Eventide Crete
Eventide Crete in Crete, NE — inspection on September 18, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Licensure Reference Number 175 NAC 12-006.09(G)(ii).Based on record review and interview, the facility failed to document a recapitulation (a complete summary of the resident stay in the nursing home from admittance to discharge) for one (Resident 38) of 5 sampled residents.
The facility census was 32. A record review of admission record reveals that Resident 38 was admitted to the facility on 7/25 with the diagnosis of Heart failure, pericardial effusion (where excessive fluid accumulates in the pericardial sac, the thin membrane surrounding the heart), Coronary artery disease (where the arteries that supply blood to the heart become narrowed or blocked), Acute-on-chronic kidney disease (where an acute decline in kidney function that occurs in individual with chronic kidney disease), and Hypertension (high blood pressure). A record review of Resident 38 progress notes revealed that on 8/15/25 Resident 38 was discharged to the hospital due to critically high potassium levels. Resident 38 representative was present and a bed hold policy was given to the representative and the representative declined the bed hold policy. Resident 38 was discharged from the facility.A record review of the Facility's undated policy for Discharge residents revealed:Team leaders will complete discharge checklist, notify necessary departments and documents in medical recordsRN/LPN will complete a discharge progress note.An interview on 9/17/25 at 1:30 PM with the MDS coordinator confirmed that a discharge summary for Resident 38 had not been completed.
The MDS coordinator confirmed that (gender) didn't think a discharge summary was to be done because Resident 38 was sent to the hospital.MDS coordinator confirmed that (gender) was aware that the representative for Resident 38 declined the Bed hold and that Resident 38 was discharged from the facility.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
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Federal health inspectors cited Tabitha Nursing Center at Crete in Crete, NE for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2025-09-18.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of Tabitha Nursing Center at Crete.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-31.