cms_NE: 18

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
18 DOUGLAS COUNTY HEALTH CENTER 285019 4102 WOOLWORTH AVENUE OMAHA NE 68105 2019-01-23 584 E 0 1 AD1911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** LICENSURE REFERENCE NUMBER NAC 175 12-006.18 [NAME] Based on observation and interview, the facility staff failed to ensure food was removed from trays and placed in front of residents in a homelike manner for 119 residents that ate food in the facility dining rooms. The facility census was 232. The findings are: Observation of breakfast meal on 1/14/19 in Miracle Garden dining room revealed that residents were served their meal on trays. All liquids were served in plastic glasses. Observation of breakfast meal on 1/15/19 in Miracle Garden dining room revealed that residents were served their meal on trays. Observation of breakfast meal on 1/22/19 in Miracle Garden dining room revealed that residents were served their meal in Styrofoam dishes on a tray. Observation of breakfast meal on 1/23/19 in [MEDICATION NAME] dining room revealed that residents were served their meal in Styrofoam dishes on a tray. Interview conducted with C.N.[NAME] C on 1/15/19 at 10:15 AM revealed no knowledge of why residents were served on trays in Miracle Garden dining room. Interview conducted with RN D on 1/23/19 at 10:15 am revealed no knowledge of why meals are served on trays on some units and not on others. Interview conducted on 1/22/19 at 08:45 AM with Kitchen Service Worker [NAME] revealed the reason residents were served on Styrofoam was because the kitchen was short staffed and there was 2 units to cover. Interview conducted with Dietary Manager on 1/23/19 at 11:00 AM revealed that how the meal is served on the units is left up to the Kitchen Service Worker assigned to the unit. B. Observation on 1/14/19 at 12:20 PM in the Willow Springs neighborhood in the facility revealed that, as residents were being served lunch, the staff left the plates and glasses on the tray and placed the tray in front of the residents. Observation revealed that the residents were served food on Styrofoam plates and drinks in flexible plastic glasses in this area. Observation on 01/15/19 at 08:58 AM and on 01/16/19 at 08:55 AM and 01/23/19 at 09:28 AM in the Willow Springs neighborhood revealed that, as residents were being served breakfast, the staff left the plates and glasses on the tray and placed the tray in front of the residents. Observation revealed that the residents were served food on Styrofoam plates and drinks in flexible plastic glasses. Interview on 01/15/19 at 09:01 AM with FSW F confirmed that plates were left on trays in front of the residents. FSW F stated that there were not enough real plates so the food was served on Styrofoam plates and plastic glasses were used. Observation on 01/23/19 at 08:25 AM in the Field of Dreams unit revealed that residents were served fluids in flexible plastic glasses. Interview on 01/23/19 at 08:25 AM with RN G, when asked why residents were served liquids in plastic cups, confirmed that was RN G did not know the reason why. Interview on 01/23/19 at 09:28 AM with RN H on the Willow Springs unit, when asked why residents were served food on trays, confirmed that was RN H did not know the reason why. Interview on 01/23/19 at 10:26 AM with the Director of Nursing (DON) confirmed that it was not homelike to keep food on the trays when served or to serve with Styrofoam plates or plastic glasses. C. Observation on 01/14/19 at 12:12 PM on Wind Song Way at the lunch meal all residents received lunch trays delivered on a tray. Dishes were not removed from the trays. Trays were placed in front of residents. Liquids were served in disposable plastic cups. Coffee was served in regular cups. Observation on 01/15/19 at 09:13 AM of breakfast meal service on Wind Song Way revealed breakfast trays were delivered to the residents on trays and plates were not removed from the trays. Plastic disposable glasses were used. Interview on 1/23/2019 at 10:30 AM with Nursing Assistant (NA)-A revealed all resident's receive cold fluids are served in disposable cups. NA-A is not aware of why that is done and has asked the question and did not get an answer why some units use them and others do not. Interview on 1/23/2019 at 10:45 AM with the RN-B revealed receiving food on trays is not homelike. 2020-09-01