cms_NE: 3595

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
3595	LANCASTER REHABILITATION CENTER	285275	1001 SOUTH STREET	LINCOLN	NE	68502	2020-02-25	676	D	0	1	1MXF11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D1 Based on record review and interview, the facility failed to ensure restorative services were provided as directed by therapy for 1 resident (Resident 98) of 2 residents reviewed. The facility census was 208. Findings are: Interview on 2/18/20 at 1:53 PM with Resident 98 revealed the resident did not always receive restorative services because the Restorative Aide (RA) was reassigned to cover when there weren't enough Nurse Aides (NA). Review of Resident 98's Face Sheet dated 2/19/20 revealed [DIAGNOSES REDACTED]. Review of Resident 98's Care Plan dated 12/31/19 revealed Resident 98 is at risk for decreased ADL (Activities of Daily Living) participation related to [DIAGNOSES REDACTED], dysphagia (swallowing difficulty), weakness, gout (a form of arthritis characterized by severe pain, redness, and tenderness in joints), wheelchair dependence, diarrhea, [MEDICAL CONDITION] (swelling), high blood pressure, and obesity. Interventions included participation in a restorative plan as written by nursing and/or therapy. Review of Resident 98's Restorative Communication dated 12/20/19 revealed the goal was ROM (range of motion)/prevent loss of mobility 3 times per week. The suggested approaches revealed passive ROM to bilateral upper and lower extremities. Review of Resident 98's Restorative Detail Report dated 6/4/19 - 2/19/20 revealed resident was receiving therapy 11/12/19 - 12/20/19. Resident 98 received restorative as follows: - 12/24/19 - 1/1/20, 1/3/20 - 1/7/20, 1/8/20, 1/10/20 - 1/15/20, 1/17/20 - 1/21/20, 1/24/20 - 1/28/20, 1/29/20 - 2/5/20, 2/7/20 - 2/12/20 Resident 98 received restorative 3 times per week for 1 of 8 weeks since therapy ended 12/20/19. Interview on 2/24/20 at 1:03 PM with RA-B confirmed Resident 98 was supposed to receive restorative services 3 times per week, but was not receiving all sessions. RA-B revealed Resident 98 had complained about not receiving restorative but did not had a decline in function. RA-B revealed the restorative services caseload was not being completed due to RA-B being pulled to cover for NAs. RA-B revealed Resident 98 was scheduled on Tuesday, Wednesday, and Fridays, and confirmed the resident did not receive restorative the week of 2/17/20. Interview on 2/24/20 at 1:49 PM with UM-C (Unit Manager) confirmed the RA did get pulled to the floor to cover NAs.	2020-09-01