cms_NE: 12275

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.

Data source: Big Local News · About: big-local-datasette

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
12275	LANCASTER REHABILITATION CENTER, LLC	285275	1001 SOUTH STREET	LINCOLN	NE	68502	2011-05-09	281	D	1	0	29O411	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number: 175 NAC 12-006.04C3a Based on record review and staff interview; the facility failed to notify the physician/healthcare practitioners that a once a month administration of inhalation medication, prescribed for immunosuppress of organ transplants, was not administered to Resident 1. The facility census was 219 residents. Sample size was 6 Findings are: Review of closed medical records [REDACTED] -Admission of the facility on 02/06/201; -Past medical history included: liver transplant, July 2010 and remains on chronic immunosuppression, chronic [MEDICAL CONDITIONS], asthma, [MEDICAL CONDITION] hypertension and multiple banding's with [MEDICAL CONDITION] varices; -Physician order, 02/08/2011 "[MEDICATION NAME] 300mg vial respiratory (IH inhalation) treatment to be given monthly at Lancaster Manor while (patient) resides there"..; -Faxed communication, 02/09/2011, to transplant center in Omaha "...has to have [MEDICATION NAME] before [MEDICATION NAME] respiratory treatment"; -Review of the February Medication Administration Record [REDACTED] -Review of the Doctor's Orders and Progress Notes for 02/08/2011 revealed: fax communication with Pharmacy Provider to have medication delivered to the facility (02/08/2011); -Discharge to home was on 02/18/2011. Interview with the Director of Nursing on 05/09/2011 revealed: The medication was not identified as given in the record at the time of discharge to home on 02/18/2011. Staff acknowledged that the medication was not given but there had been attempts to coordinate administration with respiratory therapy services, pharmacy service and the transplant team in Omaha as evidenced in the written record on 02/08/2011 and 02/09/2011. Resident 1's length of stay was 02/06/2011 to 02/18/2011. There was no alternative plan identified to ensure administer this medication. There is no information that identifies that the physician or transplant team was notified that this medication was not administered or to identify other alternatives to ensure administration of this drug. Faxed discharge communication/orders to the primary physician does not identify that [MEDICATION NAME] was not administered nor request direction for follow-up.	2014-09-01