cms_NE: 10235

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.

Data source: Big Local News · About: big-local-datasette

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
10235	DOUGLAS COUNTY HEALTH CENTER	285019	4102 WOOLWORTH AVENUE	OMAHA	NE	68105	2011-07-13	328	D	0	1	BXXQ11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D6(5) Based on observation, record review and interview; the facility staff failed to ensure emergency equipment for a [MEDICAL CONDITION] (an artificial opening into the trachea through the neck with insertion of a tube to facilitate passage of air or evacuation of secretions) was immediately available for use for 2 (Residents 6 and 19) of 33 sampled and 4 non-sampled residents from a facility census of 226. Findings are: A. Record review of the facility Policy and Procedure on [MEDICAL CONDITION] Care under the section entitled Reinsertion of a Trachesotomy Tube (New facility policy written on July 7th 2011) revealed that a spare [MEDICAL CONDITION] and properly sized obturator should be kept at the bedside at all times and that in the event that [MEDICAL CONDITION] becomes dislodged (e.g. coughed out) a [MEDICAL CONDITION] will reinserted. Record review of Resident 6's Admission Physician orders dated 6/22/11 revealed an admission date of [DATE] and the following Diagnosis: [REDACTED]. Record review of Resident 6's hospital Discharge Summary dated 6/22/11 revealed that a new [MEDICAL CONDITION] had been placed on 6/3/11. Observation on 7/6/11 at 2:20 PM revealed Resident 6 laying in bed in a resident room in the facility. Observation of Resident 6 revealed a [MEDICAL CONDITION] inserted into a opening in the neck and secured with ties around the neck. Observation revealed no obturator (a curved plastic device used to aide in the emergency insertion of a [MEDICAL CONDITION]) or extra [MEDICAL CONDITION] present in Resident 6's room. Observation on 7/7/11 at 7:50 AM revealed no obturator or extra [MEDICAL CONDITION] present in Resident 6's room. Observation on 7/7/11 at 9:20 AM with the RN (Registered Nurse) Nurse Manager D resulted in a search of Resident 6's room and drawers. RN A confirmed that no obturator or extra [MEDICAL CONDITION] was present in Resident 6's room for emergency use. Interview on 7/6/11 at 9:25 AM with RN D confirmed that an obturator and extra tube should be kept in Resident 6's room in case of emergency in case [MEDICAL CONDITION] out or needs to be changed. B. Record review of Resident 19's History and Physical dated 8/12/10 revealed that Resident 19 had a history of [REDACTED]. Observation on 7/7/11 at 10:03 AM with RN Nurse Manager E revealed Resident 19 laying in bed in a resident room in the facility. Observation of Resident 19 revealed a [MEDICAL CONDITION] inserted into a opening in the neck and secured with ties around the neck. Taped above Resident 19's bed were an obturator and oxygen tubing, but no extra [MEDICAL CONDITION] was present. Observation resulted in a search of Resident 19's room and drawers by RN A. RN A confirmed that there was not an extra [MEDICAL CONDITION] present in Resident 19's room for emergency use. Interview on 7/7/11 at 10:05 with RN D confirmed that an extra [MEDICAL CONDITION] should be kept in Resident 19's room in case of emergency. Interview on 7/11/11 at 1:45 PM with the Director of Nursing confirmed that the above policies were to be followed and an obturator and extra [MEDICAL CONDITION] should be available in Resident 6 and Resident 19's rooms in case of an emergency.	2016-01-01