cms_NE: 3656

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
3656 RIDGEWOOD REHABILITATION & CARE CENTER 285279 624 PINEWOOD AVENUE SEWARD NE 68434 2018-06-05 744 D 1 1 RVGM11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview, observation, and record review; the facility failed to ensure that psychosocial needs were met for residents with dementia. This failure had the potential to affect one resident, Resident 32. The facility census was 73. Findings are An interview on 5/30/18 at 11:00 AM with Resident 32's Family Member revealed Resident 32 had recently been moved out of a room in the Facility's SCU (Special Care Unit) for Memory Care, into a room within the general population of the facility. The Family Member reported the dependent resident had resided in the SCU since being admitted to the facility, and had been included in all of the scheduled social and recreational activities offered while residing in the SCU. The Family Member went on to report since being moved, Resident 32 spent an increased amount of time alone in the resident's room; and it seemed as if the staff assigned to the current living area did not know the resident, so therefore the staff were unable to anticipate Resident 32's care needs. A review of an undated Care Plan (CP) for Resident 32 revealed the resident was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Further review of the CP revealed a CP Focus initiated on 4/20/17 and revised on 1/6/18 that indicated the resident experienced cognitive impairment due to [DIAGNOSES REDACTED]. Resident 32 had a history of [REDACTED]. Resident 32 triggered for a high elopement risk however IDT (interdisciplinary team) reviewed and did not feel the resident was at risk at this time. Interventions included Resident to reside in secure memory support unit, which was initiated on 4/20/17 and had not been revised. On 06/04/18 at 10:35 AM, an interview with the DON (Director of Nursing) revealed the facility was unable to locate documentation related to the decision to relocate Resident 32 from the Memory Care Unit into the General Population. The DON reported knowledge that the team felt the resident no longer fit into the Social Model for the Memory Care Unit related to a continued decline in condition. They talked to Resident 32's family to receive the ok and the resident was moved the next day. A review of a facility document titled FAMILY MEMORY SUPPORT HIGHLIGHTS, dated 2/2017, revealed the memory support philosophy was to provide a secure, structured, and calm environment where residents with dementia can be engaged in meaningful social activities. The Memory Care Household door was shut/secured to promote safety, smaller environment with less noise and less people walking in and out, to minimize the feeling of confusion and fear. The household was designed to be a supportive living environment for residents with dementia and was not a behavioral health unit. Meaningful activities, approach, and communication were the best ways to manage these issues. Discussions regarding admission/discharge/transfer would involve the resident and/or designee, the interdisciplinary team; and would at minimum occur within care plan meetings and/or special meetings requested by the resident and/or designee. The interdisciplinary team would identify if there were care needs that surpass the goals of the memory support household and would be better served outside of the specialized environment. Goals of the facility included: to be a resource and support for families with loved ones with dementia, and to provide consistency in memory support caregivers who have received additional training to effectively provide care for residents with dementia. A review of Progress Notes for Resident 32 revealed a note dated 9/6/17 indicating notification of room change was given to the resident's Responsible Party. The notes did not indicate a reason for the move or a change of condition/decline for Resident 32. 2020-09-01