cms_NE: 2016
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
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inspection_date
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inspection_text
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| 2016 |
GOOD SAMARITAN SOCIETY - VALENTINE |
285176 |
601 WEST 4TH STREET |
VALENTINE |
NE |
69201 |
2017-03-30 |
241 |
E |
0 |
1 |
02OK11 |
Licensure Reference Number: 175 NAC 12-006.05 (21) Based on observations, record reviews, and interviews; the facility failed to: 1) serve two sampled resident trays (Residents 33 and 34) during the same time of other residents in the Back Dining Room; and 2) provide privacy during obtaining resident vital signs for one sampled resident (Resident 25). Sample size included 13 residents receiving meal trays in the Back Dining Room. Facility census was 37. Findings are: [NAME] Observations of the Back Dining Room revealed the following: - 3/29/17 from 7:35 a.m. through 8:20 a.m. Residents 33 and 34 were observed seated in wheelchairs in the dining room at 7:35 a.m. The first tray was delivered to Resident 15 at 7:35 a.m. and the dietary staff and feeding assistant continued delivering trays to residents in the Back Dining Room following the first tray. At 7:55 a.m. all trays were delivered to residents in the Back Dining Room except for Residents 33 and 34 while the dietary staff began serving the Front Dining room. Residents 33 and 34 remained seated in the Back Dining Room from 7:35 a.m. to 8:10 a.m. before being served. - 3/29/17 from 11:05 a.m. through 12:15 p.m. Residents 33 and 34 were observed seated in wheelchairs in the dining room at 11:05 a.m. At 11:35 a.m., the first tray was delivered in the Back Dining Room to Resident 9 at 11:35 a.m. Dietary and nursing staff continued passing trays to residents in the Back Dining Room until all residents were served except Residents 33 and 34. Cook-B then began serving the Front Dining Room. At 11:55 a.m. Cook-B returned to serving the Back Dining room and Residents 33 and 34 were served. -3/30/17 from 7:30 a.m. through 8:00 a.m. At 7:30 a.m., Residents 33 and 34 were observed seated in wheelchairs in the dining room. The staff began serving trays to the Back Dining Room between 7:30 a.m. and 7:45 a.m. All residents in the dining room were served by 7:45 a.m. except Residents 33 and 34. The dietary staff then began serving the Front Dining Room until 7:50 a.m. when Resident 33 was served a tray and assisted by the resident's spouse. At 7:55 a.m. Resident 33's tray was delivered. Record review of MDS (Minimum Data Set, a federally mandated comprehensive assessment tool utilized to develop resident care plans) assessments for Residents 33 and 34 revealed the following: - An Annual assessment MDS for Resident 33 was completed on 1/3/17. The MDS recorded Resident 33 required Extensive Assistance (Resident involved in activity, staff provide support) of one staff member for Eating. - An Annual assessment MDS for Resident 34 was completed on 2/23/17. The MDS recorded Resident 34 required Extensive Assistance of one staff member for Eating. Record review of a facility seating chart for the Back Dining Room revealed 13 residents received meals in the Back Dining Room. Interview with Cook-B on 3/29/17 at 12:00 noon, Cook-B was asked why Residents 33 and 34 were not served at the same time as other residents in the Back Dining Room. Cook-B acknowledged Residents 33 and 34 were usually among the first to arrive in the dining room, but both required assist from staff. The usual procedure was to begin the Front Dining Room until nursing was ready for Residents 33 and 34 who were served last in the dining room. Interview with the DON (Director of Nursing) on 3/30/17 at 9:15 a.m. confirmed Residents 33 and 34 are among the first to arrive in the Back Dining Room and verified having observed the rest of the residents in the dining room were being served at the same time except for Residents 33 and 34. The DON verified the kitchen staff begin serving the Front Dining Room before returning to provide trays for Residents 33 and 34. B. Observations on 3/28/17 at 2:45 PM revealed Resident 25 seated in a wheelchair in the front lobby area. Further observation revealed NA (Nursing Assistant) - A obtained the resident's blood pressure in view of staff members, residents and visitors in the area. Interview with the Director of Nursing on 3/30/17 at 9:00 AM confirmed that the staff were not to obtain vital signs in public areas to promote the resident's dignity. |
2020-09-01 |