cms_NE: 2245

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
2245 ALPINE VILLAGE RETIREMENT CENTER 285190 706 JAMES STREET VERDIGRE NE 68783 2017-12-14 689 D 0 1 MZNW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D7 Based on observations, record review and interview; the facility failed to ensure Resident 16 was safe to be outside without staff supervision. The facility census was 42 and the sample size was 15. Findings are: Review of Resident 16's Minimum Data Set (MDS-a federally mandated comprehensive assessment tool used for care planning) dated 10/11/17 revealed [DIAGNOSES REDACTED]. The MDS further indicated the resident had modified independence with cognitive skills for daily decision making and displayed episodes of disorganized thinking (rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject). Review of Resident 16's Care Plan dated 4/20/17 revealed the use of a Wanderguard (a bracelet worn by the resident and sounds an alarm if the resident comes within a certain distance of the exit door). Review of a Wandering Risk assessment dated [DATE] revealed Resident 16 was at moderate risk for wandering. Review of Resident 16's Progress Notes dated 11/16/17 at 11:53 AM revealed the resident was at moderate risk for wandering per the assessment completed 11/16/17 following a recent room change. Documentation indicated the following: -no increased confusion or attempts to exit the facility had been noticed; -the Wanderguard was discontinued; and -staff would continue to monitor for exit seeking behaviors. Review of Progress Notes dated 12/6/17 at 10:21 AM revealed Resident 16 was .attempting to enter the Assisted portion (assisted living) of the facility today-to this time has attempted 3 times and each time was either redirected or pushed to (resident's) room by staff. There was no evidence to indicate Resident 16's attempt to exit the facility was assessed. On 12/11/17 at 10:30 AM, Resident 16 was observed seated in a wheelchair and was attempting to re-enter the facility from outside through the front door. The resident was unable to completely open the front door and the wheelchair became wedged against the door which prevented the resident from independently re-entering the building. The Business Office Manager (BOM) was present in the office next to the front door and immediately assisted the resident back into the building. Interview with the BOM on 12/14/17 at 7:55 AM revealed Resident 16 was allowed to sit outside without supervision. The BOM confirmed Resident 16 required assistance to re-enter the building on 12/11/17 as the resident did not consistently remember how to use the handicapped automatic door opener. Interview with the Director of Nurses (DON) on 12/14/17 at 8:03 AM confirmed an assessment had not been completed to ensure Resident 16 was safe to sit outside without staff supervision. 2020-09-01