Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Rose Lane Home during CMS and state inspections, most recent first.
The facility did not ensure the Dietary Manager met credentialing requirements, potentially affecting food service for 40 residents. The DM had been in the role for over 12 months without completing the required certification course, and the Registered Dietitian was a consultant visiting monthly.
The facility failed to properly store and handle food, risking cross-contamination and foodborne illness. Raw meat was stored above other foods, and a dietary staff member handled raw meat without gloves, touching other surfaces. Additionally, reheated food was not checked for safe temperature before serving to a resident.
The facility failed to complete pre-employment health screenings for three staff members, did not ensure hand hygiene during laundry delivery, and neglected Enhanced Barrier Precautions for residents with MDROs. Staff were unaware of the need for protective gear during high-contact care activities, affecting multiple residents.
A facility failed to complete a recapitulation of a resident's stay as required. The resident, admitted for surgical aftercare, had a goal to return home with their spouse. Despite being discharged, the medical record lacked a documented recapitulation. The DON confirmed the absence of a Nursing Discharge Summary and acknowledged the lack of a discharge policy or procedure.
A resident with multiple chronic pain conditions did not receive adequate pain management as prescribed. Despite having a physician's order for Aspercreme, the facility failed to document its application from May to October. The resident, with limited mobility, frequently requested assistance with applying the cream, but staff often did not comply due to time constraints. Interviews with staff confirmed the resident's requests were communicated but not consistently acted upon, and the DON acknowledged the lack of documentation.
A resident with dementia in a memory support unit was not provided with meaningful activities due to staffing limitations. The resident expressed dissatisfaction with the lack of outdoor activities, which were restricted because staff could not accompany them. Interviews and observations confirmed the absence of an activities calendar and the lack of scheduled activities being conducted, leading to the resident's decline in mood and physical ability.
A resident with Atherosclerotic Heart Disease and a documented allergy to Statins was routinely administered Atorvastatin Calcium without notifying the physician of the allergy risk. Despite the allergy being noted in medical records, the facility failed to inform the physician, as confirmed by staff interviews and record reviews.
A facility failed to document non-pharmacological interventions before administering as-needed psychotropic medication to a resident with dementia and cognitive impairment. The resident received Xanax multiple times without documented attempts of non-pharmacological interventions. Additionally, the facility extended the Xanax order for 180 days without a documented clinical rationale, contrary to guidelines requiring a rationale for extensions beyond 14 days.
Dietary Manager Credentialing Deficiency
Penalty
Summary
The facility failed to ensure that the Dietary Manager (DM) met the credentialing requirements necessary for the position, which could potentially affect the food service provided to 40 residents. A review of personnel records revealed that the Food Services Supervisor was listed as the DM, and the DM confirmed during an interview that they had assumed the position in 2023 but had not yet completed the required certification course. The Facility Administrator also confirmed that the DM had been employed in this role for over 12 months without certification. Additionally, the facility's Registered Dietitian was a consultant who visited the facility approximately once a month.
Improper Food Storage and Handling in LTC Facility
Penalty
Summary
The facility failed to adhere to proper food storage and preparation standards, as observed during a survey. In the kitchen's main refrigerator, raw meat was improperly stored above other food items, including cheese, grapes, and eggs, which could lead to cross-contamination. The Dietary Manager confirmed that raw meat should not be stored above other foods to prevent contamination. Additionally, a dietary staff member was observed handling raw meat with bare hands and touching other surfaces without washing hands or wearing gloves, which is against the facility's policy and the Nebraska Food Code. Furthermore, the facility did not ensure that food was reheated to the required temperature before serving. A dietary staff member reheated chicken noodle soup in a microwave but failed to check its temperature before serving it to a resident. The Dietary Manager confirmed that the temperature should have been checked to ensure it was safe for consumption. These deficiencies in food handling and preparation practices had the potential to affect the food service provided to the 40 residents served from the kitchen.
Infection Control and Staff Screening Deficiencies
Penalty
Summary
The facility failed to ensure that pre-employment health history screens were completed and reviewed for three staff members, which had the potential to affect all facility residents. Dietary Aide-M, Housekeeper-N, and Nurse Aide-O were all employed without their Medical History Questionnaires being properly reviewed and signed by a nurse. This oversight was confirmed by the facility's Guest Relations and Administrator, who acknowledged that the process was not followed as required. Additionally, the facility did not ensure that staff performed hand hygiene between resident rooms during laundry delivery, which could lead to cross-contamination. Laundry Aide-B was observed delivering laundry to multiple resident rooms without performing hand sanitization between rooms, despite the facility's hand hygiene policy requiring it. This affected nine residents who were observed during the survey. The facility also failed to implement Enhanced Barrier Precautions (EBP) for residents with multidrug-resistant organisms (MDROs) or those at increased risk. Staff did not wear gowns and gloves during high-contact care activities for residents on EBP, such as Residents 13 and 11, who had indwelling urinary catheters. Interviews with staff revealed a lack of awareness about the requirement to wear protective gear during these activities, which was confirmed by the Director of Nursing.
Failure to Complete Recapitulation of Resident's Stay
Penalty
Summary
The facility failed to ensure that a recapitulation of a resident's stay was completed as required for a resident who was reviewed. The resident, identified as Resident 42, was admitted to the facility with a diagnosis of surgical aftercare following surgery on the circulatory system. The resident had a goal to return home with their spouse, as documented in the care plan. The Minimum Data Set (MDS) assessments indicated that the resident and their spouse participated in the assessment and goal setting, with the overall goal being to discharge to the community. The resident was discharged from the facility, but the medical record did not contain a documented recapitulation of the resident's stay. An interview with the facility's Director of Nursing (DON) revealed that the facility did not have a policy or procedure for resident discharge. The DON stated that the facility used the Nursing Discharge Summary assessment to document the recapitulation of stay for discharged residents. However, upon reviewing the medical record of Resident 42, the DON confirmed that a Nursing Discharge Summary was not completed for the resident, and thus, a recapitulation of stay was not completed as required.
