cms_NE: 2918
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 2918 |
KEYSTONE RIDGE POST ACUTE NURSING AND REHAB |
285238 |
7501 KEYSTONE DRIVE |
OMAHA |
NE |
68134 |
2018-06-14 |
867 |
I |
1 |
0 |
BBR311 |
> Licensure Reference Number: 175 NAC 12-006.07C Based on record review and interview, the facility failed to have an effective Quality Assurance and Performance Improvement Plan to address facility identified concerns related to coffee temperatures. The facility had a total census of 57 residents. Findings are: A review of facility policy and procedure titled Performance Improvement revised 9/2017 identified the purpose of the plan is to continually assess the facility's performance in all service areas, so that systems and processes achieve the delivery of person-centered care, and which maximizes the individual's highest practicable physical, mental, and social well-being. A review of Performance Improvement Plan initialed 6/8/18 identified potential out of range water temperatures on facility coffee machine in dietary. Interventions included checking the temperature in of the coffee in each cup before serving to each resident. If the coffee is too hot, staff are to cool down in a carafe or a coffee thermos without the lid. In an interview on 6/11/18 at 10:14 AM, the Director of Nursing reported an investigation had been completed the following week due to a burn on a Resident 1's foot. From that investigation, it was discovered the coffee was very hot and the coffee pot was to be replaced. Staff were provided education regarding the hot coffee. A review of In-Service Training Report dated 6/8/18 revealed training was provided to 7 staff members that coffee had to be cooled down and hot liquids need to be temped at 140 degrees F or lower before giving to resident. In an interview on 6/13/18 at 11:12 AM, Administrator and Director reported second degree burn had been discover on Resident 4 that morning and Director of Nursing had been notified. The Administrator reported coffee temperature was to be checked and cooled before giving to resident. The investigation was being completed at that time and the coffee machine had been locked to prevent its use. In an interview on 6/13/18 at 12:32 PM, Dietary Aide A reported attending the in-service last week and adding ice cubes to the coffee if it is too hot. Dietary Aide A reported that Dietary Aide A did not check the temperature of the coffee but could tell if the coffee was hot by feeling the bottom of the cup. In an interviews on 6/13/18 at 12:35 PM, the Administrator reported coffee temperature was found to be 168 to 170 degrees F when coming out of the coffee machine. The Administrator had expected staff to record the temperatures of the coffee after being cooled and before service to resident but that was not being done. According to the Administrator, the current coffee machine was going to be removed and replaced with the coffee machine that the facility had previously used. |
2020-09-01 |