cms_NE: 11883

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
11883	CARL T. CURTIS HEALTH EDUCATION CENTER	28A065	P O BOX 250	MACY	NE	68039	2011-09-22	328	D	1	0	JXXE11	Licensure reference number: 175 NAC 12.006.9D6 Based on Interview and observation the facility failed to assure that physician orders were followed related to PICC line dressing changes for 1 resident (resident 4) Sample size was 4. Facility Census was 21. Review of Resident 4 ' s medical record revealed a document titled " Provider Orders and Interagency Referral Form " from the transferring hospital dated 8/19/2011 and signed by the physician. The document contains the following order with no instructions as to how often to change the dressing are included. ? PICC line ( a form of intravenous access that can be used for a prolonged period of time) flushes and dressing changes per protocol Review of Resident 4 ' s Physician orders revealed no physician order to clarify how often to change PICC line (a form of intravenous access that can be used for a prolonged period of time) dressing. No note regarding notification of physician for clarification of the order was contained in the nurse ' s notes. Review of the TAR ' s (Treatment Administration Record) dated for 8/2011 and 9/2011 for Resident 4 revealed no order or documentation for PICC line (a form of intravenous access that can be used for a prolonged period of time) dressing change. Review of Resident 4 ' s Nurses notes revealed no documentation regarding a PICC line (a form of intravenous access that can be used for a prolonged period of time) assessment or dressing change. Interview on 9/22/2011 at 1:30 PM with the Director of Nursing revealed the dressing change for PICC line (a form of intravenous access that can be used for a prolonged period of time) are to be documented on the Treatment Administration Record (TAR) and confirmed that no entries regarding the order for a PICC line(a form of intravenous access that can be used for a prolonged period of time) dressing or documentation of PICC line dressing changes being completed for Resident 4 ' s.	2015-01-01