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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E27 | F26 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jan 8, 2026 | Fire safety | Fire Safety Standard | 19 | Potential harm | — | Open → |
| Jan 8, 2026 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Sep 12, 2024 | Fire safety | Fire Safety Standard | 16 | Potential harm | — | Open → |
| Sep 12, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Oct 5, 2023 | Fire safety | Fire Safety Standard | 17 | Potential harm | — | Open → |
| Oct 5, 2023 | Health | Health Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E27 | F26 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 8, 2026 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 | |
| Jan 8, 2026 | K-0132 | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 | |
| Jan 8, 2026 | K-0251 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Paul Dongilli | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2006 |
| Michael Hedderman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 11, 2019 |
| Scott Cassels | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 30, 2022 |
| John Coffey | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 29, 2023 |
| Heidi Doane | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 29, 2023 |
| Paul Dongilli | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 16, 2016 |
| William Douglas | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 12, 2018 |
| Phillip Essay | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 29, 2023 |
| David Gannon | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 27, 2017 |
| Adam Hayes | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 27, 2024 |
| Katherine Lempka | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 27, 2017 |
| Maria Lighthall | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 30, 2022 |
| Alexander Mckiernan | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 29, 2023 |
| Bradley Nietfeldt | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 21, 2016 |
| Gary Perkins | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 27, 2017 |
| Lauren Pugliese | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 25, 2019 |
| Patrick Spethman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 12, 2018 |
| John Sullivan | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2013 |
| Gregory Vasek | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 23, 2015 |
| Daniel Vokoun | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2021 |
| Sarah Walker | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 30, 2022 |
| Nicholas Wilwerding | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 30, 2022 |
| Terence Zach | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 17, 2020 |
| Paul Dongilli | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 16, 2016 |
| William Douglas | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 17, 2020 |
| David Gannon | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 25, 2019 |
| Lauren Pugliese | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 25, 2019 |
| John Sullivan | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2013 |
| Paul Dongilli | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jun 1, 2006 |
| Michael Hedderman | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Dec 11, 2019 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Ambassador Health of Lincoln 4405 Normal Blvd, Lincoln, NE 68506 CCN 285066 | 0.8 km | 122 | May 12, 2026 | 32 | — | |
| Holmes Lake Rehabilitation & Care Center 6101 Normal Blvd, Lincoln, NE 68506 CCN 285164 | 1 km | 97 | Apr 9, 2026 | 56 | — | |
| Eventide Lincoln Care Center 4720 Randolph Street, Lincoln, NE 68510 CCN 285057 | 1.8 km | 197 | Jul 9, 2026 | 611 harm | $13k | |
| Gateway Vista 225 North 56th Street, Lincoln, NE 68504 CCN 285266 | 2.7 km | 80 | Dec 23, 2025 | 521 harm | $8,659 | |
| Emerald Nursing & Rehab Brookside LLC 4735 South 54th Street, Lincoln, NE 68516 CCN 285049 | 2.8 km | 173 | May 19, 2026 | 1051 IJ | $38k | |
| Eastmont 6315 O Street, Lincoln, NE 68510 CCN 285036 | 3 km | 23 | Jul 9, 2026 | 25 | — | |
| Sumner Place 1750 South 20th Street, Lincoln, NE 68502 CCN 285002 | 3.7 km | 104 | Aug 18, 2026 | 33 | — | |
| Eventide Williamsburg 6120 South 34th Street, Lincoln, NE 68516 CCN 285288 | 4.6 km | 50 | Apr 2, 2026 | 24 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 285004 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 285004 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Conform to length requirements for dead end corridors. Egress Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 8, 2026 | K-0922 | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Jan 8, 2026 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Jan 8, 2026 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Jan 8, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Jan 8, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Jan 8, 2026 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Jan 8, 2026 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Jan 8, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Jan 8, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Sep 12, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 8, 2024 |
| Sep 12, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 17, 2024 |
| Sep 12, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 17, 2024 |
| Sep 12, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 17, 2024 |
| Sep 12, 2024 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 17, 2024 |
| Sep 12, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 17, 2024 |
| Sep 12, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 17, 2024 |
| Sep 12, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 17, 2024 |
| Sep 12, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 17, 2024 |
| Sep 12, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 17, 2024 |
| Sep 12, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 17, 2024 |
| Sep 12, 2024 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 17, 2024 |
| Sep 12, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 8, 2024 |
| Sep 12, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 17, 2024 |
| Sep 12, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 17, 2024 |
| Sep 12, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 8, 2024 |
| Sep 12, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 17, 2024 |
| Sep 12, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 17, 2024 |
| Sep 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 17, 2024 |
| Oct 5, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 1, 2023 |
| Oct 5, 2023 | K-0132 | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 17, 2023 |
| Oct 5, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 1, 2023 |
| Oct 5, 2023 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 17, 2023 |
| Oct 5, 2023 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 17, 2023 |
| Oct 5, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 1, 2023 |
| Oct 5, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 1, 2023 |
| Oct 5, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 1, 2023 |
| Oct 5, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 17, 2023 |
| Oct 5, 2023 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 1, 2023 |
| Oct 5, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 17, 2023 |
| Oct 5, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 1, 2023 |
| Oct 5, 2023 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 17, 2023 |
| Oct 5, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 17, 2023 |
| Oct 5, 2023 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 17, 2023 |
| Oct 5, 2023 | K-0922 | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 17, 2023 |
| Oct 5, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 17, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.48 (case-mix index 1.92).