cms_NE: 12930

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
12930 GRETNA CARE CENTER 285146 700 HIGHWAY 6 GRETNA NE 68028 2010-01-28 246 D     6DM511 LICENSURE REFERENCE NUMBER 12-006.18B1 Based on observations, record review and interviews; the facility failed to identify positioning needs and assess for causative factors and interventions to assist in the maintenance of upper body symmetry and alignment for 1 (Resident 8) of 14 sampled residents. The sample size was 14 including 1 closed record. The facility census at the time of the survey was 51. Findings are: Record review of Resident 8's most recent Significant Change Minimum Data Set (MDS: a federally mandated comprehensive assessment tool used for care planning) dated 11/11/09 identified that Resident 8 exhibited severely impaired decision making, was totally dependent on staff for transfers and was not able to maintain position or upper body control while sitting without physical help from another person. Record review of Resident 8's Comprehensive Care Plan (CCP) identified no documentation of the use of assist devices in the wheelchair to maintain body symmetry and alignment of the body while seated in a wheelchair and no assessment of positioning needs or causative factors for Resident 8. Observation on 1/26/10 at 10:30 AM revealed Resident 8 seated in a regular wheelchair with no devices present to maintain upright body alignment. Resident 8's upper body leaned far to the left while seated in the wheelchair. Observation on 1/26/10 at 3:10 PM revealed Resident 8 seated in a regular wheelchair in the dining room. Resident 8's upper body leaned far to the left. Observation on 1/27/10 at 7:55 AM revealed Resident 8 seated in a wheelchair with the upper body leaning far to the right. Interview on 1/27/09 at 7:55 with MA A confirmed that Resident 8 leaned to the side in the wheelchair and that no positioning devices were used in Resident 8's wheelchair. Observation at that time revealed MA A attempted to push Resident 8's upper body back into an upright position in the wheelchair. Observation on 1/27/09 at 8:40 AM revealed Resident 8 seated in a wheelchair at the dining room table with the upper body leaning far to the right. Interview on 1/27/09 at 9:10 AM with RN B revealed that Resident 8 had not been assessed for positioning needs in the wheelchair and that no assistive devices had been tried to help maintain Resident 8's upper body symmetry in the wheelchair. Interview on 1/28/09 at 9:56 AM with the Occupational Therapist confirmed that no wheelchair evaluation for positioning had been done and that they were unaware that Resident 8 had been leaning to the side when seated in the wheelchair. 2014-02-01