cms_NE: 4860
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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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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inspection_date
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deficiency_tag
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complaint
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eventid
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inspection_text
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filedate
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| 4860 |
SIDNEY CARE AND REHABILITATION CENTER, LLC |
285113 |
1435 TOLEDO STREET |
SIDNEY |
NE |
69162 |
2018-03-06 |
865 |
H |
0 |
1 |
9WK311 |
Licensure Reference Number 175 NAC 12-006.07C Based on observations, record reviews and interviews; the facility failed to ensure that the QA (Quality Assurance) and QAPI (Quality Assurance and Performance Improvement) Committees identified and corrected quality of care issues. The facility census was 27 and this failure has the potential to effect all of the residents. Findings are: Review of the findings during the annual recertification survey, dated 3/6/18, revealed the following deficient areas identified including: Emergency Preparedness: - 0001 failed to establish an emergency program as required; - 0015 failed to include subsistence needs for patients and staff; - 0029 failed to include a communication plan; - 0030 failed to include names and contact numbers; - 0035 failed to include the required components for sharing information from the emergency plan to residents, families or resident representatives; Recertification deficiencies identified at a scope higher than isolated: - F 561 failed to ensure that resident choices for bathing choices were honored; - F 665 failed to ensure that baseline care plans were developed for newly admitted residents; - F 656 failed to develop and implement comprehensive care plans as required; - F 658 failed to ensure that medications were administered per standards of practice; - F 679 failed to ensure that the activities program was in place to meet the residents' needs; - F 684 failed to provide care and treatments related to a change in condition, ongoing diarrhea and to prevent skin breakdown to ensure that the residents' needs were met; - F 686 failed to provide care and treatment to address limitations in range of motion and have a restorative nursing program in place; - F 689 failed to provide care and treatment related to a dislocated shoulder, finger injury and to prevent a fall with fractures; - F 697 failed to ensure that nutritional supplements were available and administered for residents with nutrition issues; - F 697 failed to provide effective pain management to meet the needs of the residents; - F 725 failed to provide sufficient nursing staff to meet the needs of the residents; - F 727 failed to ensure that the Director of Nursing worked the required full time hours; - F 732 failed to ensure that daily staff postings were accurate and maintained as required; - F 745 failed to provide medically related Social Services to meet the needs of the residents; - F 755 failed to ensure that medications were available and administered on admission and new orders for antibiotic therapy; - F 757 failed to obtain monitoring lab work and vital signs as indicated to ensure the therapeutic benefits of medications; - F 759 failed to ensure a medication error rate less than 5%; - F 761 failed to ensure that prescription labels matched current medication orders; - F 809 failed to ensure that bedtime snacks and fresh water were provided; - F 812 failed to maintain sanitation in the kitchen; - F 835 failed to ensure that the administration identified and corrected issues to maintain compliance and ensure the provision of cares and treatments through systems and policies which resulted in substandard quality of care and actual harm cited for deficient practice; - F 837 failed to ensure that outside agencies and businesses providing goods and services were being paid; - F 841 failed to ensure that a contract was in place with the Medical Director to identify responsibilities and requirements to coordinate medical care for the residents; - F 880 failed to have an infection control program in place to provide surveillance and audits and to prevent infection control issues related to handling of laundry, wound care, urinary catheter care, respiratory equipment and hand washing to reduce the risk of cross contamination. Review of the facility policy Quality Assurance and Performance Improvement, dated (MONTH) (YEAR), revealed the following including: Policy: It is the policy of this facility to develop, implement and maintain an effective, comprehensive, data-driven QAPI program that focuses on indicators of the outcomes of care and quality of life. Interview with the Administrator, QAPI Coordinator, on 3/6/18 at 11:30 AM confirmed that the QAPI Committee was not effective in identifying or developing a plan to address quality of care issues in the facility. |
2020-03-01 |