cms_NE: 21

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
21	DOUGLAS COUNTY HEALTH CENTER	285019	4102 WOOLWORTH AVENUE	OMAHA	NE	68105	2019-01-23	802	F	1	1	AD1911	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > LICENSURE REFERENCE NUMBER 175 NAC 12-006.04D Based on observation, interview and record review, the facility staff failed to ensure that meals were served on time. This had the potential to affect 228 resident served food from the kitchen. The findings are: [NAME] Review of Buffet Meal Service Long Term Care meal times dated 11/8/2018 revealed that Miracle Gardens Unit breakfast time of 7:20 AM - 8:00 AM. Safe Harbor Unit breakfast time of 8:00 AM-8:30 AM and [MEDICATION NAME] Unit breakfast time 7:50 AM - 8:30 AM. Observation on 1/15/19 on Safe Harbor breakfast was started at 08:30 AM. Observation on 1/22/2019 on Miracle Gardens Unit of breakfast was stared at 08:45 AM. Observation on 1/23/2019 on [MEDICATION NAME] Unit of breakfast being was started at 08:40 AM. Interview conducted with the Dietary Manager on 1/23/19 at 1:50 PM revealed that staffing for the kitchen included 10 food service workers, 4 Cooks, 1 pot and pan person, a youth center employee and a dish area worker. Review of dietary employee daily assignments revealed that on 1/15/19 there were 7 food service workers resulting in 3 food service workers covering 2 units. Review of dietary employee daily assignments revealed that on 1/22/19 there were 7 food service workers resulting in 3 food service workers covering 2 units. Review of dietary employee daily assignments for 1/23/19 revealed there were 5 food service workers resulting in each food service worker covering 2 units. Interview conducted with the Dietary Manager on 1/23/19 at 11:00 AM confirmed the kitchen was short staffed. B. Record review of Meal service times for Long Term Care revealed the following dining times: Willow Springs: 8:15, 12:10 and 5 PM Via [NAME]: 8 am, 12:10 and 5 PM Field of Dreams: 7:40 AM, 12:00 PM and 4:50 PM Observation on 1/14/19 at 12:20 PM in the Willow Springs neighborhood in the facility revealed that meal service did not start until 12:40 PM, 30 minutes later then the scheduled meal time. Observation on 01/15/19 at 08:45 AM in the Via [NAME] neighborhood revealed that meal service did not start until 8:45 AM, 45 minutes later then the scheduled meal time. Observation on 01/15/19 at 08:58 AM in the Willow Springs neighborhood revealed that meal service did not start until 8:50 AM, 35 minutes later then the scheduled meal time. Interview on 1/15/19 between 1:58 and 2:20 PM during the Resident Council meeting revealed a total of 7 alert and oriented residents attended the meeting. Several anonymous residents voiced the concern that meals are often served late which resulted in lukewarm food. The residents stated that this was unacceptable. Observation on 01/16/19 at 8:40 AM in the Via [NAME] neighborhood revealed that meal service did not start until 8:40 AM, 40 minutes later then the scheduled meal time. Observation on 01/16/19 at 08:55 AM in the Willow Springs neighborhood revealed that meal service did not start until 8:55 AM, 40 minutes later then the scheduled meal time. Observation on 01/23/19 at 08:20 AM in the Field of Dreams neighborhood revealed that meal service did not start until 8:20 AM, 40 minutes later then the scheduled meal time. Observation on 01/23/19 at 09:10 AM in the Willow Springs neighborhood revealed that meal service did not start until 9:10 AM, 55 minutes later then the scheduled meal time. Interview on 01/23/19 at 09:28 AM with RN H confirmed that meal service was late on that day due to kitchen staff called in due to the weather. Interview on 01/23/19 at 10:26 AM with the DON confirmed that the dining service times were later then the expected time frames for service and that this was due to staffing shortages in the dietary department. The DON confirmed that this had the potential to result in cold food and medication administration time frame issues. Interview on 01/23/19 at 11:07 AM with the DON confirmed that 21 residents on the Field of Dreams unit ate meals in the dining area, 33 residents on the Willow Springs unit ate meals in the dining area and 15 residents on the Villa [NAME] unit ate meals in the dining area. C. Observation on 01/15/19 at 8:30 AM revealed the kitchen service cart arrived in the dining area and prepared to serve the breakfast meal. At 9:13 AM the breakfast meal service on Wind Song Way was started to be delivered to the resident's seated in the dining room. The last resident tray was served at 10:00 AM. Review of the facility document dated 11/8/2018 titled Meal Service Times Long Term Care revealed meal service on Wind song Way for Breakfast is scheduled to begin at 7:55 AM. Interview on 01/23/19 at 3:09 PM with the Assistant Director of Nursing (ADON) revealed 4 residents are NPO (No oral intake) and do not eat food from the facility kitchen.	2020-09-01