cms_NE: 12709

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
12709 GOOD SAMARITAN SOCIETY - ATKINSON 285177 409 NEELY STREET ATKINSON NE 68713 2010-07-21 329 D     O8E211 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** F 329 LICENSURE REFERENCE NUMBER: 175 NAC 12-006.09D Based on observations and record review the facility failed to assure 1 of 12 sampled residents (Resident 35) was free from unnecessary drugs, as a psychoactive medication (a drug that acts primarily upon the central nervous system to alter brain function, resulting in temporary changes in perception, mood, consciousness and behavior) [MEDICATION NAME] IM (an injection given into the muscle) was given in excess of the daily recommended dosage of 2 mg. There was no explanation or documentation to indicate why a lower dosage was not attempted. Resident 35 became lethargic, unable to ambulate and feed self. Total sample size was 12. Facility census was 47. Findings are: A. Review of the Interdisciplinary Progress Notes (IPN) dated 7/9/10 at 9:45 AM revealed Resident 35 was admitted from the hospital to the facility with [DIAGNOSES REDACTED]. IPN further noted Resident 35 walked with assistance to the dining room for the noon meal and independently ate 75% of the food and drank 240 cc of fluids. IPN documentation at 8:00 PM on 7/9/10 identified Resident 35 was yelling, and combative. After attempting interventions of toileting, offering fluids and repositioning in a chair without success, the licensed nurse called the physician for medication to calm the resident. The physician ordered [MEDICATION NAME] 10 mg IM. Resident 35 received the [MEDICATION NAME] 10 mg IM at 8:00 PM. On 7/10/10 at 9:00 AM, IPN documented, "Res. (resident) very sleepy this AM-arouses some-responds with word or two. Keeps eyes closed-took only bite/two of AM meal-sleepy". The IPN further documented the physician was called and updated regarding Resident 35's condition. The physician ordered [MEDICATION NAME] 5 mg IM every 8 hours as needed for increased behaviors. IPN documentation on 7/14/10 at 6:45 AM indicated Resident 35 became combative and belligerent. After interventions were attempted without success the physician was notified and [MEDICATION NAME] 0.5 mg, every AM and every 6 hours as needed for agitation was ordered. At 7:35 AM Resident 35 was given [MEDICATION NAME] 5mg. IM. Observation on 7/14/10 at 10:00 AM revealed Resident 35 was asleep in a recliner at the bedside. Resident 35 was observed asleep while seated at the dining room table from 12:15 PM until 12:30 PM. At 12: 30 PM Nursing Assistant N attempted to wake the resident for the noon meal. The resident refused to eat and went back to sleep. At 2:00 PM the resident was noted to be asleep in bed. Observation of Resident 35 the following morning 0n 7/15/10 at 7:00 AM revealed the resident was asleep in bed. At 10:45 AM 2 nursing assistants provided AM cares to Resident 35. The resident was lethargic. At the noon meal on same day, Resident 35 was noted asleep at the table and had to be fed. IPN documentation on 7/19/10 at 2:00 AM indicated Resident 35 was given [MEDICATION NAME] 5 mg IM for "yelling and thrashing in bed". During observation of morning cares from 11:08 AM until 11:27 AM, Resident 35 was observed to display difficulty in trying to ambulate to the toilet with the assistance of 2 nursing assistants and following cues to sit down on the toilet. The resident's eyes remained closed the entire time. At 11:27 AM the resident was taken to the dining room in a wheelchair for the noon meal. The resident slept at the table until the food was brought to the table at 12:47 AM. The resident was unable to feed self. Review of physician's orders [REDACTED]. IM every 8 hours for severe agitation. Observation of Resident 35 on 7/21/10 at 7:45 AM at the breakfast table in the dining room revealed the resident to be asleep at the table. 2014-04-01