Nye Summit
Nye Summit in Louisville, NE — inspection on January 13, 2025.
Found 1 citation. 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
F-F5101 - (ICD-10), which is Primary Insomnia. A note was on the order of: The resident was to start this medication after completed the Elavil taper.
Effective date was 11/05/2024.
The start date was 11/05/2024.
A record review of Resident 7's Electronic Medical Record (EMR) did not reveal a sleep test, sleep diary, or sleep assessment had been completed.
A record review of Resident 7's Behavior Monitoring and Interventions Report dated 09/06/2024 - 01/06/2025 did not reveal the resident had any behaviors or insomnia while on the Elavil or Quetiapine.
A record review of Resident 7's Pharmacist's Recommendation to Prescriber dated 11/25/2025 revealed the pharmacy made a recommendation to the provider to discontinue the Quetiapine (that was started 11/13/2024 for insomnia) and start Trazadone (a medication used to treat depression that can be used off-label for Insomnia) 25 mg by mouth every night for sleep because Quetiapine can cause abnormal muscle movements and life-threatening neuroleptic malignant syndrome (a reaction that can cause muscle stiffness, high fever, altered mental status, irregular heart rhythms, and respiratory failure), increasing the overall risk. It did not reveal the provider responded to the recommendation.
In an interview on 01/13/2025 at 9:40 AM, ADON confirmed Resident 7's Amitriptyline (Elavil) was discontinued, and Quetiapine was started 11/05/2025 for Insomnia.
The ADON confirmed that a sleep test, sleep assessment, or sleep diary had not been completed for the Insomnia diagnosis.
In an interview on 01/13/2025 at 12:47 PM, the ADON confirmed a psychotropic assessment had not been completed for Resident 7 and the last Abnormal Involuntary Movement Scale (AIMS) was 10/28/2024.
285267
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 285267 B.
Wing 01/13/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Nye Summit 410 West 5th Street Louisville, NE 68037