cms_NE: 12408

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
12408 ASHLAND CARE CENTER 285140 1700 FURNAS STREET ASHLAND NE 68003 2011-03-29 333 D 0 1 5DBO11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** LICENSURE REFERENCE NUMBER 12-006.10D Based on observation, interview, and record review the facility failed to ensure that 2 residents (Residents 74 and 58) were free of significant medication errors from a total of 52 opportunities. The resident census was 68. Findings are: A. Observation of Medication Pass conducted on 3/24/11for Resident 74 revealed: - At LPN (Licensed Practical Nurse) J performed blood glucose (sugar) testing on Resident 74. The resident's blood glucose was 268. The resident's insulin vial label stated blood sugars 241-280 give 9 units of insulin. The LPN drew up [MEDICATION NAME] (rapid acting insulin) 9 units and administered the [MEDICATION NAME] sq (subcutaneously: beneath the skin) into the resident's abdomen at 11:03 AM. -The resident did not have any food or fluids other than water in the resident's room. -The LPN stated that lunch was served at 12 noon. -At 11:30 AM and 11:45 AM the resident remained in the resident's room without food and fluids other than water. The resident stated feeling fine. -At 12 PM the resident was seated in the Hilton dining room. The resident had only water and coffee and no food. -At 12:17 PM the resident was served lunch. B. Observation of Medication Pass conducted on 3/24/11for Resident 58 revealed: -At 11:10 AM LPN J performed blood glucose testing on Resident 58 and stated that the residents blood glucose was 121. The LPN drew up [MEDICATION NAME] 2 units per the instructions on the insulin vial label and administered the insulin into the resident's left abdomen at 11:13 AM. -At 11:30 AM and 11:45 AM the resident remained in the resident's room and stated feeling fine. -At 12 PM the resident was seated in the Hilton dining room. The resident had only water and coffee and no food. -At 12:16 PM the resident was served lunch. Review of the facility's Insulin Injection Administration Procedure dated 12/08 revealed that the Insulin Type Chart revealed that a rapid acting insulin analog such as [MEDICATION NAME] and Humalog had onsets of 5-15 minutes with a peak action of 30 - 60 minutes. According to 2011 Nursing Drug Handbook stated "Give [MEDICATION NAME] 5 to 10 minutes before the start of the meal." 2014-07-01