cms_NE: 12723

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
12723 WEDGEWOOD CARE CENTER 285221 800 STOEGER DRIVE GRAND ISLAND NE 68803 2010-12-07 226 D     291811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to ensure an incident of possible neglect regarding 1 resident's (Resident 16) burned arm was reported to the facility administrator and the appropriate state agencies in accordance with the facility's abuse policy. The facility census was 74 and the survey sample size was 3. Findings are: Review of an ADMISSION RECORD revealed Resident 16 was admitted to the facility on [DATE]. Review of a [DIAGNOSES REDACTED]. Review of an ADMISSION SAFETY ASSESSMENT AND PLAN OF CARE dated 11/22/10 revealed Resident 16 was at risk [MEDICAL CONDITION] to confusion/dementia and [MEDICAL CONDITION]. Approaches to care included "supervision prior to serving hot liquids" and "keep hot liquids out of reach of resident". Review of an ADMISSION PLAN OF CARE dated 11/22/10 revealed Resident 16 was unable to feed self and required the assistance of 1 staff with ADL's (activities of daily living). Review of Resident 16's "Medical Daily Skilled Nursing Notes" documented on 12/4/10 revealed Resident 16 had an area on the underside of the left forearm which was reddened with 2-3 blisters present; on the top of the left forearm was a L-shaped 43 cm (centimeter) by 5.0 cm pinkish red area; and on the left upper thigh was a 0.8 cm by 3.0 light pinkish area. Review of a SUSPECTED ABUSE REPORTING TOOL dated 12/6/10 revealed: - Administrator was notified at 9:00 AM on 12/6/10; - Adult Protective Services (APS) was notified at 10:35 AM on 12/6/10; - Resident 16 was served hot food items for supper without staff supervision as documented from 3 staff interviews. During an interview on 12/6/10 at 7:10 PM, it was revealed the Administrator received notification of the 12/4/10 burn to Resident 16 during "stand up" report at 9:00 AM on 12/6/10. The Administrator revealed the state agency, APS, was called and notified "today" (12/6/10). Review of the facility's 6/26/05 Abuse and Neglect Policy revealed: - "I. THE LONG TERM CARE FACILITY MUST (as part of prevention abuse, neglect and misappropriation): -- 1. develop and implement policies and procedures that prohibit mistreatment, neglect, and abuse of residents"; -- "2. Provide Staff training on the reporting requirements". - "II. THE ROLE OF THE FACILITY (in all cases of alleged abuse, neglect or misappropriation/exploitation of resident property) is to:" -- "2. Report the situation to the proper authorities". - "IV. REPORTING REQUIREMENTS: FEDERAL -- The facility must ensure that all alleged violations involving mistreatment, neglect, or abuse, including injuries of unknown source, and misappropriation of resident property are reported immediately (and that means immediately!) to the administrator of the facility and to other officials in accordance with State law". - "V. DEFINITIONS: FEDERAL DEFINITIONS -- Neglect means failure to provide goods and services necessary to avoid physical harm, mental anguish, or mental illness". 2014-04-01