cms_NE: 4242
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4242 | GORDON COUNTRYSIDE CARE | 2.8e+258 | 500 EAST 10TH STREET | GORDON | NE | 69343 | 2017-09-07 | 312 | D | 0 | 1 | 05LY11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference Number: 175 NAC 12-006.09D1c Based on record reviews and interview, the facility failed to complete an assessment to identify potential causal factors related to a decline in activities of daily living and develop a plan to restore or maintain function for one current sampled resident (Resident 15). The facility census was 27 with 10 current sampled residents. Findings are: Review of Resident 15's MDS (Minimum Data Set, a federally mandated comprehensive assessment tool used for care planning), dated 7/11/17, revealed that the resident went from requiring limited assistance from the previous MDS, dated [DATE], to extensive assistance with activities of daily living including bed mobility, transfers, dressing and toilet use. Review of the Annual/Quarterly Summary Reviews, dated 7/18/17, revealed no documentation related to the decline in activities of daily living including the potential causal factors and a plan to restore or maintain activities of daily living abilities. Interview with the Assistant Director of Nursing, MDS Coordinator, on 7/9/17 at 10:00 AM confirmed that an assessment, including the causal factors related to the decline in activities of daily living and a plan to restore or maintain function was not included in the nursing summary. | 2020-09-01 |