cms_NE: 1764

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
1764 PLUM CREEK CARE CENTER 285159 1505 NORTH ADAMS STREET LEXINGTON NE 68850 2018-05-02 578 D 1 0 GG8Y11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and interview, the facility failed to ensure the wishes for CPR (Cardiopulmonary Resuscitation) for 2 (Residents 1 and 6) out of 5 sampled residents were communicated to the nursing staff. The facility census was 36. Findings are: [NAME] Review of the nursing progress notes identified that Resident 1 was admitted to the facility for skilled care services on [DATE]. Interview on [DATE] at 1:10 PM with the MDS (Minimal Data Set) Coordinator revealed that they were unable to locate the advanced directive in the resident's medical record. Interview on [DATE] at 3:00 PM with LPN (Licensed Practical Nurse)-A revealed that Resident 1 had fallen in their room on [DATE] and became combative. LPN-A stated that the physician wanted the resident to be transferred to the hospital. LPN-A stated that there was no advanced directive in their medical record, so LPN-A had to call the resident's spouse to find out what the resident's wishes were in case something would happen to the resident. After the call, LPN-A stated that they went to the resident's room and resident became unresponsive, so LPN-A started CPR per the spouse's wishes. When the paramedics arrived, they continued the CPR on the resident during the transfer to the hospital. Resident passed away later that night. Interview on [DATE] at 3:00 PM revealed that the ADM (Administrator) had found the advanced directive for Resident 1. The form revealed that the resident had marked DNR (Do Not Resuscitate) on the form on [DATE]. The form was sent to the primary care physician who had signed the form on [DATE] and returned it to the facility. The ADM confirmed that there was no copy of the advanced directive in the resident's chart at the time of the incident on [DATE]. B. Review of the facility's list of new admissions for the past 3 months identified that Resident 6 was admitted to the facility on [DATE] and discharged on [DATE]. Interview on [DATE] at 1:10 PM with the MDS Coordinator revealed that the facility did not have a copy of the resident's advance directive in the resident's medical record. MDS Coordinator stated that usually if the primary care physician is in town, then the facility hand delivered the advance directive for their signature. If the physician was out of town, then the form is faxed to the physician for the signature. However, the MDS Coordinator stated that they had no copy of Resident 6's advance directive wishes. Interview on [DATE] at 3:00 PM with the ADM confirmed that the facility did not have a copy of the advance directive for Resident 6. 2020-09-01