cms_NE: 12834

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
12834 HUNTINGTON PARK CARE CENTER 285251 1507 GOLD COAST ROAD PAPILLION NE 68046 2010-03-25 322 D     Y0WD11 LICENSURE REFERENCE NUMBER 12-006.09D6(1) Based on observation, record review and interview, the facility nursing staff failed to provide correct technique for checking the residual gastric content and the administration of medications per Gastrostomy Tube (GT) for Resident 20. The sample consisted of 19 residents,including 3 closed records, plus 5 non sampled residents. The facility census totaled 88 residents. Findings are: A. On 03/22/10 at 7:03 A.M., observation of Resident 20's residual gastric content checked by Licensed Practical Nurse LPN-A revealed the nurse withdrew the gastric contents with a 30cc Syringe. The gastric contents were placed into a graduate and set on the sink counter top in the Resident 20 ' s room. The contents were never measured. LPN-A then poured the gastric contents down the sink. On 03/22/10 following the incident at 7:03 A.M., an interview with LPN-A replied, "I always do". (discard the gastric contents). Review of the facility's policy and procedure revised 9-07 for ENTERAL FEEDING MECHANICAL PROBLEMS contains the following information for Checking Residual: 1. Use 30-60 ml (milliliter) syringe to slowly withdraw stomach contents. Check and record amount and appearance of residual. 2. Inject residual back through feeding tube into stomach, unless residual is very large. 3. After re-injecting residual through feeding tube, flush tube with 20-30 ml water. B. On 03/22/10 at 7:03 A.M., observation of Resident 20's administration of medications, water flushes, and formula were given by LPN-A per GT by pushing the medications, water flushes and formula through a syringe into the GT. On 03/22/10, after the above observation, LPN-A revealed during an interview that the resident always gets a bolus. When asked about pushing liquid contents through the GT and/or allowing the contents to be administered by gravity, LPN-A replied " Yes, I do it this way all the time by pushing the liquid through the syringe. No, no gravity feed " . Review of the facility ' s policy and procedure revised 9-07 for ENTERAL FEEDING MECHANICAL PROBLEMS failed to contain information related to pushing liquids through the GT and or administering fluids through the GT by gravity. Review of the textbook of MEDICAL -SURGICAL NURSING 10th Edition by Suzanne C. Smeltzer and Brenda Bare, Unit 7 Digestive and Gastrointestinal Function, page 994 contains the following information: Nursing Interventions: Feedings are administered by gravity, bolus, or continuous controlled pump. Gravity feedings are placed above the level of the stomach, with the speed of administration determined by gravity. On 3/25/10, at 9:32 A.M. during an interview with the Director of Nurses, replied, "I do gravity. This is my expectation, they should do gravity". 2014-03-01