cms_NE: 10523

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
10523 ROCK COUNTY HOSPITAL LTC 2.8e+279 100 EAST SOUTH STREET BASSETT NE 68714 2012-04-18 280 D 0 1 VXY711 LICENSURE REFERENCE NUMBER 175 NAC 12-006.09C1c Based on observations, record reviews, staff and resident interviews; the facility failed to revise Resident 15's Comprehensive Care Plan (CCP) to address the resident's verbally and physically aggressive behaviors toward Residents 10, 17 and 18. Facility census was 26. Findings are: A. Review of Resident 15's Nurse's Notes dated 1/20/12 at 7:30 PM revealed Resident 15 hits out @ (at) other resident and Uses cuss words to other resident. Review of Resident 15's Nurse's Notes dated 1/25/12 at 7:30 PM indicated Resident 15 had a hold of another resident's arm. Documentation further indicated Resident 15 raised arm to hit the other resident when a nursing assistant intervened. Resident 15 stated I'm going to hit (other resident) because I can. Review of Resident 15's Nurse's Notes dated 4/7/12 at 7:00 AM revealed Resident 15 hit Resident 10 on the back of the head with an open hand 3 times before a staff member intervened. Review of Resident 15's Nurse's Notes dated 4/7/12 at 8:00 AM revealed Resident 15 grabbed Resident 18's wrist and caused a scratch on Resident 18's wrist. B. On 4/17/12 at 8:20 AM, Resident 15 was observed to exit the dining room independently following the breakfast meal. Resident 15 proceeded to walk down the corridor and enter Resident 10's room. Resident 10 was not in the room at that time although the roommate (Resident 24) was present. Nursing Assistant (NA) F was alerted to Resident 15's presence in Resident 10's room and NA-F encouraged Resident 15 to exit the room. Interview with Resident 24 on 4/17/12 at 8:20 AM revealed Resident 15 did wander into this room about every day however, Resident 24 did not feel threatened by this behavior. C. Review of Resident 15's current Comprehensive Care Plan (CCP) dated 3/30/12 revealed aggressive behaviors toward other residents was not addressed. There were no interventions for the prevention of further altercations. Interview with the DON and Social Services Director (SSD) on 4/17/12 from 2:50 PM until 3:00 PM revealed Resident 15 had a past history of issues with Resident 10. The DON and SSD verified Resident 15's CCP did not address the aggressive behaviors toward other residents and interventions were not developed to protect other residents. 2016-01-01