cms_NE: 11784

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
11784 MAPLE CREST CARE CENTER 285149 2824 NORTH 66TH AVENUE OMAHA NE 68104 2011-09-12 309 D 1 0 MU3W11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 175 NAC 12-006.09 Based on record review and interviews, the facility failed to assess effectiveness of pain management for 1 (Resident 9) of 10 sampled residents. The facility had a total census of 124 residents. Findings are: Resident 9 was admitted to the facility on [DATE] according to admission record. Resident 9's 8/29/11 history and physical included a [DIAGNOSES REDACTED]. Occurrence Report for Resident 9 dated 8/28/11 at 11:15 PM stated "Dr. White' called; noted res outside of room in hallway laying flat on (gender) back." The Occurrence Report stated Resident 9 complained of right hip pain. A review of physician orders [REDACTED]. Radiology Report dated 8/29/11 for Resident 9 stated Resident had an acute right [MEDICAL CONDITION]. A review of physician's orders [REDACTED]. A review of Resident 9's MAR (Medication Administration Record) revealed physician orders [REDACTED]. According to back side of 8/11 MAR, Resident 9 was administered Tylenol 650 mg orally for complaint of right hip pain at 3 AM on 8/29/11. The section of Resident 9's MAR for results or response was not completed. Nurse's Notes dated 8/28/11 at 5 AM stated the following: "Still sore and hurts." In an interview on 9/8/11 at 7:45 AM, RN D reported not wanting to sedate the resident. A review of Nurse's Notes and Resident 9's MAR indicated [REDACTED]. Nurse's Note dated 8/28/11 at 12:39 PM stated Resident 9 received pain medication from ambulance crew prior to departing the facility for transport to hospital. In an interview on 9/12/11 between 11:45-11:55 AM, the DON reported expecting residents pain be reevaluated to see if another pain medication is needed and to contact the resident's physician if needed. 2015-01-01