cms_NE: 10220

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.

This data as json, copyable

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
10220 KEARNEY COUNTY HEALTH SERVICES 2.8e+298 727 EAST 1ST STREET MINDEN NE 68959 2012-08-01 490 H 0 1 NRZX11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** LICENSURE REFERENCE NUMBER: 175 NAC 12-006.02 Based on observations, record reviews, and interview, the facility administration failed to utilize facility resources in a manner to achieve and maintain the highest practical physical, mental, and psychosocial well-being of each resident by 1) the failure to implement an effective plan of action to maintain correction for a previously cited area of deficient practice, and 2) the failure to ensure the facility identified and developed plans of action to identify multiple issues of deficient practice. The facility census was 30 and the survey sample size was 26. Findings are: The facility was found to be deficient in multiple areas of regulatory compliance after the tacks of the annual standard survey was completed. Please reference the specific tags in regard to detailed findings: - F156 Failed to inform residents of items and services not covered by Medicaid benefits; - F157 Failed to notify residents' families of change in condition; - F159 Failed to ensure resident personal funds accounts were available on evenings and weekends, failed to pay interest on accounts over $50, and failed to provide quarterly statements; - F161 Failed to secure a surety bond for assurance of residents' financial security; - F166 Failed to address residents' grievances; - F176 Failed to assess residents for the ability to self-medicate; - F224 Failed to protect residents belongings; - F225 Failed to report to the State agency and investigate allegations of abuse, neglect, misappropriation and injuries of unknown origin; - F226 Failed to screen new employees and failed to protect residents during abuse/neglect investigations; - F242 Failed to honor the residents' right to choose what time to get up in the morning; - F248 Failed to plan and implement activities of residents interests; - F253 Failed to provide a clean and well-maintained environment; - F258 Failed to provide comfortable sound levels; - F272 Failed to complete comprehensive assessments of residents needs; - F279 Failed to develop comprehensive care plans that addressed residents needs; - F280 Failed to revise the comprehensive care plan to reflect the actual care provided to residents; - F281 Failed to follow standards of practice for medication administration, following physicians orders, and accurate documentation; - F309 Failed assess and identify causal factors for change in condition, pain, skin conditions, and anxiety in residents; - F318 Failed prevent the decrease in residents' range of motion; - F323 Failed to implement intervention to prevent resident falls; - F327 Failed to monitor residents' fluid restrictions; - F329 Failed to ensure resident medications had indications for usage and failed to implement non-pharmacological interventions prior to the use of psychoactive medications; - F333 Failed to ensure residents were free of significant medication errors; - F334 Failed to ensure residents pneumococcal immunization were current; - F356 Failed to ensure the posting of nurse staffing was accessible, visible and accurate; - F406 Failed to provide psychological services; - F428 Failed to ensure the consultant pharmacist identified and reported irregularities in residents medication regimen; - F441 Failed to follow infection control program related to hand hygiene and the tracking and trending of infections; - F492 Failed to ensure compliance with applicable Federal and State laws and regulations; - F496 Failed to receive Nurse Aide Registry verification prior to nurse aide employment; - F497 Failed to complete Nurse Aide performance reviews and competence in-service training; - F498 Failed to ensure Nurse Aides were able to demonstrate competency in skills needed to care for residents; - F500 Failed to have agreements with outside sources for the provision of services; - F501 Failed to ensure the Medical Director provided oversight for the coordination of resident care; - F503 Failed to obtain a contract for the provision of laboratory services; - F506 Failed to obtain an agreement for the transportation of residents to laboratory services; - F509 Failed to obtain a contract for the provision of radiology services; - F512 Failed to obtain an agreement for the transportation of residents to radiology services; - F514 Failed to ensure accurate and completed documentation in residents medical records; - F520 Failed to maintain an effective Quality Assurance Program. B. The facility administration failed to maintain corrections of the following tags cited during the previous annual survey completed 7/14/11: F253, F333, and F441. C. The facility administration failed to provide the Medical Director required documentation to fulfill the Medical Director's duties. D. Review of the facility's undated policy Long Term Care Continuous Quality Improvement Plan (CQI) revealed: Authority: 2. The administrator has been delegated responsibility for assuring the CQI Program of this facility is in compliance with federal, state , and local regulatory agency requirements. E. During an interview on 7/31/12 at 8:45 AM, Administrator revealed policies and procedures for the Long Term Care had disappeared when the past Director of Nursing (DON) had left the facility in December 2011. The Administrator revealed the policies and procedures hadn't all been replaced. The Administrator revealed no knowledge whether or not the Long Term Care policies and procedures were on the computer or if they could be reprinted. The Administrator stated it wouldn't make a difference because if the past DON had written policies and procedures on a computer program, they would be password protected and the facility wouldn't have access to them. F. During an interview on 7/31/12 at 9:10 AM, Director of Nursing revealed the past DON had left the facility in [DATE] and the new DON began employment on March 12, 2012. The DON revealed when (gender) started the DON was unable to find any policies or procedures for the Long Term Care. The DON revealed staff had reported they did not have access to any of the policies or procedures, and explained the past DON would just pull a policy out of a notebook from the DON's office if one was needed. The DON revealed a policy and procedure manual had not been placed at the nurses station so staff could have access to them. 2016-02-01