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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
1363 LIFE CARE CENTER OF ELKHORN 285134 20275 HOPPER STREET ELKHORN NE 68022 2019-02-19 600 L 1 0 2BLY11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > LICENSURE REFERENCE NUMBER 175 NAC 12-006.05(9) Based on record review and interview; the facility staff failed to protect residents during an investigation of a sexual assault allegation. The facility failure had the potential to affect all residents residing in the facility. The facility staff identified a census of 105. Findings are: Record review of the facility Policy and Procedure for Protection of Residents: Reducing the Threat of Abuse & Neglect revised on 2-2018 revealed the following information: -Introduction: -To minimize the threat of abuse and/or neglect , nursing homes must incorporate clear cut policy and practices that demonstrate a hardline,zero tolerance approach to resident abuse. -Position Statement and Guidelines: - Residents must not be subjected to abuse by anyone. -It is the policy and practice of this facility that all residents will be protected from all types of abuse,neglect, misappropriation of resident property and exploitation. -Investigation and Protection: -It is the policy of this facility that reports of abuse (abuse, neglect, mistreatment, including injuries of unknown source, exploitation and misappropriation of property) are promptly and thoroughly investigated. -Procedure: -1. Following identification of alleged abuse, the resident(s)receive prompt medical attention as necessary and the resident(s) are protected during the course of the investigation to prevent recurrence. Staff will respond immediately to protect the alleged victim(s)/others and integrity of the investigation. -3. When an incident or suspected incident of resident abuse and/or neglect, injury of unknown source, exploitation, or misappropriation of resident property is reported, the administrator/designee will investigate the occurrence. Protection will be provided to the alleged victim and other residents, such as room or staffing changes as needed to protect the resident(s) from the alleged perpetrator. Record review of a Resident Transfer Record dated 2-03-2019 revealed Resident 100 was transferred to the hospital related to increased anxiety and difficulty breathing. Record review of a the facility preliminary investigation note dated 2-04-(2019) revealed the facility Director of Nursing (DON) and the facility Administrator were notified on 2-04-2019 at 12:30 PM of an allegation of sexual assault of 1 of the facility Residents (Resident 100) by the facility Advanced Registered Nurse Practitioner (ARNP) who was following up with Resident 100 in the hospital. Further review of the preliminary investigation note dated 2-04-2019 revealed the police were notified and at apprx (approximately) 1:55 PM returned a call to the facility and obtained the information of the allegation of Resident 100 being sexually assaulted. According to the preliminary investigation note dated 2-04-2019 a police officer followed up with a phone call to the facility on [DATE] at 4:27 PM reporting Resident 100 had injuries to the vaginal region and believed something happened at the facility. On 2-06-2019 at 3:18 PM an interview was conducted with the facility Administrator. During the interview when asked how the facility residents were being protected after the allegation of sexual assault for Resident 100, the facility Administrator reported being instructed not to discuss the issue with anyone and had not implemented interventions to protect the facility residents. The facility Administrator further reported the facility staff had not been educated on the allegation of a facility resident being sexually assaulted. On 2-06-2019 at 4:38 PM an interview was conducted with Detective [MI] During the interview,discussion protecting the facility residents and integrity of the investigation was completed. During the interview, Detective L reported the facility staff should be protecting the facility residents. On 2-06-2019 at 1:20 PM an interview was conducted with Registered Nurse (RN) [NAME] During the interview RN A reported not being aware of an allegation abuse or neglect currently in the facility. On 2-06-2019 at 1:25 PM an interview was conducted with Nursing Assistant (NA) B. During the interview NA B reported not aware of an allegation of abuse currently being investigated in the facility. On 2-06-2019 at 1:30 PM an interview was conducted with Housekeeping (HK) C. During the interview HK C reported not being aware of an allegation of abuse currently being investigated in the building. On 2-06-2019 at 1:35 PM an interview was conducted with LPN D. During the interview LPN D reported not being aware of an allegation of abuse currently being investigated in the building. On 2-06-2019 at 1:45 PM an interview was conducted with NA E. During the interview NA [NAME] reported not being aware of an allegation of abuse currently being investigated in the facility. B. Abatement Statement: Based on the information provided on 2-06-2019 to correct the immediacy of the situation, the facility staff provided the following information to protect residents: 1. No males associates may work unsupervised without female associate in resident care area assisting residents. All staff were to review the requirement prior to starting their next shift. 2. All staff must review and sign off as understanding prior to their next shift of the facility Reducing the Threat of Abuse &Neglect Policy and review of this abatement plan with focus to understand sexual abuse, identifying and reporting injuries of unknown origin. 3. The facility charge nurse must document the review of the policy and is accountable to ensure no males associates may work unsupervised without a female associate in resident care areas (non-public). 4. The facility Executive Director shall ensure a log is maintained of the staff member assigned and reviewing . The log will be verified with those staff members clocked into the facility. 5. All staff are to report immediately to the facility Executive Director any concerns following review of this policy and memo and follow the facility Protection of Residents: reducing the threat of Abuse&Neglect Policy. The immediacy had been removed, however, the deficient practice was not totally corrected. Therefore, the severity was lowered to an F level. 2020-09-01