Tiffany Square

Grand Island, NE · 103 beds · Non profit - Other

87 Trust Score
Grade: A LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star health inspection rating
  • 4-star staffing rating
  • Below-average deficiency count (3 vs 7 state avg)
  • No fines or penalties on record

Quick Facts

★★★★☆
CMS Overall
★★★★☆
Health Inspection
3
0.4x state avg
Deficiencies
$0
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

December 3, 2025

3 deficiencyies
F0605 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F0684 Potential Harm Scope/Severity: E

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: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

January 12, 2025

2 deficiencyies
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.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

October 15, 2024

6 deficiencyies
F0661 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

F0758 Potential Harm Scope/Severity: E

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.

F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure medication error rates are not 5 percent or greater.

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.

F0803 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Ensure 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.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

February 13, 2024

1 deficiency
F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

October 4, 2023

5 deficiencyies
F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0656 No Harm Scope/Severity: C

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

See full violation history →

Staffing

0.63
RN hrs/res/day
0.51
LPN hrs/res/day
3.24
CNA hrs/res/day
3.61
Weekend hrs/res/day
33%
Total nurse turnover
18%
RN turnover

A nurse checks on each resident roughly every 5.5 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Other Chain: VETTER SENIOR LIVING
  • VETTER SENIOR LIVING

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 12/23/2016

    100% Organization
  • VETTER SENIOR LIVING

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/23/2016

    Organization
  • VSL VETTER HEALTH SERVICES LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2017

    Organization
  • FRUEHLING, RICHARD

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2017

    Individual
  • OLSON, STEPHANIE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/22/2021

    Individual
  • STUHR, BRIAN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2017

    Individual
  • VANEKEREN, GLENN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2017

    Individual
  • VETTER, ELDORA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2017

    Individual
  • VETTER, JACK

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2017

    Individual
  • STUHR, BRIAN

    CORPORATE OFFICER

    Since since 06/15/2017

    Individual
  • VANEKEREN, GLENN

    CORPORATE OFFICER

    Since since 06/15/2017

    Individual
  • VETTER, ELDORA

    CORPORATE OFFICER

    Since since 06/15/2017

    Individual
  • VETTER, JACK

    CORPORATE OFFICER

    Since since 06/15/2017

    Individual
  • FRUEHLING, RICHARD

    CONTRACTED MANAGING EMPLOYEE

    Since since 07/01/2017

    Individual
  • OLSON, STEPHANIE

    CONTRACTED MANAGING EMPLOYEE

    Since since 09/22/2021

    Individual
  • STUHR, BRIAN

    CONTRACTED MANAGING EMPLOYEE

    Since since 07/01/2017

    Individual
  • VANEKEREN, GLENN

    CONTRACTED MANAGING EMPLOYEE

    Since since 07/01/2017

    Individual
  • VETTER, ELDORA

    CONTRACTED MANAGING EMPLOYEE

    Since since 07/01/2017

    Individual
  • VETTER, JACK

    CONTRACTED MANAGING EMPLOYEE

    Since since 07/01/2017

    Individual

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