cms_NE: 12668

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
12668 MATNEY'S COLONIAL MANOR 285082 3200 G STREET SOUTH SIOUX CITY NE 68776 2011-01-27 279 D     HE0G11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference Number: 175 NAC-12-006.04Ca5 Based on observation, interview and chart review, the facility staff failed to develop a comprehensive care plan for skin care for Resident 5. The facility census was 52. The sample size was 6. Resident 5 was admitted to the facility on [DATE]. Record review of Resident 5's MDS (Minimum Data Set - A federally mandated comprehensive assessment tool used for care planning) dated 10/26/2010, revealed Resident 5 has the following diagnoses; Diabetes Mellitus type 2, Heart Failure, Hypertension, Gastroeso phageal Reflux Disease, [MEDICAL CONDITION], Anxiety Disorder and Depression , Obesity, Arterial Disease and frequently incontinent. Resident 5 had a foley catheter. It also stated Resident 5 had shortness of breath with exertion and at rest, had frequent pain, and had a fracture from a fall within the past 2 months and had limited mobility. Skin assessment records dated from November 2010 thru January 2011 indicated Resident 5 had two open areas on admission and continued to have two open areas. Observation of Resident 5 revealed two stage 2 (skin anomalies are measured in stages with 2 being beyond the surface but not into the muscle) wounds on the buttocks. The facility used a tool called Norton Plus Pressure Ulcer Scale to determine if a resident was at high risk for skin breakdown, based on mental function, mobility, physical activity, incontinence, lab values and [DIAGNOSES REDACTED]. Resident 5 was assessed on 10/26/2010 and had a score of 10. On the Norton Scale , 10 or less was high risk. The assessment was repeated on 1/11/2011 and Resident 5 scored 11 which was a moderate risk for breakdown. The care-plan initiated for Resident 5 addressed the following problems; accepting placement at the facility, mood (sadness),social interaction, Assistance with daily living activity, therapeutic diet, anticoagulant therapy, indwelling catheter, pain, hypertensive crisis, allergies [REDACTED]. In an interview with the DON (Director of Nursing) conducted on January 26,2011, the DON stated "I can't tell you why there isn't a care-plan established except that is job the MDS nurse used to do and we haven't had an MDS nurse. All I can do is fix it and do it in the future " . 2014-04-01