The Banyan at Montclair
Omaha, NE · 175 beds · For profit - Limited Liability company
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
Violation Timeline
December 4, 2024
7 deficiencyiesResident 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.
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.
Quality of Life and Care Deficiencies
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
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.
Quality of Life and Care Deficiencies
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control Deficiencies
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Provide and implement an infection prevention and control program.
November 13, 2024
1 deficiencyInfection Control Deficiencies
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Provide and implement an infection prevention and control program.
September 25, 2024
2 deficiencyiesResident 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.
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 deficiencyiesNursing 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.
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 deficiencyiesPharmacy Service Deficiencies
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Ensure that residents are free from significant medication errors.
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 deficiencyPharmacy Service Deficiencies
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Ensure that residents are free from significant medication errors.
June 2, 2024
1 deficiencyQuality 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 deficiencyiesFreedom 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.
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.
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.
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.
Staffing
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, 2025Payment Denial
- Fine Jun 2, 2024$55,795
- Fine Mar 3, 2024$52,136
- Payment Denial Mar 3, 2024Payment Denial
- Fine Apr 2, 2023$17,290
- Payment Denial Apr 2, 2023Payment Denial
Ownership
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NE M2 HOLDCO OPCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
Since since 03/01/2024
100% Organization -
BRASS NE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 03/01/2024
NO PERCENTAGE PROVIDED Organization -
BSD BEIS HEALTH TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 03/01/2024
NO PERCENTAGE PROVIDED Organization -
DOURO VALLEY INVESTMENT, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 03/01/2024
NO PERCENTAGE PROVIDED Organization -
GOLD NE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 03/01/2024
NO PERCENTAGE PROVIDED Organization -
NE SNF HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 03/01/2024
NO PERCENTAGE PROVIDED Organization -
NE SNF HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 03/01/2024
NO PERCENTAGE PROVIDED Organization -
SF 4140 OLDE WASHINGTON BLVD REAL PROPERTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 03/01/2024
NO PERCENTAGE PROVIDED Organization -
SILVER NE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 03/01/2024
NO PERCENTAGE PROVIDED Organization -
TULIP INVESTMENTS NE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 03/01/2024
NO PERCENTAGE PROVIDED Organization -
WEISZ, DAVID
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Since since 03/01/2024
NO PERCENTAGE PROVIDED Individual -
SILBERSTEIN, ARI
CORPORATE OFFICER
Since since 03/01/2024
Individual -
SHARP, DAVID
CONTRACTED MANAGING EMPLOYEE
Since since 03/01/2024
Individual -
PIHLGREN, LINDSEY
W-2 MANAGING EMPLOYEE
Since since 03/01/2024
Individual