cms_NE: 12202

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
12202 ST. JOSEPH VILLA NURSING CENTER 285078 2305 SOUTH 10TH STREET OMAHA NE 68108 2010-07-12 281 D 1 1 2KMG11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** LICENSURE REFERENCE NUMBER: 175 NAC 12-006.10 Based on record review and interview; the facility staff failed to follow a physician orders [REDACTED]. The facility staff identified a census of 170. Findings are: A. Record review of an Physicians Orders sheet for the date of 7/01/2010 revealed Resident 11 had the [DIAGNOSES REDACTED]. Record review of an information sheet dated June 21/2010 revealed Resident 11's weight had increased from 170.0 pounds to 180.1 pounds in 2 weeks. The facility staff had indicated on the information sheet that Resident 11 was on [MEDICATION NAME] (diuretic) every AM. The physician ordered that Resident 11 have a fluid restriction of 2500 cc(cubic centimeters) per day. An interview with Resident 11 was conducted on 7/06/2010 at 4:05 PM. During the interview, Resident 11 confirmed that the physician had ordered a fluid restriction. Resident 11 stated during the interview that " they always give me to much water". Record review of Resident 11's record did not contain evidence the facility was monitoring the fluid intake for Resident 11 to ensure the 2500 cc fluid restriction was not exceeded. An interview on 7/08/2010 was conducted with Registered Nurse (RN) K related to Resident 11's fluid restriction. During the interview, RN K was asked what the fluid restriction for Resident 11 was. RN K stated " I am not sure how much (gender) is getting". When asked if RN K was Resident 11's nurse, RN K stated "yes". An interview on 7/08/2010 was conducted with Licensed Practical Nurse (LPN) L. During the interview, LPN L stated the intake and output (I and O) should be on the Medication Administration Record [REDACTED]. LPN L stated "no" when asked if the physicians order had been followed. B. Record review of an information sheet dated 6/23/2010 revealed Resident 21 was admitted to the facility on [DATE]. Record review of a Discharge Summary sheet dated 5/10/2010 revealed Resident 21 had the [DIAGNOSES REDACTED]. Record review of a Physician order [REDACTED]. The physician further ordered that if Resident 21's heart rate was less than 60 or the systolic blood pressure was less than 100, the facility staff were to hold the medication. Record review of Resident 21's Medication Administration Record [REDACTED]. The MAR indicated [REDACTED]. An interview was conducted with RN K on 7/12/2010 at 10:40 AM. Review of Resident 21's MAR indicated [REDACTED]. When asked how staff would know to give the [MEDICATION NAME] or not, RN K stated we wouldn't. RN K identified that some blood pressures were identified in Resident 21's progress notes, however, RN K confirmed that these did not correlate with the [MEDICATION NAME] being administered. The facility was not able to provide documentation at the time of exit that the heart rate and blood pressure rates were obtained prior to the administration of the medication, 2 times a day as ordered. 2014-09-01