Indian Hills Manor
1720 North Spruce
Ogallala, NE, 69153
3082844068
CCN: 285091
1
Overall1
Health2
Staffing1
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| LANTIS, CAMMY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SOULEK, WENDY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| RINARD, SANDRA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| KISMET HD LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| LANTIS, TRAVIS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| LANTIS, MARY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| KISMET HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| SOULEK, WENDY | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE |
| RINARD, SANDRA | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE |
| MOORE, MICHAEL | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE |
| LANTIS, TRAVIS | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE |
| LANTIS, MARY | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE |
| LANTIS, CAMMY | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE |
| LANTIS, TRAVIS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LANTIS ENTERPRISES, INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LANTIS, CAMMY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LANTIS, MARY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MOORE, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RINARD, SANDRA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SOULEK, WENDY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BOS, CHAD | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2024-04-15 | Payment Denial | 15 days |
Health Deficiencies (28)
2025-03-04 · Health
F
F947 · Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F
F940 · Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F730 · Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
E
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
E
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2024-04-15 · Health
F
F947 · Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F865 · Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
F801 · Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
H
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
F
F585 · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2023-04-06 · Health
E
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
F887 · Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
F
F801 · Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.14
RN Hrs/Resident/Day0.54
0.64
LPN Hrs/Resident/Day0.81
0.43
CNA Hrs/Resident/Day2.33
2.07
PT Hrs/Resident/Day0.12
0.04
Data as of 2026-03-01