cms_NE: 20
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
20 | DOUGLAS COUNTY HEALTH CENTER | 285019 | 4102 WOOLWORTH AVENUE | OMAHA | NE | 68105 | 2019-01-23 | 661 | D | 0 | 1 | AD1911 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews and interviews, facility failed to develop a discharge summary for Resident 234 of 3 residents sampled. The facility census was 232. Findings are: Review of Resident 234 closed medical record revealed Resident 234 was admitted on [DATE] from the hospital for rehabilitation. Resident 234's condition improved during the stay and Resident 234 was discharged home with home health care to assist on 10/29/2018. Review of Resident 234's medical record revealed no discharge summary. Review of Resident 234's Home Health Face to Face Encounter form dated 10/26/2018 revealed Resident 234 had the following: - Diagnosis: [REDACTED]. - Services needed through home health. - No recapitulation (summary) of Resident 234's progress during the admission addressing the required information from the Interdisciplinary Team. Interview on 01/23/19 at 8:43 AM with the Director of Nursing (DON) revealed no discharge summary with a recapitulation of residents stay is completed. Short term stay rehabilitation residents have discharge summary of therapy and ongoing needs. The physician completes a summary for Home health needs titled Home Health Face to Face Encounter Form. No other discharge summary is completed. | 2020-09-01 |