Emerald Nursing & Rehab Brookside Llc
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
details of the incident on 6/16/205 at approximately 5:00 PM with Resident 1 and 2: Resident 1 and Resident 2 were both sitting outside holding hands. The staff separated Resident 1 and 2. A while later, while passing medications, it was noted that Resident 2 was not in own room. Another nurse aide (NA)-B requested me to come to Resident 1's room quick, and I assumed that Resident 1 had fallen. When I arrived at Resident 1's room, NA-B stated that Resident 1's door was mostly closed. While opening the resident's door, Resident 2 was found with pants and brief pulled down, on top of Resident 1, who was fully dressed. MA-A confirmed witnessing Resident 1 leaving the room and Resident 2 pulling up pants. Charge nurse was notified immediately of the event. On 6/17/2025, Resident 2 was found in resident 1's room, again with pants down. Resident 1 was in room, but no interaction was observed. This occurred at approximately 7:00 PM and was reported to the charge nurse. MA-A confirmed the actions of Resident 1 and Resident 2 were inappropriate and could not understand why it took so long to move Resident 1 to another unit. MA-A confirmed Resident 1 was transferred to another unit about one week later. In a record
review of the Facility's Abuse, Neglect, and Exploitation policy dated 11/2017 and a revision date of 1/2024 revealed: Each resident has the right to be free from abuse. Residents must not be subject to abuse by anyone, including, but not limited to other residents. Alleged Violation refers to a situation or occurrence that is observed or reported by staff or others but has not yet been investigated. Any investigation of an allegation of resident sexual abuse must start with a determination of whether the sexual activity was consensual on the part of the resident. A facility is required to investigate and protect a resident from non-consensual sexual relations anytime the facility has reason to suspect that the resident does not wish to engage in sexual activity or may not have the capacity to consent. Investigation of alleged abuse or reports of abuse, an investigation is immediately warranted. Document the entire investigation chronologically. Residents must be protected after the alleged abuse. Suspected abuse will be reported, and an investigation will be initiated immediately. In an interview with the ADM upon survey entrance on 9/15/2025 at 9:00 AM, a list of the facility reportable events was requested. There was no record of a report involving Resident 1 and Resident 2 on 6/16/2025.
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Emerald Nursing & Rehab Brookside LLC in Lincoln, NE inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Lincoln, NE, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Emerald Nursing & Rehab Brookside LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.