cms_NE: 11258

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
11258 AINSWORTH CARE CENTER, LLC 285142 143 NORTH FULLERTON STREET AINSWORTH NE 69210 2013-11-13 520 F 1 1 320W11 LICENSURE REFERENCE NUMBER 175 NAC 12-006.07C Based on record review and staff interview; the facility failed to assure an effective Quality Assurance program was in place to correct previously cited deficiencies regarding sufficient staffing, accidents and activities of daily living (ADL) care. Facility census was 27. Findings are: Review of facility deficiency statement from the Quality Indicator Survey (QIS) completed on 5/24/11 revealed the facility was cited for failure to implement interventions for the preventions of falls. Review of facility deficiency statement from QIS completed on 8/9/12 revealed the facility was cited for failure to implement interventions for the prevention of falls. Review of facility deficiency statement from a complaint survey completed on 11/20/12 revealed the facility was cited for failure to assess 1 resident with a history of falls. Review of facility deficiency statement from a complaint survey completed 5/2/13 revealed the facility was cited for failure to provide toileting assistance and personal hygiene for residents and failure to provide sufficient nursing staff to meet residents needs. Review of the preliminary citations for the current survey revealed these deficiencies were not corrected. Review of the facility's policy "Monthly Quality Assurance Meeting Policy and Procedure" (revised 6/13) revealed the following: - "Purpose: To ensure appropriate follow-up and ongoing tracking of identified environmental and quality of care issues by the facility Quality Assurance team. To develop and implement plans of corrective action for identified trends and/or deficient practices. To ensure the provision of the highest possible quality of care to facility residents" . - "Policy: If a trend is identified, the Quality Assurance Committee will develop a Plan of Action, appoint a team leader and project a target date of completion" . - "Possibly Quality Assurance areas and trends may be identified through Focused Rounds, Resident Counsel Meeting, Consultant Reports, Grand Rounds by management personnel and Resident Satisfaction Surveys" . During an interview with the Administrator on 11/13/13 from 7:48 AM until 8:09 AM it was confirmed focused rounds had not yet been implemented. It was further confirmed the Quality Assurance committee has not put a plan into place to ensure staffing meets residents needs, that a fall prevention plan has not yet been put into place and that audits in the area of ADL care has not yet been put into place. 2015-07-01