cms_NE: 12975

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
12975 THE LUTHERAN HOME 285171 530 SOUTH 26TH STREET OMAHA NE 68105 2010-09-23 281 D     ZEZV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference NAC-175-12-006.09 Based on interview, observation and record review, the facility failed to follow Physicians orders related to a dressing change for Resident 5 and failed to apply a leg positioning device as ordered by the physician for Resident 5.They also failed to follow physicians order in regards of replacing a gastrostomy tube for Resident 15. The facility census was 45 and the sample size was 12 plus 9 non-sampled residents. A. Observation was made on September 23 at 10:55 AM of RN changing a dressing for Resident 5. According to a Physicians order dated 6-28-2010, Resident 5 was to have an Allevyn foam dressing to the back and spine and change every 3 days. The dressing removed from Resident 5 was dated 09/17/2010. RN agrees the dressing should have been changed 3 days prior to this date Record review of the Medication Administration Record [MEDICATION ADMINISTRATION RECORD DETAILS REDACTED] In an interview with the Director of Nursing (DON) on September 23, 2010 at 11:00 AM, the DON stated the dressing should have been changed on 09/20/2010. B. Resident 5 is a [AGE] year old person who is on hospice and in July, broke a leg while trying to transfer independently. On September 21,2010 at 11:40 AM observation was made of Resident 5 transferring out of bed with the assistance of a Nursing Assistant K (NA) K. Resident 5 was wearing booties called bunny booties that have a ' canoe type ' bottom. They were very over stuffed and had a seam along the bottom center of the sole, making it impossible to stand flat in. NA K put a gain belt around Resident 5 and transferred with the use of the gait belt while Resident 5 put arms around NA K ' s neck. Only one assistant was there and no leg immobilizer was used. This surveyor did visualize the immobilzer in the residents closet. Record review of Resident 5 ' s careplan revealed Resident 5 should be transferred using leg immobilizer for stabilization. Review of a doctors order dated 08/19/2010 stated that resident should be transferred with the use of a leg immobilizer for leg stabilization. In an interview on September 23 with NA K, NA K stated NA K had no knowledge of using the leg immobilizer. NA K stated resident was to be transferred using 1 person and a gait belt. In an interview with the DON on September 23, the DON did agree Resident 5 should have been transferred using the leg immobilizer. C. On 2/23 to 2/24/2009, Resident 13 ' s Gastrostomy Tube ([DEVICE]) had accidently been removed or fallen out of the [DEVICE] site. Following the incident, Registered Nurse-(RN)-H failed to notify the Physician and the Legal Representative of the Resident ' s change in condition. 2014-01-01