cms_NE: 42

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
42 HOMESTEAD REHABILITATION CENTER 285049 4735 SOUTH 54TH STREET LINCOLN NE 68516 2018-05-22 755 E 0 1 HJ5H11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference Number 175NAC 12-006.10A2 Based on observation, record review and interview, the facility failed to administer medications through an Enteral Tube (is used to feed patients who cannot attain an adequate oral intake from food and/or oral nutrition supplements, or who cannot eat/drink safely) per facility policy. This was the observation for one sample resident (Resident 73). This had the potential to affect 4 residents (Residents 90, 61, 37 and 73) at the facility. Census: 153 Residents. Sample size 73 Residents. Observation on 5/22/18 from 8:33 AM until 9:10 AM RN-G (Registered Nurse) set up medications for Resident 73 to be given through an Enteral Tube. The medications were Calcium [MEDICATION NAME] (a dietary supplement used when the amount of calcium taken in the diet is not enough). [MEDICATION NAME] (a medication used to treat diabetes insipidus, betwetting, [DIAGNOSES REDACTED] A, von Willebrand diseae, and high blood urea levels). Docu Liquid (medication used to treat occasional constipation). [MEDICATION NAME] (a medication used for pain control, to help prevent or control [MEDICAL CONDITION], or as a mood stabilizer). [MEDICATION NAME] (is used to treat certain conditions where there is too much acid in the stomach. It is used to treat gastric and [DIAGNOSES REDACTED] ulcers, erosive esophagitis). [MEDICATION NAME] (is a class of drugs call steroids. [MEDICATION NAME] prevents the release of substances in the body that cause inflammation). Levetiracetam (is an anti-epileptic drug used to treat partial onset [MEDICAL CONDITION] in people with [MEDICAL CONDITION]). [MEDICATION NAME] (used to treat occasional constipation). [MEDICATION NAME] (is used to treat intestinal and stomach ulcers, [MEDICAL CONDITION] reflux disease (GERD) and conditions where your stomach makes too much acid). Vitamin D 1000Units (is a supplement that helps your body absorb calcium and phosphorous). RN-G took the listed medications to the bedside of Resident 73. RN-G was observed to check the placement of the Enteral Tube and check for residual. RN-G drew up each medication individually and administered each medication into the Enteral Tube using the syringe and plunger. Record review Administering Medications through an Enteral Tube (Revised (MONTH) 2012) 22. Reattach syringe (without plunger) to the end of the tubing 23. Administer medication by gravity flow. Pour diluted medication into the barrel of the syringe while holding the tubing slightly above the level of insertion. Open the clamp and deliver medication slowly. Clamp tube (or begin flush) before the tubing drains completely. 24. If administering more than one medication, flush with 5ml (or prescribed amount) warm sterile water between medications. Interview on 5/22/18 at 9:12 AM with RN-H stated was not sure if RN-G gave the medications correctly through the Enteral Tube, but would get a copy of the Policy and Procedure for the Surveyor. 2020-09-01