cms_NE: 270

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
270	GOLD CREST RETIREMENT CENTER	285065	200 LEVI LANE	ADAMS	NE	68301	2019-03-05	641	D	0	1	MX7V11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09B Based on record review and interview the facility failed to ensure that the MDS (The Long-term Minimum Data Set (MDS) is a standardized, primary screening and assessment tool of health status that forms the foundation of the comprehensive assessment for all resident in a Medicare or Medicaid-certified long term care facility) was accurately coded to reflect the Swallowing/Nutritional Status for weight loss for one resident (Resident 25)of 2 sampled residents. The facility census was 35. Findings are: Record review of Resident 25 weights revealed; on 08/13/2018 at 11:46AM was 169.4 lbs. (Pounds) and on 02/21/2019 at 11:12AM Resident 25 weighed 150.2 lbs. and had a weight loss of 11.33% in 6 months. Record review of MDS (Minimum Data Set- an assessment used to develop a person centered comprehensive plan of care for the resident) Annual assessment dated [DATE] revealed; Section K Swallowing/Nutrition Status revealed; Resident 25 had no loss of 5% or more in the last month or loss of 10 % or more in the last 6 months. Record review of Progress note from Dietary dated 02/19/2019 at 12:51PM Revealed; o Resident's 25's current weight was149.lbs. , had stabilized, same as 30 days, but remained 10% below weight 180 days ago. Record review of Nutritional assessment dated [DATE] at 10:26AM Resident 25 had a decrease of 22 lbs. or 13% weight loss in 90 days. Interview with Dietary Manager on 03/04/19 at 03:12 PM confirmed that the MDS dated [DATE] was coded incorrectly for Section K and Resident 25 had an 11 percent weight loss in 180 days.	2020-09-01