cms_NE: 12506
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
|
| 12506 |
SIDNEY REGIONAL MEDICAL CENTER-EXTENDED CARE |
2.8e+294 |
645 OSAGE STREET |
SIDNEY |
NE |
69162 |
2011-09-07 |
356 |
C |
0 |
1 |
9BH911 |
Based on observations, record reviews, and interview, the facility failed to: 1) display accurate information regarding staff providing direct care to residents; and 2)identify hours worked by shift for Registered Nurses, Licensed Practical Nurses, and Nurse Aides on the staff posting form. Stage 2 Sample size was 17. Facility census was 52. Findings are: Initial tour of the facility on 8/31/11 between 10:50 a.m. and 11:10 a.m. revealed the facility had posted a form indicating the licensed staff, unlicensed nursing staff, other staff, and facility census. The form was posted at the front entrance to the facility next to the nurse's station. The form identified a census of 52 residents and day shift staffing documented as one licensed nurse staff on duty and 5 unlicensed nursing staff on duty. An interview with the charge nurse, RN (Registered Nurse)-D on 8/31/11 at 11:10 a.m. was conducted. The RN stated the staff on duty providing direct care to residents included one RN; one LPN (Licensed Practical Nurse), five Medication Aides, one Restorative Medication Aide, and one staff member working the floor between 6 a.m. and 9 a.m. These staff were verified on duty by observation. At 1:00 p.m. on 8/31/11 the posted staffing form had been revised to indicate 6 unlicensed staff were on duty for the day shift and the census was corrected to show 53 residents. Record review of facility posting forms displayed between 8/30/11 and 9/6/11 revealed the facility does not separate to distinguish the licensed staff as RN or LPN. The form does not identify the actual hours each of the direct care staff provide personal care to the residents. Interview with the DON (Director of Nursing) on 9/7/11 at 9:00 a.m. verified the staff posting on 8/31/11 had not matched the actual numbers of staff providing direct cares to residents. The DON also verified that charge nurses are responsible to complete the forms at the beginning of each shift and was not aware if these nurses had any education related to the regulatory requirement for staff posting. The DON verified the posting information does not include the hours worked for RN, LPN, or Nurse Aides performing direct cares for the residents. |
2014-07-01 |