cms_NE: 1426

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
1426 LIFE CARE CENTER OF OMAHA 285137 6032 VILLE DE SANTE DRIVE OMAHA NE 68104 2017-01-11 431 E 0 1 N57P11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 175 NAC ,[DATE] 12E Based on observation, interview and record review; the facility failed to ensure that medications were kept secure in the medication storage room on the South nurses unit, and failed to ensure that outdated medications and unlabeled medications were not available for resident use. The facility identified a census 85. Findings are: [NAME] An observation on [DATE] 07:55 AM the medication storage room door was propped open with a full garbage bag, with no nursing staff present in the area. A housekeeper appeared shortly after the observation of the door was made and entered the open area. This observation revealed that medications were present on the counter. The medications included: Carvedilol 12.5 mg - a drug used to treat heart failure and hypertension Atrovastatin Calcium 10 a drug used as a lipid-lowering agent and for prevention of events associated with cardiovascular disease Eliqus 2.5 mg a drug used to inhibit blood clotting and reduce the risk of heart attack and blood clots. Levothyroxine 25 mcg. a drug used to increase thyroid levels Protonix 40 mg a drug used to treat various gastric disorders such as ulcers Diltiazem 24 hour 300 mg a drug used to treat hypertension and chest pain, and treat irregular heart rhythm Alprazolam 0.25 mg a drug that is a Controlled substance used to treat anxiety Januvia 100 mg a drug used to treat diabetes and control blood sugar levels Carvedilol 12.5 mg a drug used to treat high blood pressure and heart failure Namenda 14 mg a drug used to treat memory loss Lasix 20 mg a drug used treat heart failure and decrease swelling Escitalopram 20 mg a drug used to treat depression and anxiety Alprazolam 0.5 mg a drug that is a Controlled substance used to treat anxiety Metromidazole 500 mg a drug used to treat infections Levocetirizine 5 mg a drug uses to treat allergies [REDACTED]. ADON K confirmed that nursing staff are to be present when the door is open. ADON K confirmed the housekeeping staff did have access to the medication storage room unsupervised and did have access to the drugs listed above. Record review of the facility Medication Storage and Security in the Facility Policy revised ,[DATE] revealed : 2. Only licensed nurses, the consultant pharmacist, and those lawfully authorized are allowed access to medications. Medications rooms, carts, and medication supplies are locked or attended by persons with authorized access. 175 NAC ,[DATE] 12E B) Findings are: Observation on [DATE] 7:25 AM revealed that a stock medication, present on the medication cart for the 400 hall on the North wing, had Geri-Lanta Antacid ( used to treat stomach discomforts such as heartburn) that had the expiration date of [DATE]. Interview with Licensed Practical Nurse B on [DATE] 7:25 AM confirmed that the medication had expired on ,[DATE] and should have been disposed of. Record review of the facility policy titled Expiration Dates, dated [DATE] revealed that : Drugs, including those in the medication carts, are to be checked monthly for expiration date by nursing personnel. If the drug is outdated, it must be disposed of as per state and federal laws. 175 NAC ,[DATE] 12E C. Findings are: Observation on [DATE] at 7:25 AM revealed that there were 3 resident specific [NAME]fen DM/AF ,[DATE]mg/5cc bottles of liquid (cough medication) that had been prescribed by the physician in (MONTH) of (YEAR). The pharmacy provided a label that required the open date to be placed on the label. There was no open date present on the label or on the bottles. Interview with LPN B on [DATE] at 7:25 AM confirmed that the medication pharmacy label did have area for date opened to be placed on the 3 bottles, and no where on the bottles was there a date opened. Interview with ADON K on [DATE] at 07:55 AM Confirmed that a date open should be placed on any medication when the pharmacy label requests the date open. 2020-09-01