cms_NE: 14

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.

Data source: Big Local News · About: big-local-datasette

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
14	ST JANE DE CHANTAL	285004	2200 SOUTH 52ND STREET	LINCOLN	NE	68506	2019-06-04	758	D	0	1	GLUX11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09D Based on record review and interview, the facility failed to ensure that a [MEDICAL CONDITION] as needed medication did not exceed the required 14 day stop date for 1 (Resident 40) of 6 residents reviewed for unnecessary medication use. The facility census was 115. Findings are: Record review of a facility policy entitled Automatic Stop Orders dated 4/1/14 revealed that PRN (as needed) [MEDICAL CONDITION] (a group of medications that affect behaviors) medications have a 14 day limit. These medications may be renewed for subsequent 14 days if deemed appropriate by the licensed practitioner. Record review of Resident 40's Face sheet showed an admission date of [DATE]. Record review of Resident 40's [DIAGNOSES REDACTED]. Record review of Resident 40's admission Minimal Data Set (MDS: a federally mandated comprehensive assessment tool used for care planning) dated 3/29/19 identified that resident 40 used a Hypnotic (a medication used to induce sleep) medication 3 times in the look back period for the assessment. Record review of Active orders dated 6/4/19 revealed an order for [REDACTED]. The order included nurse instructions that read: Time frame for administration is limited to 14 days unless a longer time frame is deemed appropriate by the prescribing practitioner. Record review of Resident 40's Medication Administration Records revealed that Resident 40 received the hypnotic medication 4 times in (MONTH) 2019, 7 times in (MONTH) 2019 and 4 times in (MONTH) 2019. Interview on 6/4/19 at 11:23 AM with the Director of Nursing confirmed that the stop date on the hypnotic was past the required 14 day time limit. It should have been stopped after 14 days and reordered as necessary.	2020-09-01