cms_NE: 235

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
235 HIGHLAND PARK CARE CENTER 285063 P O BOX 950, 1633 SWEETWATER ALLIANCE NE 69301 2019-07-02 641 B 0 1 TTUV11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference Number: 175 NAC 12-006.09B Based on record reviews and interviews the facility failed to ensure MDS (Minimum Data Set, a federally mandated comprehensive assessment tool utilized to develop resident care plans): 1) recorded the receipt of insulin injections for one sampled resident (Resident 22); 2) recorded the receipt of an influenza vaccination administered in the facility for one sampled resident (Resident 13); and 3) record the actual dates for the receipt of influenza vaccinations for two sampled residents (Residents 33, and 51) and one non-sampled resident (Resident 23). Facility census was 60. Sample size was 25 current residents. Findings are: [NAME] Record review of Resident 22's Admission Record printed on 7/1/19 revealed the resident was admitted to the facility on [DATE]. Among the medical [DIAGNOSES REDACTED]. Record review of Resident 22's (MONTH) 2019 Medication Administration Record [REDACTED]. Record review of Resident 22's MDS assessments revealed a Quarterly review assessment was completed on 1/11/19. Examination of the assessment reveled in the medication section the resident received injections on 7 of the last 7 days but in the section for Insulin the assessment recorded the resident had not received any insulin injections over the last 7 day period. Interview with the Medical Records Coordinator, LPN (Licensed Practical Nurse)-A on 7/2/19 beginning at 11:00 a.m. confirmed Resident 22's quarterly MDS on 1/11/19 failed to record the insulin injections received by the resident during the reference period of the MDS. B. Record review of Resident 13's Admission Record printed on 7/1/19 revealed the resident was admitted to the facility on [DATE]. Record review of Resident 13's Quarterly review MDS completed on 3/30/19 revealed in the section entitled Influenza vaccination that the resident had not received an influenza in the facility for this year's influenza season (fall of (YEAR) through winter 2019). The reason recorded for not receiving the vaccination in the facility was Received outside of this facility. Record review of an Immunization Report for Resident 13 printed on 7/1/19 revealed the resident consented to an influenza vaccination and was administered an influenza vaccine in the facility on 10/16/2018 by LPN-[NAME] Interview with the Medical Records Coordinator, LPN-A on 7/2/19 beginning at 11:00 a.m. confirmed Resident 13 received an influenza vaccine in the facility on 10/16/2018 and the quarterly MDS on 3/30/19 had inaccurately documented the resident received the vaccination at an outside facility. C. Record review of Resident 33's Admission Record printed on 7/1/19 revealed the resident was admitted to the facility on [DATE]. Record review of Resident 33's Quarterly review MDS completed on 4/29/19 revealed the resident received in influenza vaccination at the facility on 11/12/2018. Record review of Resident 33's Immunization Report dated 7/1/2019 revealed the resident received an influenza vaccination administered by the Memory Support Unit Coordinator, LPN-C on 10/12/18. Interview with the Medical Records Coordinator, LPN-A on 7/2/19 beginning at 11:00 a.m. confirmed Resident 33 received an influenza vaccination on 10/12/18 and the quarterly MDS 4/29/19 had recorded the wrong date of the receipt of the vaccination. D. Record review of Resident 51's Admission Record printed on 7/1/19 revealed the resident was admitted on [DATE]. Record review of Resident 51's Quarterly review MDS completed on 5/31/19 recorded the resident received influenza vaccination on 10/4/2016. Record review of Resident 51's Immunization Report dated 7/1/2019 revealed the resident consented to and was administered an influenza vaccination by LPN-A on 10/12/2018. Interview with the Medical Records Coordinator, LPN-A on 7/2/19 beginning at 11:00 a.m. confirmed Resident 51 received an influenza vaccination at the facility on 10/12/18 and the quarterly MDS on 5/31/2019 had recorded the wrong date of the current immunization. E. Record review of Resident 23's Admission Record printed on 7/1/19 revealed the resident was admitted on [DATE]. Record review of Resident 23's Annual MDS completed on 4/10/19 recorded the resident received influenza vaccination on 10/13/2017. Record review of Resident 23's Immunization Report dated 7/1/2019 revealed the resident consented to and was administered an influenza vaccination by LPN-A on 10/12/2018. Interview with the Medical Records Coordinator, LPN-A on 7/2/19 beginning at 11:00 a.m. confirmed Resident 23 received an influenza vaccination at the facility on 10/12/18 and the quarterly MDS on 4/10/2019 had recorded the wrong date of the current immunization. 2020-09-01