cms_NE: 36
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 36 | HOMESTEAD REHABILITATION CENTER | 285049 | 4735 SOUTH 54TH STREET | LINCOLN | NE | 68516 | 2018-05-22 | 578 | D | 0 | 1 | HJ5H11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews, record review and observation; the facility failed to implement advanced directives for 1 of 2 residents sampled. This had the potential to affect Resident #330. The facility census was 131. Findings are: Review of Resident #330's Resident Face sheet dated 05/09/2018 revealed Advanced Directive: there are no Advanced Directives selected for this resident , Review of Resident #330's CONSENT FOR DO NOT RESUSCITATE (DNR) dated 05/09/2018 revealed NO I do not wish Cardiopulmonary Resuscitation efforts in the event of [MEDICAL CONDITION]. Review of Resident #330's PHYSICIAN'S DO NOT RESUSCITATE (DNR) ORDER FOR THE MEDICALLY ILL dated 05/09/2018 revealed the form was marked/selected DO NOT INTUBATE means that I do not wish a tube placed in my airway to maintain my respirations artificially and DO NOT RESUSCITATE (DNR) I understand that DNR means that if my heart stops beating or breathing is inadequate, that no artificial resuscitation will be initiated or continued. I understand that I will continue to receive support supportive medical care as deemed appropriate by health care personnel, through cardiopulmonary resuscitation will not take place. Review of Resident #330's Summary of Care Document printed 5/9/18 at 2:13 PM revealed : Current Code Status DNR On 05/16/18 at 04:08 PM Record review of Resident #330's physician's orders [REDACTED]. Interview with Staff-D on 05/21/18 at 08:36 AM revealed that Resident #330 was a DNR. Staff-D reviewed Resident #330's physician's orders [REDACTED].>Review of the facility's undated Advance Directives policy revealed: 3. Prior to admission of a resident, the Social Services Director or designee will inquire of the resident, and/or his/her family members, about the existence of any written advance directive. 4. Information about whether or not the resident has executed an advance directive shall be prominently displayed in the medical record. 5. If the resident indicates that he or she has not established advanced directives, the facility staff will offer assistance in establishing advance directives. The resident will be given the option to accept or decline this assistance, and care will not be contingent on either decision. Nursing staff will document in the medical record the offer and the resident's decision to accept or decline. 7. The plan of care for each resident will be consistent with his or her documented treatment preferences and/or advance directives. 17. The Director of Nursing Services or designee will notify the Attending Physician of advance directives so that appropriate orders can be documented in the resident's medical record and plan of care. The Attending Physician will not be required to write orders for which he or she has an ethical or conscientious objection. Review of Resident #330's Admission Baseline Care Plan and current care plan revealed no code status is care planned. Review of Resident #330's Summary of Care Document printed 5/9/18 at 2:13 PM, revealed : Current Code Status DNR Review of Resident #330's Patient Demographics printed on 5/9/2018 revealed Documents on File Advanced Directives Discharge & Transfer -- Altitude Discharge Plan of Care | 2020-09-01 |