cms_NE: 12917

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
12917 MATNEY'S COLONIAL MANOR 285082 3200 G STREET SOUTH SIOUX CITY NE 68776 2010-02-04 246 E     QGTM11 LICENSURE REFERENCE NUMBER 12-006.18B2 Based on observation, interview and record review; the facility failed to provide comfortable table heights and positioning for ease of eating for 2 sampled (Residents 9 and 3) residents and 3 non-sampled (Residents 12, 13 and 14) residents of 40 residents that ate in the main dining area in the facility. The sample size was 11 residents including 1 closed record and 11 non-sampled residents. The facility census was 44 at the time of survey. Findings are: A. Observations on 2/3/10 between 8:05 AM and 8:40 AM and on 2/3/10 between 12:05 PM and 12:25 PM revealed Residents 12 and 3 seated in their respective wheelchairs in the main dining area at a dining table. Observation revealed that Resident 12 and 3 ' s wheelchair pedals were touching underneath the table preventing the Resident ' s 12 and 3 from sitting close enough to the table to easily reach the food and beverages. Resident 3 leaned forward to reach the food. Resident 12 moved the plate so that it was partially off of the table edge closer to Resident 12. Both residents ' s had to bring the food a long distance from the plate to their mouths which resulted in food being spilled on the residents' laps and on their clothing protectors. Resident 12 and 3 were able to eat independently without staff assistance. B. Observations on 2/3/10 between 8:05 AM and 8:40 AM and on 2/3/10 between 12:05 PM and 12:25 PM revealed Residents 13 and 14 seated in their respective wheelchairs in the main dining area at a dining table. Resident 13 ' s wheelchair had leg extension foot pedals attached and Resident 13's legs and feet rested on these pedals. During the observations it was noted that the leg extension foot pedals hit the feet of Resident 13 ' s table mate, Resident 14, which prevented both Resident ' s 13 and 14 from sitting close enough to the table to easily reach the food and beverages. Both Resident ' s 13 and 14 leaned forward to reach the food and food spilled on Resident 13's clothing protector. Both residents were able to eat independently without staff assistance. C. Observations on 2/3/10 between 8:05 AM and 8:40 AM and on 2/3/10 between 12:05 PM and 12:25 PM revealed Resident 9 seated in a wheelchair at the table in the facility main dining area. Observation revealed that the tabletop was even with the upper chest area of Resident 9. This caused the resident to have to hunch the shoulders in an upward position in order to eat. Resident 9 had to lean forward and upward to reach the food and beverages. This caused food to drop onto Resident 9 ' s lap and clothing protector. D. Interview on 2/3/10 at 8:15 AM with Resident 9 revealed the statement "(referring to the height of the table) " The table is a little high. It could be lower." E. Interview on 2/3/10 at 12:25 AM with RN H confirmed the table was too high for Resident 9 and tables were not close enough for Residents 3, 12, 13 and 14 to facilitate ease with eating. RN H confirmed that each of the residents identified could use some adjustment in their positioning at the dining tables. RN H confirmed that this would make it easier for them to reach their food and eat comfortably. RN H confirmed that the identified residents were able to eat independently without staff assistance. F. Interview on 2/3/10 at 12:25 PM with the Dietary Manager confirmed that the tables in the dining room were not adjustable. G. Interview on 2/3/10 at 12:45 PM with RN H revealed that an evaluation of the specific positioning at the dining tables had not been done for Residents 3, 9, 12, 13 or 14. H. Record review of Residents 3, 9, 12, 13 and 14 ' s medical records revealed that no evaluations had been done that were specific to positioning at the dining tables. 2014-02-01