cms_NE: 12981
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 12981 |
THE LUTHERAN HOME |
285171 |
530 SOUTH 26TH STREET |
OMAHA |
NE |
68105 |
2011-11-30 |
314 |
D |
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OH2S11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference Number 12-006.09D2a Based on observation, interview and record review, the facility failed to implement interventions to prevent potential pressure ulcers for Resident 4. The facility census at the time of survey was 45 and the sample size was 12. Findings are: Based on the MDS ( Minimum Data Set- a federally mandated tool used to objectively assess Resident Care ) dated 09/16/2011, Resident 4 scored a 15 out of 15 on the cognitive impairment tool indicating the resident is not cognitively impaired. The MDS also indicated Resident 4 had the [DIAGNOSES REDACTED]. The resident did also recently have an above the knee amputation related to the residents chronic diabetes. On September 22, 2011, Resident 4 ' s physician was notified that the resident had an open area on the left heel . The physicians order dated 09/22/2011 was for Resident 4 to apply [MEDICATION NAME] and wear Prevalon Boot at all times and remove only for ADL ' s. On November 28,2011 Resident 4 was at 3 PM, wearing tennis shoes rather than the Prevalon Boot. On November 29,2011 Resident 4 was seen wearing tennis shoes throughout the day shift. On November 30, 2011, Resident 4 was seen wearing the tennis shoes again. In an interview on 11/30/11 at 0730 AM, Resident 4 indicated it was preferred by Resident 4 that the boot only be worn at bedtime. When asked if the staff applied the boot the night before, Resident 4 replied they had not. Resident 4 was asked if they applied the boot the night before that, Resident 4 indicated No they had not. When asked if the staff had applied the boot every in the past couple weeks and the resident answered they had not. In an interview on 11/30/ 2011 at 08:30 Staff Development Registered Nurse ( RN) agreed the resident should have been wearing the Prevalon Boot all the time because no other order had been obtained saying otherwise. |
2014-01-01 |