PREMIER ESTATES OF KENESAW, LLC

πŸ“ P O BOX 10, 100 WEST ELM AVENUE, kenesaw, NE 68956 πŸ“ž 4027523212 πŸ›οΈ 76 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

114
Total Violations
8 years of data
$174,487
Total Fines
10 penalties
6
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 6 violations

Tag 0641 D Aug 1, 2024

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Aug 23, 2024
Tag 0688 D Aug 1, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Aug 23, 2024
Tag 0689 D Aug 1, 2024

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

βœ“ Corrected: Aug 23, 2024
Tag 0758 D Aug 1, 2024

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.

βœ“ Corrected: Aug 23, 2024
Tag 0812 F Aug 1, 2024

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

βœ“ Corrected: Aug 23, 2024
Tag 0584 E Jun 25, 2024

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.

βœ“ Corrected: Jul 17, 2024

2023 9 violations

Tag 0561 D Aug 24, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Sep 20, 2023
Tag 0684 D Aug 24, 2023

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

βœ“ Corrected: Sep 20, 2023
Tag 0686 D Aug 24, 2023

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

βœ“ Corrected: Sep 20, 2023
Tag 0690 D Aug 24, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Sep 20, 2023
Tag 0758 E Aug 24, 2023

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.

βœ“ Corrected: Sep 20, 2023
Tag 0801 F Aug 24, 2023

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

βœ“ Corrected: Sep 20, 2023
Tag 0804 F Aug 24, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Sep 20, 2023
Tag 0812 F Aug 24, 2023

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

βœ“ Corrected: Sep 20, 2023
Tag 0880 F Aug 24, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 20, 2023

2022 11 violations

Tag 0656 D Aug 16, 2022

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

βœ“ Corrected: Sep 1, 2022
Tag 0657 D Aug 16, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Sep 1, 2022
Tag 0676 D Aug 16, 2022

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

βœ“ Corrected: Sep 1, 2022
Tag 0677 E Aug 16, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Sep 1, 2022
Tag 0684 D Aug 16, 2022

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

βœ“ Corrected: Sep 1, 2022
Tag 0760 D Aug 16, 2022

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Sep 1, 2022
Tag 0812 F Aug 16, 2022

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

βœ“ Corrected: Sep 1, 2022
Tag 0880 E Aug 16, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 1, 2022
Tag 0758 D Feb 8, 2022

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.

βœ“ Corrected: Feb 25, 2022
Tag 0803 E Feb 8, 2022

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.

βœ“ Corrected: Feb 25, 2022
Tag 0880 E Feb 8, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 25, 2022

2021 13 violations

Tag 0550 E Aug 24, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Sep 10, 2021
Tag 0576 F Aug 24, 2021

Ensure residents have reasonable access to and privacy in their use of communication methods.

βœ“ Corrected: Sep 10, 2021
Tag 0584 E Aug 24, 2021

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.

βœ“ Corrected: Sep 10, 2021
Tag 0759 D Aug 24, 2021

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Sep 10, 2021
Tag 0880 F Aug 24, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 10, 2021
Tag 0582 E Feb 3, 2021

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Feb 26, 2021
Tag 0584 E Feb 3, 2021

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.

βœ“ Corrected: Feb 26, 2021
Tag 0609 D Feb 3, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Feb 26, 2021
Tag 0695 D Feb 3, 2021

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Feb 26, 2021
Tag 0812 F Feb 3, 2021

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

βœ“ Corrected: Feb 26, 2021
Tag 0880 F Feb 3, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 26, 2021
Tag 0886 E Feb 3, 2021

Perform COVID19 testing on residents and staff.

βœ“ Corrected: Feb 26, 2021
Tag 0909 F Feb 3, 2021

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

βœ“ Corrected: Feb 26, 2021

2020 6 violations

Tag 0695 G Oct 7, 2020

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Nov 6, 2020
Tag 0880 F Oct 7, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 6, 2020
Tag 0880 E Jul 7, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 24, 2020
Tag 0600 H Feb 20, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Feb 25, 2020
Tag 0609 E Feb 20, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Feb 25, 2020
Tag 0610 E Feb 20, 2020

Respond appropriately to all alleged violations.

βœ“ Corrected: Feb 25, 2020

2019 44 violations

Tag 0677 E Dec 10, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jan 20, 2020
Tag 0567 E Sep 12, 2019

Honor the resident's right to manage his or her financial affairs.

βœ“ Corrected: Oct 27, 2019
Tag 0568 E Sep 12, 2019

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

βœ“ Corrected: Oct 27, 2019
Tag 0569 E Sep 12, 2019

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

βœ“ Corrected: Oct 27, 2019
Tag 0574 F Sep 12, 2019

The resident has the right to receive notices in a format and a language he or she understands.

