cms_NE: 24

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
24 DOUGLAS COUNTY HEALTH CENTER 285019 4102 WOOLWORTH AVENUE OMAHA NE 68105 2019-08-01 689 E 1 0 RZY811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D7 Based on record review and interview; the facility staff failed to ensure courtyard gates were secured to prevent potential elopement. The facility staff identified 29 residents who were cognitively impaired and were self mobile. The facility staff identified a census of 224. Findings are: Record review of Resident 1's Comprehensive Care Plan (CCP) printed on 6-07-2019 revealed Resident 1 had the [DIAGNOSES REDACTED]. One of the goals identified for Resident 1 was Resident 1 would not leave the facility grounds without an escort. Record review of a investigation report dated 7-30-2019 revealed Resident 1 had eloped from the courtyard. Record review of a Security Incident Report (SIR) dated 7-30-2019 with a time of 7:53 AM revealed an unknown individual was seen on video walking past the south courtyard gate, According to the (SIR) Resident 1 and the unknown individual were seen conversing and then the unknown individual opened the gate and allowed Resident 1 to leave the court yard unsupervised. Record review of a SIR dated 7-30-2019 with a time of 8:10 AM revealed a temporary pad lock was placed on the South exit gate from the courtyard and at 12:35 PM a new combination lock was placed onto the south exit gate. Observation with Registered Nurse (RN) A on 8-01-2019 revealed the courtyard had 3 exit gates with locks on them. During the observation, the Compliance Offer (CO) of the facility joined the observations of the courtyard. Further observations revealed Master Gardner's (MG) entered the courtyard through the south gate of the courtyard by dialing the code on the combination lock. On 8-01-2019 at 9:10 AM an interview was conducted with MG D and MG E. During the interview MG D and MG [NAME] reported the lock to the south courtyard gate was missing on 7-27-2019. Both, MG D and MG [NAME] reported the missing lock to the south courtyard gate to the security guards. On 8-01-2019 at 10:55 AM an interview was conducted with Chief of Security (COS). During the interview COS reported that security staff did not physically check any of the courtyard gates. The COS further reported being informed the MG's had informed security on 7-27-2019. The COS confirmed the south courtyard gate had been unsecured until the morning of 7-30-2019. The COS confirmed during the interview that the courtyards gates are to be secured al all time. On 8-01-2019 at 3:35 PM a list was provided of 29 residents who were cognitively impaired and self mobile who would have access to the courtyard. On 8-01-2019 at 3:35 PM and interview was conducted with RN F. During the interview RN F confirmed the 29 residents on the list would have access to the courtyard. 2020-09-01