cms_NE: 421
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 421 |
ST. JOSEPH VILLA NURSING CENTER |
285078 |
2305 SOUTH 10TH STREET |
OMAHA |
NE |
68108 |
2018-02-12 |
689 |
G |
1 |
1 |
B6BN11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Licensure Reference: 12-006.09D7 Based on observations, interview, and record review, the facility failed to implement interventions to protect 1 (Resident 59) of 9 sampled residents with falls. The facility had a total census of 170 residents. Findings are: Resident 59 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. Observations on 2/7/18 at 9:09 AM and 1:05 PM revealed Resident 59 being fed breakfast and lunch in bed by Nurse Aide I. In an interview on 2/7/18 at 1:05 PM, Nurse Aide I reported Resident 59 was not getting up in chair due to not having a cushion for Resident 59's wheelchair. Observations on 2/8/18 at 9:06 AM revealed Resident 59 being fed breakfast in bed by Nurse Aide [NAME] In interviews on 2/8/18 at 7:28 AM and 9:06 AM, Nurse Aide J reported Resident 59 had slid out of wheelchair and Resident 59 had not been getting up. Nurse Aide J reported waiting until new wheelchair came in to get Resident 59 up. In an interview on 2/7/18 at 2:06 PM, Registered Nurse N reported physical therapy was trying to find a wheelchair for Resident 59 due to sliding out of the wheelchair. A review of Post Fall assessment dated [DATE] revealed Resident 59 was observed slid down out of wheelchair with back resting against foot pedals. Resident 59 received a 5.6 x 1.9 cm (centimeter) skin tear with redden bruising around edges to left lower arm and a 4.7 x 3.5 cm skin tear with reddened bruising around edges to left arm near elbow. A review of Interdisciplinary Therapy Screen dated 1/31/18 revealed Resident 59 was identified having a potential risk related to wheelchair positioning. The comments section stated Resident 59 was appropriate for occupation therapy due to need for wheelchair positioning assessment. In an interview on 2/8/18 at 8:36 AM, Occupational Therapist K reported that a physician's orders [REDACTED]. In an interview on 2/8/18 at 10:10 AM, Physical Therapist L confirmed a screen had been completed on 1/31/18 and orders requested for an evaluation. Physical Therapist L reported no recommendation had been made for Resident 59 to stay in bed due to being unsafe in chair. A review of Occupational Therapy Initial Evaluation dated 2/8/18 revealed Resident 59 required occupational therapy services to address sitting tolerance and postural control. Occupational Therapy Initial Evaluation identified a short term goal for Resident 59 of completion of a trial in a customized wheelchair to improve postural stability and upright positioning. |
2020-09-01 |