cms_NE: 12713

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
12713 COLONIAL MANOR OF RANDOLPH 285183 P O BOX 67, 811 SOUTH MAIN STREET RANDOLPH NE 68771 2010-09-02 329 D     DGBS11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to assure all residents were free from unnecessary drugs as Resident 12 was started on [MEDICATION NAME] (a psychoactive medication that acts primarily on the central nervous system to alter brain function, resulting in temporary changes in perception, mood, consciousness and behavior) without indication for use. In addition, a gradual dose reduction had not been attempted. Total sample size was 10 and facility census was 35. Findings are: Review of Resident 12 ' s Minimum Data Set (MDS-a federally mandated comprehensive assessment tool used for care planning) dated 9/16/09 revealed [DIAGNOSES REDACTED]. MDSs dated 9/16/09, 12/8/09, 3/25/10 and 8/18/10 indicated the resident had no short term or long term memory problems and displayed behaviors of making negative statements. Review of the Behavior/Intervention Monthly flow Record dated 1/10 revealed the resident was monitored for negative comments. Documentation indicated the resident voiced negative comments on 1 day during the month of 1/10. Review of Interdisciplinary Progress Notes (IPN ' s) dated 2/6/10 for the 7:00 AM to 3:00 PM shift revealed documentation that Resident 12 made " rude comments " to other residents and visitors. Review of IPN ' s revealed no further documentation to indicate Resident 12 displayed rude behaviors or made negative comments on 2/7/10 and 2/8/10. IPN documentation dated 2/9/10 at 1:00 PM indicated Resident 12 was seen by the physician " ...for behaviors ... " Review of physician's order [REDACTED]. Review of Behavior/Intervention Monthly Flow Records for 3/10 through 8/10 revealed Resident 12 voiced negative comments a total of 6 times in 6 months. There was no documentation to indicate the facility reassessed Resident 12 ' s continued need for [MEDICATION NAME]. The DON verified during interview on 9/2/10 from 2:10 PM until 2:50 PM that Resident 12 had not been assessed for a possible dose reduction of [MEDICATION NAME]. 2014-04-01