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F0607
F

Failure to Implement Policies Preventing Abuse, Neglect, and Theft

Holdrege, Nebraska Survey Completed on 08-05-2025

Penalty

18 days payment denial
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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 develop and implement effective policies and procedures to prevent abuse, neglect, and theft. Surveyors identified that the required systems to safeguard residents from these incidents were either not in place or not adequately enforced. This deficiency was observed through a review of facility documentation and staff interviews, which revealed gaps in staff training, inconsistent reporting mechanisms, and a lack of clear protocols for identifying and responding to potential abuse, neglect, or theft events. As a result, residents were left vulnerable due to the absence of comprehensive preventive measures and oversight, as directly evidenced by the survey findings.

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