The Banyan at Montclair

Omaha, NE · 175 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • Government has flagged this facility for serious quality issues
  • 20 deficiencies — 3.0x the state average
  • 2 citation(s) at the highest severity level — immediate risk to residents
  • 2 citation(s) where residents suffered actual harm
  • $159,083 in fines over 3 years
  • 64% total nursing staff turnover

Green Flags

No positive signals identified yet.

Quick Facts

N/A
CMS Overall
N/A
Health Inspection
20
3.0x state avg
Deficiencies
$159,083
Fines (3-yr)
N/A
Staffing

Violation Timeline

December 4, 2024

7 deficiencyies
F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0867 Potential Harm Scope/Severity: F

Administration Deficiencies

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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

November 13, 2024

1 deficiency
F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

September 25, 2024

2 deficiencyies
F0563 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

F0585 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

August 25, 2024

2 deficiencyies
F0725 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

July 8, 2024

2 deficiencyies
F0760 Actual Harm Scope/Severity: G

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

June 25, 2024

1 deficiency
F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

June 2, 2024

1 deficiency
F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

March 25, 2024

4 deficiencyies
F0604 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

F0700 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

See full violation history →

Staffing

0.70
RN hrs/res/day
1.05
LPN hrs/res/day
3.26
CNA hrs/res/day
4.45
Weekend hrs/res/day
64%
Total nurse turnover
63%
RN turnover

A nurse checks on each resident roughly every 4.8 hours on average.

Fines & Penalties

  • Fine Feb 17, 2025
    $33,862
  • Payment Denial Feb 17, 2025
    Payment Denial
  • Fine Jun 2, 2024
    $55,795
  • Fine Mar 3, 2024
    $52,136
  • Payment Denial Mar 3, 2024
    Payment Denial
  • Fine Apr 2, 2023
    $17,290
  • Payment Denial Apr 2, 2023
    Payment Denial
Total $159,083

Ownership

For profit - Limited Liability company Chain: AVID HEALTHCARE GROUP
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