cms_NE: 12947

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
12947 THE LODGE AT HERITAGE ESTATES 285071 2325 LODGE DRIVE GERING NE 69341 2010-09-02 334 D     2CM611 Based on interview and record review, the facility failed to document in the residents' medical record the required education prior to each influenza vaccination for 3 residents (Resident 71, 37, and 54). Facility census was 97. A. Record review of resident 71's INFORMED CONSENT FOR INFLUENZA VACCINE form revealed that Resident 71's representative had signed the form on 11/3/2008. The form contained the reasons to get vaccinated and a list of adverse effects. The resident's medical record contained information to show that the resident received the influenza vaccination in 10/2009 but did not contain an education form for the influenza season in 2009-2010. B. Record review of resident 37's INFORMED CONSENT FOR INFLUENZA VACCINE form revealed that Resident 37's representative had signed the form on 10/19/2007. The form contained the reasons to get vaccinated and a list of adverse effects. The resident's medical record contained information to show that the resident received the influenza vaccination in 10/2009 but did not contain an education form for the influenza season in 2009-2010. C. Record review of resident 54's INFORMED CONSENT FOR INFLUENZA VACCINE form revealed that Resident 54's representative had signed the form on 10/18/2007. The form contained the reasons to get vaccinated and a list of adverse effects. The resident's medical record contained information to show that the resident received the influenza vaccination in 10/2009 but did not contain an education form for the influenza season in 2009-2010. D. Interview on 8/31/10 at 1100 with LPN-H (Licensed Practical Nurse) revealed that the INFORMED CONSENT FOR INFLUENZA VACCINE education form was signed upon admission and then no other education was provided. E. Interview on 8/31/10 at 1120 with the Director of Nursing revealed that the facility provided influenza vaccination education annually but the facility was not documenting the education. 2014-01-01