cms_NE: 12647

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
12647 NEBRASKA SKILLED NURSING & REHAB 285058 7410 MERCY ROAD OMAHA NE 68124 2010-12-22 328 E     XNFV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** LICENSURE REFERENCE NUMBER: 175 NAC 12-006.09D6 Based on observation, record review and interview; the facility staff failed to have an extra cannula available for use in the residents' room for 2 (Resident 1 and 3) of 3 sampled residents. The facility staff identified a census of 117. Findings are: A. Record review of an Admission and Discharge Summary sheet dated 12/09/2010 revealed Resident 1 was admitted to the facility on [DATE] and re-admitted on [DATE] with the [DIAGNOSES REDACTED]. Record review of Resident 1's Minimum Data Set ( MDS,a federally mandated comprehensive assessment tool used for care planning) dated and signed as completed on 7/16/2010 revealed the facility staff assessed the following about the resident: -Resident 1's short and long term memory was ok. -Decision making was moderately impaired. -Required total assistance with bed mobility, transfers, dressing, eating and personal hygiene. Resident 1 was identified with having Oxygen Therapy, Ostomy care, Suctioning and [MEDICAL CONDITION] care. Observation on 12/21/2010 at 1:20 PM revealed Resident 1 was in bed connected to oxygen and a feeding pump. Other equipment in the room observed was a suction machine, an Ambu bag [MEDICAL CONDITION], an obturator (device to guide insertion of an outer cannula) and extra tubing. An extra cannula was not observed in Resident 1's room. Observation on 12/21/2010 at 1:45 PM revealed the Director of Nursing (DON) was not able to locate an extra cannula in Resident 1's room. The DON confirmed a spare cannula was not in Resident 1's room. When asked if a spare cannula should be in Resident 1's room, the DON stated "yes". Record review of the facility policy and procedure for Tracheotomy Care dated 10/02/2008 an undated information sheet provided as part of the policy and procedure per the DON revealed the following: -External Tube Site Care: #3. Have available at all times at the patient's bed side a replacement ET (external tube or cannula) in the same size the patient is using. #3b. [MEDICAL CONDITION], have extra [MEDICAL CONDITION].at bed side. B. Record review of the Resident 3's face sheet revealed Resident 3 was admitted to the facility on [DATE]. Review of Resident 3's History and Physical dated 09/15/2010 list [DIAGNOSES REDACTED]. Record review of Resident 3's Minimum Data Set ( MDS,a federally mandated comprehensive assessment tool used for care planning) dated and signed as completed on 9/30/2010 revealed the facility staff assessed the following about the resident: -Resident 3's short and long term memory was intact. -Decision making was not impaired. -Required total assistance with bed mobility, transfers, and at least 2 assists with dressing, and personal hygiene. Resident 3 was identified with having Oxygen Therapy, Suctioning and [MEDICAL CONDITION] care. Observation on 12/21/2010 at 11:20 AM revealed Resident 3 was in bed connected to oxygen and had a [MEDICAL CONDITION] in place. Other equipment in the room observed was a suction machine, an Ambu bag for trachea patients, an obturator (device to guide insertion of an outer cannula) and extra tubing. An extra cannula was not observed in Resident 3's room. Observation on 12/21/2010 at 15:00 PM revealed the Director of Nursing (DON) was not able to locate an extra cannula in Resident 3's room. The DON confirmed a spare cannula was not in Resident 3's room. When asked what the policy was regarding keeping an extra cannula in the room, the DON stated, " I don ' t know the policy " . Record review of the facility policy and procedure for Tracheotomy Care dated 10/02/2008 an undated information sheet provided as part of the policy and procedure per the DON revealed the following: -External Tube Site Care: #3. Have available at all times at the patient's bed side a replacement ET (external tube or cannula) in the same size the patient is using. 2014-04-01