cms_NE: 12672

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
12672 ALEGENT HEALTH IMMANUEL FONTENELLE HOME 285085 6809 N 68TH PLAZA OMAHA NE 68152 2010-03-03 281 D     9OFY11 LICENSURE REFERENCE NAC 175 12-006.10B1 Based on interview and observation and record review, the Facility staff failed to document medications after administration for 2 residents (Resident 7 and Resident 29).These observations were made during the survey that occurred from February 25, 2010 to March 3, 2010. The facility census was 152 and the sample size was 24 plus 6 non-sampled residents. Findings are: A. Observation was on March 2, 2010 at 08:!0 AM of LPN K preparing insulin for Resident 29. When finished drawing insulin into the syringe, LPN K was observed initialing the MAR. (Medication Administration Record). Review of the facility ' s Skills Demonstration Document of Medication Administration, item #13 states, " Meds charted immediately after given " . In an interview with LPN K done at the time of the initialing, LPN K admitted to initialing the medication prior to giving, stating that it was known that was not a correct procedure and this is not the way LPN K normally charts medications. B. On 03/01/2010 at 4:05 P.M. observation of the LPN (License Practical Nurse) Nurse-A revealed the nurse charted the medications for Resident 7 at the time the medications were prepared instead of documenting the medications as given following the administration of the medications. During the discussion of the administration and documentation of medications with LPN Nurse-A, the nurse confirmed that medications are to be charted after the administration of the medications. C. Review of the ALEGENT HEALTH I Skills Demonstration, MEDICATION ADMINISTRATION, last revised 04/08, has documented under item 13. Meds charted immediately after given. 2014-04-01