A+
96/100

Southlake Village Rehabilitation & Care Center Inspection Report, Violations & Safety Grade (Lincoln, Nebraska)

9401 Andermatt Drive, Lincoln, Nebraska 68526

Phone: 4023276300

CMS Overall:5/5

Overview & Bed Count

Certified Beds
126
Avg Residents/Day
117.7
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Lancaster
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing5/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityNebraska AvgDifference
RN Hours per Resident per Day0.560.69-0.13
Total Nurse Hours per Resident per Day4.734.12+0.61
CMS Staffing Rating5/53.3/5-
Nursing Staff Turnover28.4%48.5%-

Health Citation History

6 health citations on record

DateCategoryDescriptionSeverity
2025-11-25Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F – Moderate Harm Potential
2025-11-25Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E – Moderate Harm Potential
2025-11-25Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2025-11-25Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2025-11-25Environmental DeficienciesHave enough outside ventilation via a window or mechanical ventilation, or both.D – Moderate Harm Potential
2023-08-03Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

17 fire safety citations on record

DateCategoryDescriptionSeverity
2025-11-25Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2025-11-25Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2025-11-25Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2024-08-13Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2024-08-13Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2024-08-13Services DeficienciesMeet other general requirements that are deficient.F – Moderate Harm Potential
2024-08-13Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.F – Moderate Harm Potential
2024-08-13Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2024-08-13Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use and maintenance of medical gas equipment.F – Moderate Harm Potential
2024-08-13Construction DeficienciesMeet other general requirements.E – Moderate Harm Potential
2023-08-03Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2023-08-03Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2023-08-03Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2023-08-03Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-08-03Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.E – Moderate Harm Potential
2023-08-03Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2023-08-03Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use and maintenance of medical gas equipment.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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