do not return expired foods to shelves. There was no evidence of guidance in the policy related to the monitoring and disposal of fresh fruits and vegetables. […]