cms_NE: 10621
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 10621 |
ELMS HEALTH CARE CENTER |
285191 |
P O BOX 628, 410 BALL PARK ROAD |
PONCA |
NE |
68770 |
2012-01-24 |
356 |
C |
0 |
1 |
UH3O11 |
Based on observations, review of nurse staffing information, and staff interview; the facility failed to assure the nurse staffing information was posted in a timely manner on 2 of 4 days of survey. Furthermore, review of nurse staffing information from 1/17/12 through 1/23/12 indicated information was not complete as related to the total number of staff on duty, information covering the entire 24 hour day, and lack of specifics related to the actual shift worked. Facility census was 36. Findings are: A. The following were noted during the initial tour of the facility on 1/17/12 from 10:30 AM until 10:50 AM: Licensed Practical Nurse (LPN) - A indicated during interview that there were 4 Nursing Assistants (NA), 1 Medication Aide (MA), 2 Registered Nurses (RN) and 1 LPN on duty. It was observed that the form used to post nurse staffing information was displayed on a bulletin board next to the nurses ' station in the main area of the nursing home. The nurse staffing information displayed on the bulletin board was dated 1/16/12. LPN-A posted new nurse staffing information dated 1/17/12 that indicated the shift from 6:30 to 7:00 (AM and/or PM were not indicated), and that there were 2 RN ' s, 1 LPN and 4 NA ' s on duty. The nurse staffing information did not indicate there was 1 MA on duty. During interview, LPN-A indicated MA ' s were not normally posted on the nurse staffing information, and LPN-A changed the number of NA ' s from 4 to 5, likewise adjusting the total hours worked for NA ' s on the 1/17/12 posting. B. Review of the nurse staffing information for 1/19/12 revealed there were 2 separate postings with that date; 1 for the shift from 6:30 to 3:00 (AM and/or PM were not indicated), and 1 for the shift from 10:30 PM to 7:00 AM. There was no nurse staffing information provided for the evening shift (3:00 PM to 10:30 PM) on 1/19/12. C. Review of the nurse staffing information for 1/20/12 revealed there were 3 separate postings with that date; 2 postings indicating the shift from 6:30 to 7:00 (AM and/or PM were not indicated), and 1 posting for the shift from 6:30 PM to 7:00 AM. D. Review of the nurse staffing information for 1/21/12 and 1/22/12 revealed postings for the shift from 6:30 PM to 7:00 AM each day. However, there were no postings to indicate nurse staffing information for the day shifts (6:30 AM to 6:30 PM) on either of these days. E. During observation on 1/23/12 at 12:03 PM, the nurse staffing information displayed on the bulletin board was dated 1/22/12, and LPN-A posted new nurse staffing information dated 1/23/11 for the shift from 6:30 to 7:00 (AM and/or PM were not indicated. |
2015-12-01 |