cms_NE: 4

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
4	ST JANE DE CHANTAL	285004	2200 SOUTH 52ND STREET	LINCOLN	NE	68506	2017-01-03	318	D	0	1	X2RI11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY LICENSURE REFEFERENCE NUMBER 175 NAC 12-006.09D4 Based on observation, interview and record review; the facility failed to prevent the potential for a decrease in range of motion for one resident (Resident 163) of 41 sampled residents. The facility census was 109. Findings are: On 12/20/16, Resident 163 was observed seated in a wheel chair. The resident was noted to have both arms pulled up to sides, wrists bent and fingers drawn up into the palms. Restorative Aide - A (RA-A) was interviewed on 12/27/16 at 10:29 AM about the restorative program for Resident 163. RA-A said that the resident received range of motion (ROM) three times per week and that the focus had been on the contractures (a condition of fixed high resistance to the passive stretch of a muscle) of the lower extremities. When asked if Resident 163 was getting ROM to fingers and wrists, RA-A said orders had not been received for this and ROM was not being done to the upper extremities. Review of the Occupational Therapy (OT) Evaluation dated 10/3/16 revealed that Resident 163 had a [DIAGNOSES REDACTED]. The evaluation further revealed, Range of motion significantly limited by contractures throughout upper extremity joints and rigidity. The OT then referred to the functional maintenance program (FMP) in the chart for the R[NAME] Review of the personal FMP dated 10/3/16 for Resident 163 revealed the resident was to have ROM to both upper extremities including shoulders, elbows, wrists, fingers and thumbs. On 12/29/16 at 4:35 PM, Unit Manager B was interviewed about Resident 163's restorative program. The Unit Manger confirmed that ROM should have started right after the OT evaluation was completed on 10/3/16. The manager confirmed there was a communication mix up and ROM to the upper extremities had not started until 12/28/16.	2020-09-01