cms_NE: 12980

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
12980 THE LUTHERAN HOME 285171 530 SOUTH 26TH STREET OMAHA NE 68105 2011-11-30 329 E     OH2S11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview; the facility staff failed to identify target behaviors to monitor the use of [MEDICAL CONDITION] medications for 3 (Residents 6, 7 and 4) of 12 sampled residents. The facility census at the time of survey was 45. Findings are: A. Record review of Resident 6's Admission Face Sheet dated 4/21/11 revealed Resident 6 was admitted to the facility on [DATE] with the [DIAGNOSES REDACTED]. Record review of Resident 6's Minimum Data Set 3.0 (A federally mandated comprehensive assessment tool used for care planning) dated 11/1/11 revealed the facility staff had completed a resident mood interview with the resident and identified that Resident 6 felt down, depressed or hopeless, felt tired and had little energy and felt bad about themselves for 3 days per week over the last 2 weeks. Record review of a monthly physician's orders [REDACTED]. The [MEDICATION NAME] was started on 7/27/11. Record review of Resident 6's November 2011 Behavior Monitoring Intervention Flow Records did not identify the medications being used, the types of behaviors that should have been monitored or the interventions that staffs were to use when Resident 6 had behaviors. The facility was unable to provide documentation of behavior monitoring for Resident 6 for the months of August, September or October, 2011. Interview with the Director of Nurses on 11/30/11 at 9:45 AM confirmed there were no target behaviors identified for Resident 6 and that no behavior monitoring documentation was present for August, September or October, 2011 for Resident 6. B. Record review of Resident 7's Minimum Data Set 3.0 dated 11/9/11 revealed an admission date of [DATE] and [DIAGNOSES REDACTED]. Record review of a monthly physician's orders [REDACTED]. The [MEDICATION NAME] was started on 9/07/10. Record review of Resident 7's Behavior Monitoring Intervention Flow Records from May, 2011 through November, 2011 did not identify the medications being used, the types of behaviors that should have been monitored or the interventions that staffs were to use when Resident 7 had behaviors. Interview with the Director of Nurses on 11/30/11 at 9:50 AM confirmed there were no target behaviors identified for Resident 7 and that the target behaviors should be identified on the front page of the Behavior Monitoring Intervention Flow Records. C. Record review of a Physicians Orders for November of 2011 indicate is on [MEDICATION NAME] Anti-Depressant to treat depression. Review of Resident 4 ' s Behavior Monitoring Record shows no target behaviors were identified ( target behaviors are behaviors the facility observes the resident for to see if the medication dose is effective or if the dose needs to be increased or decreased. ) An interview on 11/30/2011 at 10:25 AM the DON (Director of Nursing) confirmed that target behaviors should have been identified for Resident 4 and had not been. 2014-01-01