cms_NE: 10739

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
10739 MT CARMEL HOME- KEENS MEMORIAL 285216 412 WEST 18TH STREET KEARNEY NE 68847 2012-11-20 157 D 1 0 PO3011 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 175 NAC 12-006.04C3a6 Based on interview and record review the facility failed to notify the physician of a resident having an open area. The facility had a census of 74 and a complaint investigation sample of 6. This failure affected Resident 01.Findings are:According to the undated ADMISSION & DISCHARGE SUMMARY Resident 01 was admitted to the facility on [DATE]. The following [DIAGNOSES REDACTED]. Review of a 10/25/12 ACCIDENT/INCIDENT REPORT revealed that a nursing assistant reported to the charge nurse that Resident 01 had an open area on the left side of the middle abdomen at 7:00 PM. The nurse assessed the area to be a 1 centimeter round open area that was draining. Review of the 10/26/12 NURSES NOTES confirmed that the open area was red and warm to touch. The nurse documented cleansing the area and applying a dressing at 7:15 PM on 10/26/12. Review of the NURSE'S NOTES dated 10/27/12 at 9:30 AM revealed that the nurse noted the abdominal open area to be reddened and the dressing was changed. Review of the NURSE ' S NOTES confirmed that the physician was notified of the open area on 10/27/12 at 2:00 PM (43 hours after the staff first documented the open area). The physician prescribed Keflex 500 miligrams twice daily to treat the open area. Interview on 11/20/12 at 2:20 PM with the DON (Directror Of Nursing) revealed that the expectation was for the nurse to report the open area to the doctor as soon as the nurse became aware of it or the very next morning at the latest. The physican should have been consulted for a treatment plan as soon as possible. The DON reported that the physician notification in the situation with the open area on Resident 01 was tardy. 2015-11-01