Failure to Provide Adequate Pain Management for a Resident
Penalty
Summary
The facility failed to provide appropriate pain management for a resident, identified as Resident 3, who had multiple diagnoses including polyosteoarthritis, chronic gout, chronic pain, and age-related physical debility. The resident had a physician's order for Aspercreme to be applied to affected areas as needed for painful joints. However, a review of the Medication Administration Record (MAR) from May to October 2024 revealed no documentation of the Aspercreme being applied, indicating a lack of adherence to the prescribed pain management plan. Observations and interviews with Resident 3 and staff members revealed that the resident frequently experienced pain and requested the application of Aspercreme. Despite these requests, the resident reported that staff often did not assist with the application due to time constraints, particularly in the evenings. The resident's limited mobility prevented them from applying the cream to certain areas of their body, such as the back, neck, and feet, which contributed to their ongoing pain and discomfort. Interviews with nursing staff, including nurse aides and a licensed practical nurse, confirmed that Resident 3's requests for Aspercreme were communicated to the charge nurse, but the application was only performed if time allowed. The Director of Nursing acknowledged the lack of documentation for the application of Aspercreme, confirming that the facility did not meet its obligation to provide and document the necessary pain management for Resident 3.
Failure to Provide Meaningful Activities for Resident with Dementia
Penalty
Summary
The facility failed to provide strength-based, meaningful activities for a resident diagnosed with dementia, cognitive impairment, depression, and anxiety. The resident, admitted to the secured memory support unit, expressed dissatisfaction with the lack of activities, particularly enjoying outdoor activities, which were restricted due to staffing limitations. The resident's care plan included interventions for engagement in recreational pursuits, but these were not effectively implemented, as the resident reported spending most of their time in their room. Interviews with staff revealed that there was no activity calendar for the memory care unit, and activities were not consistently provided. The Medication Aides confirmed that the resident was not allowed to go outdoors alone due to mobility concerns and that staffing constraints prevented staff from accompanying the resident outside. The Activities Director indicated that the staff on the memory care unit were responsible for conducting activities, but documentation showed limited participation by the resident in scheduled activities. Observations confirmed the absence of an activities calendar and the lack of scheduled activities being conducted. The resident's spouse expressed concern about the resident's decline in mood and physical ability, attributing it to the lack of engagement and outdoor activities. The facility's failure to provide adequate activities and engagement opportunities for the resident led to the deficiency noted in the report.
Failure to Notify Physician of Resident's Medication Allergy
Penalty
Summary
The facility failed to notify the physician of a potential adverse medication reaction for a resident with a known allergy. Resident 5, who was admitted with a diagnosis of Atherosclerotic Heart Disease, had a documented allergy to Statins, a class of medication used to reduce plaque in the arteries. Despite this allergy being noted in the resident's medical records, including the Medication Administration Record (MAR), the resident was routinely administered Atorvastatin Calcium, a Statin, without the physician being informed of the allergy or the risk of an adverse reaction. Interviews with facility staff, including a Medication Aide and the Director of Nursing, confirmed that the resident received the medication daily and that the physician had not been notified of the allergy. The oversight was identified through a review of the resident's medical records, which showed no evidence of physician notification or acknowledgment of the allergy risk. This deficiency highlights a lapse in communication and protocol adherence regarding medication administration and allergy management within the facility.
Failure to Document Non-Pharmacological Interventions and Rationale for Extended Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure that non-pharmacological behavioral interventions were documented and attempted prior to the use of as-needed psychotropic medication for Resident 5, who was admitted to the memory support secured unit with diagnoses of dementia, cognitive impairment, depression, and anxiety. The resident was severely cognitively impaired, as indicated by a BIMS score of 3/15, and was receiving routine antipsychotic, antianxiety, and antidepressant medications. Despite the facility's policy requiring non-pharmacological interventions to be attempted and documented before administering as-needed psychotropic medications, there was no documentation of such interventions in the resident's progress notes for August and September 2024, even though Xanax was administered multiple times during these months. Additionally, the facility did not adhere to the requirement that as-needed psychotropic medication orders be limited to 14 days unless a rationale for extended use is documented by the prescribing practitioner. Resident 5's as-needed Xanax order was extended for 180 days without a documented clinical rationale from the provider, which was confirmed by the Director of Nursing during an interview. This oversight indicates a failure to comply with the facility's own medication management audit guidelines, which stipulate that a patient-specific clinical rationale must accompany any extension of as-needed psychotropic medication beyond the 14-day period. The facility's documentation and medication management practices were found lacking, as evidenced by the absence of required documentation for non-pharmacological interventions and the failure to obtain a documented rationale for extending the use of as-needed psychotropic medication. These deficiencies were identified through record reviews and interviews with facility staff, including a Medication Aide and the Director of Nursing, who confirmed the lapses in protocol adherence.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Loup City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arbor Care Centers - Ord, Llc | 22.4 mi | ★★★★★ | 17 | 0 |
| Brookefield Park | 26.3 mi | ★★★★★ | 7 | 0 |
| Brookestone View | 35.9 mi | ★★★★★ | 8 | 0 |
| Community Memorial Health Center | 35.9 mi | ★★★★★ | 10 | 0 |
| Good Samaritan Society - Grand Island Village | 39.3 mi | ★★★★★ | 16 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.