cms_NE: 2950

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
2950 RIDGECREST REHABILITATION CENTER 285239 3110 SCOTT CIRCLE OMAHA NE 68112 2018-01-23 835 H 1 0 L1D311 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > LICENSURE REFERENCE NUMBER 175 NAC 12-006.02 Based on observation, record review and interview; the facility administrative staff failed to ensure the facility resources were effectively utilized to maintain or improve the physical, psychosocial and mental well-being of the facility residents. This deficient practice had the potential to affect all residents in the building. The facility staff identified a census of 60. Findings are: Review of the following information revealed the following: -F692. The facility staff failed to identify and implement interventions to prevent weight loss. This practice affected 4 of 4 residents that were reviewed for the survey. The facility staff had identified Residents 22 and 24 had weight loss and identified interventions to prevent further weight loss. Observations during the survey revealed those interventions were not carried out for Resident 22 and 24. Resident 20's care plan indicated Resident 20 was to receive large portions and Resident 20 did not during the survey, in addition, Resident 20 had significant weight loss and the loss was not evaluated. Resident 25 had weight loss without interventions and lost a significant amount of weight. -F686. The facility staff failed to identify, evaluate casual factors and implement interventions for the development of a pressure ulcer for 1 (Resident 20) of 1 residents. Resident 20 had a history of [REDACTED]. Observations during the survey revealed Resident 20 developed a pressure ulcer. The facility staff had not identified the pressure ulcer, had not evaluated casual factors or implemented interventions. -F 744. The facility failed to have specific activities for residents with Dementia who reside in a Memory Support Unit, and failed to have specific guidelines on how activity services would be provided and what staff members would be responsible for the activities on the MSU. Observations during the survey revealed individualized activities that were resident centered was not provided to 4 (Resident 21, 22, 23 and 24) of 4 residents reviewed. Observations during the survey revealed residents were not provided activities, facility staff did not engage residents and failed to have qualified staff in the MSU. Review of the Facility Assessment revealed there was criteria for admission and discharge from the Memory Support Unit, however, there was not information of how resident centered services would be provided to those residents with the [DIAGNOSES REDACTED]. -F606. The facility failed to ensure reference checks were completed on 4 of 6 employee files reviewed. The facility had a Policy and Procedure for competing background checks. During the survey an interview with the facility Human resources personal was conducted that revealed reference checks should have been completed. -F880. The facility failed to ensure gloves were worn when removing soiled meal items from the table for Resident 22. Review of Resident 22's CCP revealed management had identified Resident 22 liked to clear the table after meals and that Resident 22 was to wear gloves and wash hands. -F730. Ongoing Nursing Assistant education. Review of 34 nurse aide employee files revealed 24 nurse aide employees did not have the required 12 hours per year of continuing training. -F550. During observation 4 (Resident 20, 21, 22 and 25) dignity was not maintained. On 1-23-2018 at 10:35 AM an interview was conducted with the facility Administrator. During the interview, the administrator confirmed cited deficiencies were not identified as a problem in the facility. 2020-09-01