cms_NE: 11249
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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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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inspection_date
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deficiency_tag
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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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| 11249 |
AINSWORTH CARE CENTER, LLC |
285142 |
143 NORTH FULLERTON STREET |
AINSWORTH |
NE |
69210 |
2013-11-13 |
226 |
D |
1 |
1 |
320W11 |
LICENSURE REFERENCE NUMBER 175 NAC 12-006.02 Based on record review and staff interview, the facility failed to report, investigate and protect Resident 5 following an injury of unknown origin. Facility census was 27. Findings Are: Review of Abuse-Allegation and Reporting Policy/Procedure revised 06/13 revealed the following: - "The facility must have evidence that all alleged violations are thoroughly investigated, and must prevent further potential abuse while the investigation is in progress" . - "Report any knowledge of all alleged violations involving mistreatment, neglect or abuse immediately to a Supervisor or Administrator or in his/her absence, to his/her designee. Bruises, cuts, skin tears or other injury of unknown origin will be investigated and reported as potential resident abuse" . - "During the investigation process, the facility must prevent further physical abuse, mistreatment or verbal aggression ....ensure increased monitoring of at risk residents" . Review of Resident 5's Minimum Data Set (MDS- a federally mandated comprehensive assessment tool used for care planning) dated 9/22/13 revealed Resident 5 had severely impaired cognitive functioning and required total assist for toilet use, personal hygiene, dressing, bed mobility and transferring. Review of Resident 5's medical record revealed a progress note written on 11/5/13 at 2:54 PM stating, "Noted bruise to upper sternum. Resident cannot verbalize how (resident) received the bruise. 3.5 centimeter (cm) by 3 cm. Two small dots just to the bottom left and bottom right also noted. Resident denies any pain related to bruises. Will continue to monitor" . During an interview with the Director of Nursing (DON) on 11/12/13 at 11:28 AM the DON was unaware of Resident 5's bruising. DON stated staff would look to see if an investigation had been done on the bruising. Interview with DON on 11/12/13 at 12:19 PM revealed an investigation was begun on 11/12/13 and the nurse was working on the investigation currently. Interview with DON on 11/12/13 at 4:33 PM confirmed the investigation had not been done prior to 11/12/13. The DON confirmed all bruises, injuries, and falls should be reported through an event report. Review of the Event Report dated 11/12/13 for Resident 5 revealed no new interventions in place to prevent further bruising. |
2015-07-01 |