cms_NE: 1168
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
|
| 1168 |
PRESTIGE CARE CENTER OF NEBRASKA CITY |
285109 |
1420 NORTH 10TH STREET |
NEBRASKA CITY |
NE |
68410 |
2019-10-02 |
561 |
D |
0 |
1 |
057T11 |
Based on record review , observation and interview the facility staff failed to relocate 1 resident (Resident 34) of sampled resident out of the Alzheimer's unit (ACU) per request of Power of Attorney (POA). The facility census was 42. Findings are: On 09/26/19 at 10:03 AM a telephone interview with Resident 34's, Power of Attorney (POA) revealed Resident 34 was admitted in February, 2019. According to Resident 34 POA, 5 months later the facility staff asked Resident 34's POA about placing Resident 34 on the locked unit, Alzheimer's Care Unit (ACU). According to Resident 34's POA both the Resident 34 and Resident 34 POA evaluated the unit and chose not to go back to the ACU According to Resident 34's POA about 1 month later the facility staff requested placement in the ACU as Resident 34 was having a lot of falls. Resident 34 's POA later requested repeatedly for facility staff to move Resident 34 from the ACU, due to, Resident 34 POA did not like Resident 34 being in the ACU. According to the Resident 34's POA the ACU was inconvenient for the POA and family members to visit and they refuse to move Resident 34. He does not try to leave or anything and (gender) does not understand why they are refusing to move Resident 34 back out of the locked unit. The Minimum Data Set (MDS, a federally mandated assessment tool used for care planning) dated 6/7/19 reveals a (Brief interview for Mental Status (BIMS) of 12. According to the MDS Manuel a score of 8-12 indicate moderately impaired cognition. Record review of Resident 34 medical record revealed there was no evidence of evaluating the request by Resident 34s POA to move Resident 34 form ACU. On 9/15/19 after being placed in the ACU Resident 34 MDS reveals a BIMS of 9 with behavior Symptoms occurring 1 to 3 times a day towards others and wandering occurring 1-3 times a day. On 9-30-2019 at 7:31AM Resident 34 was observed in the dining area in the ACU. On 10-01-2019 7:15 AM Resident 34 was observed in the ACU dining room. On 10/02/19 an interview with Director of Nursing (DON) confirmed that Resident 34 was placed in ACU on 8/20/19 for safety related to frequent falls. |
2020-09-01 |