cms_NE: 12983

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
12983 THE LUTHERAN HOME 285171 530 SOUTH 26TH STREET OMAHA NE 68105 2011-11-30 157 D     OH2S11 Licensure Reference 175-NAC-12.006-4C3a Based on observation interview, and record review the facility failed to notify the physician of an increase of depression for Resident 1. The census was 45 and the sample size was 12. Findings are: Based on the History and Physical dated 09/16/2011, Resident 1 was in the terminal stage of the disease known as Multi-System Atrophy. According to the report, Resident 1 was chronically bed bound. Resident 1 is on Hospice due to the terminal condition. Review of Resident 1's MDS's (minimum data set, a federally mandated assessment tool ) Resident 1 was assessed 3 times for depression between 06/14/2011 and 10/24/11. This was due to the Residents change of condition. On 06/24/11 the depression score was 1 On 09/27/11 the depression score was 3 On 10/24/11 the depression score was 9 In an interview with Social Worker-D (SW) on 11/29/11 at 2:30 PM, SW-D stated that the facility used the PHQ-9 to assess depression in facility residents. (The PHQ-9 is the nine item depression scale of the Patient Health Questionnaire. The PHQ-9 is a tool for assisting in diagnosing depression.) The SW used the PHQ-9 scoring card for determining severity. The card states the following: a score of 1-4 = Minimal Depression 5-9 = Mild Depression 10-14=Moderate Depression 15-19=Moderate Severe Depression 20-27=Severe Depression In the same interview, the social worker stated the facility reports any scores 5 or over to the physician. In an interview on 11/30/11 at 10:30, SW-D confirmed that the resident did have a higher score indicating mild depression and the doctor should have been notified but was not notified. 2014-01-01