cms_NE: 12718

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

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
12718	GOOD SAMARITAN SOCIETY - SCRIBNER	285196	815 LOGAN STREET	SCRIBNER	NE	68057	2011-01-06	323	D			NPJV11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number: 175 NAC 12-006.09D7 Based on observation, interview and record review; the facility failed to implement interventions to prevent the potential for falls for 2 residents (Resident 1 and 3). Sample size was 3 residents. Facility census was 42. Findings are: A. Review of Resident 1's Discharge summary from the hospital dated 12/13/2010 revealed a [DIAGNOSES REDACTED]. Review of Resident 1's Falls Data Collection Tool undated and unsigned entry revealed resident score of 20 with a score of 12 or more indicating high risk was completed. Review of Daily Skilled note dated 12/13/2010 revealed an entry for the evening shift that a TABS alarm (a device to alert staff of resident rising) was placed on Resident 1's wheelchair and bed. Daily Skilled note dated 12/14/2010 at 23:00 (11:00 pm) revealed a motion alarm is in place. Review of Resident 1's Resident/Visitor Incident report dated 12/18/10 at 2050 revealed resident 1 was found on the floor and was complaining of Right hip pain. No mention of motion sensor alarm (a device to alert staff of resident rising) in place at time of fall. Review of the facility investigation dated 12/20/2010 revealed the nursing assistant was not aware the resident was to have a motion sensor alarm(a device to alert staff of resident rising) in place because it was not in view at the time Resident 1 was assisted to bed. Review of Resident 1's Comprehensive Care Plan dated 12/17/2010 revealed a problem statement of "Mobility Impairment R/T (related to): Dementia m/b (manifested by) history of falls". No mention of Alarms used as an intervention. During an interview with NA-A on 1/6/2011 at 2:30 PM, when asked how the nursing assistance are aware of the interventions on each residents care plan, NA-A revealed that the nursing assistance have hand held computer devices that they can view the care plan interventions for each resident. Interview with Care Plan coordinator on 1/6/2011 at 4:10 PM revealed that the information on the hand held computer devices used by the nursing assistance is entered on the main computer when added to the care plan. If it is not on the computerized care plan it will not be on the hand held computer device for the nursing assistance to view. Interview with the DON (Director of Nursing) on 1/6/2011 at 4:50 PM confirmed that since the TABS and motion alarms (a device to alert staff of resident rising) were documented in the nursing notes as in place for Resident 1's, the interventions should have been communicated to staff and the nursing notes reviews so that interventions were added to the Comprehensive Care Plan dated 12/17/2010. DON confirmed that if the interventions were not on the care plan they would not have been available to the nursing assistance hand held devices per facility process. B. Observation on 1/6/2011 at 9:50 AM revealed that Resident 3 had a TABS alarm (a device to alert staff of resident rising) unit on the wheelchair but the unit was not attached to the resident. Review of Resident 3's comprehensive care plan revealed an intervention of "TABS alarm in bed and chair" was hand written on Resident 3's care plan with a date of 12/23/2010. Review of the hand held computer device entries on 1/6/2011 at 4:20 PM for Resident 3 with the assistance of the DON revealed no intervention was visible on the handheld computer device alerting the nursing assistance of the need for TABS (a device to alert staff of resident rising) alarm to be in place. Interview with DON on 1/6/2011 at 4:15 PM revealed the intervention had not been placed in the computer, therefore not on the hand held computer device.	2014-04-01