βœ“ Corrected: Oct 27, 2019
Tag 0578 D Sep 12, 2019

Honor 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.

βœ“ Corrected: Oct 27, 2019
Tag 0582 D Sep 12, 2019

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Oct 27, 2019
Tag 0584 F Sep 12, 2019

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.

βœ“ Corrected: Oct 27, 2019
Tag 0600 H Sep 12, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Feb 25, 2020
Tag 0602 D Sep 12, 2019

Protect each resident from the wrongful use of the resident's belongings or money.

βœ“ Corrected: Oct 27, 2019
Tag 0604 D Sep 12, 2019

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

βœ“ Corrected: Oct 27, 2019
Tag 0606 F Sep 12, 2019

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

βœ“ Corrected: Oct 27, 2019
Tag 0607 F Sep 12, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Jan 20, 2020
Tag 0609 D Sep 12, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Feb 25, 2020
Tag 0623 D Sep 12, 2019

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

βœ“ Corrected: Oct 27, 2019
Tag 0641 D Sep 12, 2019

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Oct 27, 2019
Tag 0644 D Sep 12, 2019

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Jan 20, 2020
Tag 0655 E Sep 12, 2019

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

βœ“ Corrected: Oct 27, 2019
Tag 0656 D Sep 12, 2019

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

βœ“ Corrected: Oct 27, 2019
Tag 0657 E Sep 12, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jan 20, 2020

2018 14 violations

Tag 0656 D Nov 13, 2018

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

βœ“ Corrected: Dec 21, 2018
Tag 0578 D Aug 2, 2018

Honor 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.

βœ“ Corrected: Sep 10, 2018
Tag 0582 E Aug 2, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Sep 10, 2018
Tag 0656 D Aug 2, 2018

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

βœ“ Corrected: Sep 10, 2018
Tag 0657 D Aug 2, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Sep 10, 2018
Tag 0689 D Aug 2, 2018

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

βœ“ Corrected: Sep 10, 2018
Tag 0761 F Aug 2, 2018

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.

βœ“ Corrected: Sep 10, 2018
Tag 0806 D Aug 2, 2018

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

βœ“ Corrected: Sep 10, 2018
Tag 0812 F Aug 2, 2018

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

βœ“ Corrected: Sep 10, 2018
Tag 0880 E Aug 2, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 10, 2018
Tag 0584 D Feb 22, 2018

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.

βœ“ Corrected: Apr 2, 2018
Tag 0637 D Feb 22, 2018

Assess the resident when there is a significant change in condition

βœ“ Corrected: Apr 2, 2018
Tag 0657 D Feb 22, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Apr 2, 2018
Tag 0658 D Feb 22, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Apr 2, 2018

2017 11 violations

Tag 0323 D Sep 6, 2017

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

βœ“ Corrected: Sep 29, 2017
Tag 0252 D Jun 20, 2017

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

βœ“ Corrected: Jul 28, 2017
Tag 0253 E Jun 20, 2017

Provide housekeeping and maintenance services.

βœ“ Corrected: Jul 28, 2017
Tag 0278 D Jun 20, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Jul 28, 2017
Tag 0279 D Jun 20, 2017

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

βœ“ Corrected: Jul 28, 2017
Tag 0309 D Jun 20, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Jul 28, 2017
Tag 0332 D Jun 20, 2017

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

βœ“ Corrected: Jul 28, 2017
Tag 0371 F Jun 20, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Jul 28, 2017
Tag 0425 D Jun 20, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

βœ“ Corrected: Jul 28, 2017
Tag 0431 E Jun 20, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Jul 28, 2017
Tag 0520 E Jun 20, 2017

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

βœ“ Corrected: Jul 28, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $9,750

$9,750
Fine
August 16, 2022
$9,750
Fine
February 8, 2022
Average: $9,750 | Range: $9,750 - $9,750

2021 2 penalties totaling $13,000

$13,000
Fine
August 24, 2021
$13,000
Fine
February 3, 2021
Average: $13,000 | Range: $13,000 - $13,000

2020 2 penalties totaling $31,408

$21,658
Fine
October 7, 2020
$9,750
Fine
July 7, 2020
Average: $15,704 | Range: $9,750 - $21,658

2019 4 penalties totaling $120,329

$109,051
Fine
August 29, 2019
$0
Payment Denial
August 29, 2019
$11,278
Fine
June 4, 2019
$0
Payment Denial
June 4, 2019
Average: $40,110 | Range: $0 - $109,051

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

August 1, 2024
0.00

Health

June 25, 2024
0.00

Health

August 24, 2023
0.00

Health

August 16, 2022
0.00

Health

February 8, 2022
0.00

Health

February 3, 2021
0.00

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Ownership Information

For profit - Individual
Independent (Not part of a chain)
285166
285166
4027523212
Adams

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization