cms_NE: 4019

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
4019	SANDHILLS CARE CENTER	285298	143 N FULLERTON STREET	AINSWORTH	NE	69210	2018-02-13	690	D	0	1	WVL911	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D3(2) Based on record review and interview; the facility failed to develop interventions to address Resident 10's urine incontinence. The sample size was 18 and the facility census was 20. Findings are: Review of Resident 10's Minimum Data Set (MDS-a federally mandated comprehensive assessment tool used for care planning) dated 1/10/18 revealed [DIAGNOSES REDACTED]. The MDS further indicated Resident 10 had: -severe cognitive impairment; -extensive assistance with transfers and toileting; -frequent urine incontinence; and -no toileting program such as scheduled toileting, prompted voiding (urination) or bladder training. Review of Resident 10's Continence Evaluation dated 11/17/17 revealed the resident: -used the toilet an average of 6 times per day; -was incontinent of urine at least once daily; -used at least 3 incontinent products in 24 hours; -had to rush to the bathroom upon feeling the urge to urinate; -leaked urine on the way to the bathroom and experienced dribbling of urine after passing urine; -required 1 person to assist with getting in and out of bed/chair; -was able to use the toilet or commode; and -was motivated to be continent. Further review of Resident 10's Continence Evaluation dated 11/17/17 revealed treatment options were Personal Hygiene and use of Incontinence Product. There was no evidence Resident 10 was assessed for a bladder retraining program, toileting program or a scheduled toileting plan. Interview with the Director of Nurses on 2/13/18 at 10:05 AM confirmed Resident 10 was incontinent of urine and there was no evidence the resident was assessed for a bladder retraining program, toileting program or scheduled toileting plan.	2020-09-01