cms_NE: 29

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
29	DOUGLAS COUNTY HEALTH CENTER	285019	4102 WOOLWORTH AVENUE	OMAHA	NE	68105	2016-09-21	412	D	0	1	7TIB11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number: 175 NAC 12-006.14 Based upon observations, interviews and record reviews; the facility failed to follow-up a dental appointment for Resident 210. The facility census was identified as 236. Findings are: [NAME] An observation of Resident 210 on 09/14/2016 at 1:31 PM revealed Resident 210 was observed to be missing several teeth. A record review of Resident 210's care plan dated 02/26/15 revealed under the care plan that for problem #4-Self-care deficit: bathing, hygiene, dressing and grooming. In the interventions section it is noted DCHC Dental clinic without and dates or time frames. A record review of Resident 210's Minimum Data Set (MDS: a federally mandated comprehensive assessment tool used for care planning) dated 02/10/2016 revealed under section L-Oral/Dental Status it was marked: Obvious or likely cavity or broken natural teeth. Interviews with Registered Nurse L (RN L) and Unit Secretary M (US M) on 09/19/2016 at 12:35 PM revealed that Resident 210 has not been seen by a dentist since 04/07/2015. A record review of Dental Chart dated 04/7/2015, revealed the following: patient seen for annual exam and [MEDICATION NAME]. Teeth are badly worn but patient reports no pain, plaque is soft, no significant gingivitis. Recommend 3 month recall. A record review of an undated list of unit's clients needing dental services revealed that Resident 210 was listed and was to be followed up in 3 months from the 04/7/2015 visit. An interview with Director of Nursing (DON) 09/19/2016 02:57 PM revealed that the unit or neighborhood is responsible for scheduling dental appointments. An interview with Social Services Specialist K, (SSS K) on 09/20/2016 at 07:40 AM, revealed that social services does not have any documentation concerning the Resident 210's Power of Attorney (POA) not wanting to have the resident to be seen by the dentist. An interview with the DON on 09/20/2016 at 02:10 PM revealed the DON was not able to find any evidence that the Resident 210 had been back to a dentist since 04/07/2015. A follow-up interview with the DON on 09/21/2016 1:15 PM confirmed that the standard of care is that dental services should be offered at least annually to those who want the services. The DON further confirmed that there was no evidence available concerning whether or not the facility had asked, the resident or the POA, if the resident wanted to receive dental services.	2020-09-01