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F0844
F

Failure to Timely Notify Department of Administrator Vacancy and Appointment

Aurora, Nebraska Survey Completed on 04-07-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to notify the Department in writing within 5 working days regarding the vacancy and subsequent filling of the Administrator position, as required by state regulations. Interviews with the Facility Administrator (FA) and Business Office Manager (BOM) revealed that the BOM served as the provisional administrator prior to the current FA's tenure. The BOM submitted a Change of Notification Form to the Department before their provisional administrator license was activated, resulting in the Department declining the notification due to the lack of an active license at the time of submission. Records showed that the Change of Notification Form was sent on the same day the provisional license was requested, but the BOM was unaware of the required timeline for obtaining the provisional license and for notifying the Department about the vacancy and filling of the Administrator position. The Department advised the BOM to resubmit the notification once the provisional license was available or another individual was selected. This failure to follow the required notification process had the potential to affect all 50 residents in the facility.

See complete original report
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