cms_NE: 12786

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
12786 GOLDEN LIVINGCENTER - BROKEN BOW 285120 224 EAST SOUTH E STREET BROKEN BOW NE 68822 2010-07-22 309 D     X1ZW11 LICENSURE REFERENCE NUMBER: 175 NAC 12-006.09 Based on record review and staff interview, facility staff failed to perform a follow up assessment for a potential injury from an accident for 1 resident (Resident 28). The facility census was 69 and the sample was 15. Findings are: Observation of cares for Resident 28 on 7/20/2010 between 8:50 AM and 9:15 AM found MA-B (Medication Aide) and NA-J (Nurse Aide) in the process of adjusting the pants on the resident which caused the resident to bump his/her head on the wall. Continued observation, with the use of the lift, found the resident's left arm under the lift bar when it was lowered. NA-B moved the resident's left arm out from under the lift bar without raising the lift bar. Review of the resident's medical file on 7/21/2010 found no documentation or follow up or assessment after the resident bumped his/her head on the wall. Interview with the DON (Director of Nurses) on 7/21/2010 at 10:00 AM confirmed the chart did not contain follow up documentation of the resident bumping the head on the wall. Review of the Potter-Perry Fundamentals of Nursing , 6th Edition, copyright 2005, revealed charting by exception was an approach that was used to eliminate redundancy, ensure concise documentation of routine care, emphasize abnormal findings and identify trends in clinical care. 2014-03-01