cms_NE: 48

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
48	HOMESTEAD REHABILITATION CENTER	285049	4735 SOUTH 54TH STREET	LINCOLN	NE	68516	2017-05-25	253	E	1	1	18U611	> Licensure Reference Number(s) 175 NAC12-006.18B and 175 NAC 12-006.18A(1) Based on observation, interview, and record review; the facility failed to ensure two mechanical sit to stand lifts (a mechanism used to assist residents to transfer from one surface to another) were clean. This failure had the potential to affect 10 of 15 sampled residents (Residents 71, 92, 150, 109, 158, 194, 145, 169, 44, and 152) who required use of a lift for transfers. The facility also failed to ensure; 1) Eight resident rooms (306, 103, 102, 314, 216, 301, 318, and 410) had tiles with stained or broken caulking in the bath rooms; and 2) Rooms 219, 400, 306, and 410 were free from lingering odors . Findings are [NAME] An observation on 5/24/17 at 10:12 AM revealed Nursing Assistant (NA)-E using a disposable wipe to wipe the handles, upper bars, and knee rest, of a mechanical sit to stand type lift (a devices used to assist residents during transfers from one surface to another). The NA did not wipe the foot plate, lower bracing, or wheels of the lift. Further observation revealed the wheels of the lift had evidence of hair and other foreign materials wrapped around them, the foot plate and lower bracing contained visible dust and debris. An interview on 5/24/17 at 10:14 AM with NA-E revealed the NA did not clean the lower surfaces of the lift. The NA was unaware of a cleaning schedule which included all of the lifts surfaces. An interview on 5/24/17 at 10:15 AM with Registered Nurse (RN)-F revealed the mechanical lift should be cleaned after each resident use. The RN observed the lift and confirmed the lower areas of the lift were soiled and in need of cleaning. An interview on 05/25/2017 at 11:39 AM with Licensed Practical Nurse (LPN)-G revealed the area of the facility (Station 3) had two mechanical sit to stand type lifts in use, and that both of the lifts had the same concerns related to sanitation. The LPN reported that other areas of the facility had their own equipment, including mechanical lifts. Review of a facility Census roster dated 5/24/17 revealed fifteen residents who required use of a sit/stand lift for transfer assist. Ten of the fifteen residents resided on Station 3, (Residents 71, 92, 150, 109, 158, 194, 145, 169, 44, and 152). A review of the facility policy titled CLEANING AND DISINFECTION OF RESIDENT CARE ITEMS AND EQUIPMENT dated/revised (MONTH) 2014 revealed reusable resident care equipment would be cleaned and disinfected according to current CDC (Center for Disease Control) recommendations for disinfection between resident use. B. Observation of Room 514 on 5/18/17 at 9:22 AM revealed the bathroom smelled of urine . Observation of the bathroom in [RM #]6 on 5/22/17 at 10:26 AM revealed stained caulking around the toilet. Observation of the bathroom in Room 103 on 5/22/17 at 9:58 AM revealed cracked caulking around the base of the toilet. Observation of the bathroom in Room 102 on 5/18/17 at 9:18 AM revealed cracked caulking around the base of the toilet. Observation of the bathroom in Room 219 on 5/22/17 at 11:23 AM revealed a urine odor. Interview with a resident in Room 400 on 5/23/17 at 7:39 AM revealed the bathroom had an odor especially on warm days. During an environmental tour on 5/24/17 beginning at 1:00 PM, interview with the Maintenance Supervisor (MS) revealed the caulking needed replaced in the bathrooms of rooms 314, 216, 301, 318, 410. Further interview during the environmental tour on 05/24/2017 at 2:04 PM with the MS revealed odors were acknowledged in the bathrooms of 306, 219, and 410. The MS further reported the odors smelled of urine. Interview with the Housekeeping Supervisor on 05/25/2017 at 10:50 AM revealed the odors have not been alleviated with cleaning or the use of odor eliminator products.	2020-09-01