cms_NE: 12428
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
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facility_name
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facility_id
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address
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city
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state
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 12428 |
GOOD SHEPHERD LUTHERAN HOME |
285148 |
2242 WRIGHT STREET |
BLAIR |
NE |
68008 |
2010-06-10 |
363 |
E |
0 |
1 |
P9FH11 |
Licensure Reference: 175 NAC 12.006.11A1 Based on observation, record review, and interview, the facility failed to prepare and serve menu items as listed on menu for pureed diets for 7 residents (Residents 1, 19, 20, 21, 22, 23, and 24) that received pureed diets. The facility had a total census of 80 residents. Findings are: A. Observations and interview with Dietary Staff Member H at 10:45 AM on 6/8/10 revealed apple crisp had not been pureed for residents that received a pureed diet. Dietary Staff Member H reported pudding had been substituted for the apple crisp. Dietary Staff Member H confirmed that was not how the menu was written. In an interview at approximately 12:20 PM on 6/8/10, Dietary Staff Member I reported diet pudding had been served for lunch on 6/8/10 to all residents on a pureed diet as some residents receiving pureed food required diet pudding. B. Observation and interview of Cook J at 11:36 AM on 6/8/10 revealed the # 12 (1/3 cup) scoop would be used to serve the pureed roast beef. A review of menu for 6/8/10 menu revealed pureed roast beef was to be served with # 8 (1/2 cup) scoop. C. Observation and interview of Dietary Staff Member K at 5:20 PM on 6/8/10 revealed sugar free cookies with 2% milk slurry was prepared to be served to all residents on a pureed diet. A review of Resident diet list dated 6/7/10 revealed 3 of 7 residents receiving pureed diets where restricted to no concentrated sweets. D. A review of supper menu for pureed diet on 6/8/10 revealed residents on a pureed diet were to receive either pureed chili dogs or a substitute of pureed tuna salad sandwiches. Interview with Cook J between 5:20-6:10 PM on 6/8/10 revealed tuna salad sandwiches where to be prepared for residents on pureed diets as chili dogs don't puree well. Cook L reported whatever makes the best puree was what Cook L makes for the meal. Interview with Cook L also revealed mashed potatoes would be served with pureed tuna salad sandwiches. A review of dinner menu for 6/8/10 for residents on a pureed diet did not reveal mashed potatoes. Interview at approximately 6:20 PM on 6/8/10 revealed pureed roast beef was substituted for the pureed tuna salad as tuna salad had not been ready to be served at the dinner meal. E. In interviews at 8:50 AM on 6/9/10 and between 9:35-10:06 AM on 6/10/10, the Dietary Manager reported changes were not to be made to the menu with out it being approved by the Dietary Manager. The Dietary Manager reported it was not acceptable for dietary staff members to make choices about what was to be pureed. The Dietary Manager confirmed the menu was not followed for residents on a pureed diet and dietary staff members were not suppose to only puree diet desserts. |
2014-07-01 |