cms_NE: 2439

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
2439 WAKEFIELD HEALTH CARE CENTER 285209 306 ASH STREET WAKEFIELD NE 68784 2019-01-16 835 J 1 0 QW7C11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > LICENSURE REFERENCE NUMBER 175 NAC ,[DATE].02 Based on observations, record review and interview, the Administration failed to ensure effective management of facility resources to: 1) ensure the safety of 6 residents who were identified at risk for elopement (when a resident leaves the premises or a safe area without authorization and/or supervision) and utilized Wander Guards (a bracelet/signaling device is worn by the resident and sounds an alarm if the resident comes within a certain distance of the door); and 2) failure to maintain an effective plan of action to prevent resident elopement with Resident 2 subsequently eloping from the facility on [DATE]. The sample size was 9 and the facility census was 22. Findings are: Review of deficient practice identified during the survey revealed the following: -F 689. [NAME] On [DATE] Wander Guard signaling devices for 2 residents (Residents 1 and 3) were expired and Resident 3's Wander Guard signaling device was not functioning when tested . There were no additional replacement Wander Guard signaling devices available in the facility. Additional interventions for the prevention of elopement were not developed. B. Facility interventions developed [DATE] for the prevention of resident elopements were ineffective as Resident 2 eloped from the facility on [DATE]. Resident 2 was identified at moderate risk for elopement, however interventions for the prevention of elopement were not developed prior to the resident eloping from the facility on [DATE]. C. Failure to ensure a safe environment for residents identified at risk for wandering was cited during the annual survey on [DATE]. The facility plan of correction indicated a Wander Guard monitoring device was installed at the entrance of the east hallway to the Assisted Living portion of the building. While this device was observed in place during the complaint survey, the alarm would not be activated if the Wander Guard signaling device worn by the resident was not functioning. 2020-09-01