cms_NE: 39

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
39 HOMESTEAD REHABILITATION CENTER 285049 4735 SOUTH 54TH STREET LINCOLN NE 68516 2018-05-22 656 E 0 1 HJ5H11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference Number 175 NAC 12-006.09C Based on observations, record reviews and interviews; the facility failed to develop care plans to address, A) activities and oral intake status for Resident 73, B) activities for Resident 90. Resident sample size was 31. Facility census was 131. Findings are: [NAME] Review of Resident 73's Minimum Data Set (MDS- a federally mandated comprehensive assessment tool used for care planning) dated 4-4-18 revealed total dependence for dressing and extensive assist for personal hygiene. Review of Resident 73's current Physician order [REDACTED]. Review of a Nutrition Note dated 5-6-18 revealed Resident 73 was on Tube Feeding at at 50 cc/hour and was to have no food by mouth with all nutrition via the feeding tube. Review of Resident 73's Care Plan last revised 5-14-18 noted the resident has tube feeding, but has ok for ice chips and now ok for 10 bites of pureed food with extra gravy one time daily. Review of Resident 73's Care Plan for activities last revised 5-14-18 revealed a problem start date of 1-19-2018. The first approach for the problem was dated 5-14-18. Interview with RN J (Registered Nurse) on 5-22-18 at 1423 05/22/18 the care plan interventions for Resident 73's activity needs dated 1-19-18 could not be located. B. On 05/16/18 at 01:08 PM Observation of Resident 90 revealed the resident was not engaged in activities. Review of Resident 90's Resident Face Sheet revealed that the resident was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 05/21/18 at 9:46 AM Observation of Resident 90 revealed the resident was in bed in room with music playing. On 05/22/18 at 11:47 AM Observation of Resident 90 revealed the resident was in bed in room with music playing. On 05/22/18 at 01:48 PM Interview with the Activity Director revealed that the Activity Director stated read the newspaper and books to Resident 90 in room. Record review of Resident 90's care plan revealed that the facility failed to Care Plan Activities. On 05/22/18 at 02:53 PM Interview with Nurse Consultant A confirmed that activities had not been care planned for Resident 90. 2020-09-01