cms_NE: 12988

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
12988 THE LUTHERAN HOME 285171 530 SOUTH 26TH STREET OMAHA NE 68105 2013-03-25 280 D     PCSY11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** LICENSURE REFERENCE NUMBER: 175 NAC 12-006.09C1b Based on record review and interview; the facility staff failed to review and revise a Comprehensive Care Plan (CCP) related skin condition for 1 (Resident 27) and failed to revise the CCP for discharge plan for 1 (Resident 70) of 36 sampled residents. The facility staff identified a census of 39. Findings are: A. Observation on 3-20-2012 at 10:22 AM revealed Resident 27 had a skin tear to the right lower leg near the calf area. Record review of an Incident/Occurrence Form dated 3-9-13 identified Resident 27 did have a skin tear to the right leg towards the calf region with 2 smaller area of redness.. According to the information on the Occurrence report, Resident 27 was " unaware of how they occurred". Record review of Resident 27's CCP dated 7-28-2012 did not contain information that Resident 27 has a skin tear identified on 3-9-2013. The care plan did not have interventions listed to prevent further skin tears. An interview with the Director of Nursing (DON) was conducted on 3-21-2013 at 12:20 PM. During the interview, the DON confirmed Resident 27 had a skin tear. The DON confirmed the care plan had not been updated. Record review of the facility policy titled Skin Condition management dated 3-2013 revealed the following: -#5. A care plan is established within 24 hours for skin issues. B. Record review of a information sheet dated 12-14-11 revealed Resident 70 was admitted to the facility on [DATE] with the [DIAGNOSES REDACTED]. Review of Social service Notes dated 5-06-2012 revealed that Resident 70 had the "desire to return home". Record review of Resident CCP dated 8-11-2012 did not identify Resident 70 discharge plan. An interview on 3-25-2013 was conducted with the Social Services Director (SSD). Review of Resident 70 CCP was conducted with the SSD. The SSD confirmed that Resident 70 care plan did not contain a dischage plan. 2014-01-01