cms_NE: 12203

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
12203	ST. JOSEPH VILLA NURSING CENTER	285078	2305 SOUTH 10TH STREET	OMAHA	NE	68108	2010-07-12	492	D	0	1	2KMG11	Based on record review and interview; the facility staff failed to complete the demand billing process to ensure that the resident or the responsible party were offered the choice whether or not to request a standard claim appeal (Demand Bill) be submitted to Medicare for 3 ( Residents 30, 31 and 32) of 7 resident files reviewed. The resident sample size was 29 plus 5 non-sampled residents from a facility census of 170. Findings are: Record review of 3 ( Residents 30, 31 and 32) of 7 Skilled Nursing Facility Determination on Continued Stay notification letters revealed that the choice boxes under the Request for Intermediary Review had been left blank. This indicated that the resident or responsible party had not made a decision as to whether or not to request an Intermediary Review for a Medicare decision. Interview on 6/8/10 at 9:15 AM with Social Service Worker (SSW) I confirmed that the choice boxes had been left blank. SSW I confirmed that no follow-up was completed with the residents or the responsible party to ensure that they were aware of the right to request an Intermediary decision. SSW I stated that when the letters are returned by the families or resident they come directly to the Social Services facility office and then are given to the bookkeeper to file. Interview on 6/8/10 at 9:30 AM with Bookkeeper J confirmed that the letters were not routinely reviewed to ensure that a choice had been documented in regards to the request for an Intermediary decision.	2014-09-01