cms_NE: 4861
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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| 4861 |
SIDNEY CARE AND REHABILITATION CENTER, LLC |
285113 |
1435 TOLEDO STREET |
SIDNEY |
NE |
69162 |
2018-03-06 |
867 |
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 QAPI (Quality Assurance and Performance Improvement) Committee developed and implemented a plan of correction to maintain compliance for deficiencies cited at the last annual recertification survey. The facility census was 27 and this failure had the potential to effect all of the residents. Findings are: Review of the recertification survey, dated 4/19/17, compared to the current recertification survey, dated 3/6/18, revealed that the following deficiencies were cited and not corrected: - F 157 (F 580) failed to notify the physician of a change in condition as indicated; - F 241 (F 550) failed to ensure that residents were treated with dignity; - F 279 (F 656) failed to develop a comprehensive care plan to address residents' needs; - F 323 (F 689) failed to identify potential accident hazards and prevent accidents; - F 332 (F 759) failed to ensure a medication error rate less than 5%; - F 371 (F 812) failed to ensure dietary sanitation practice; - F 431 (F 761) failed to ensure that prescription labels matched current medication orders; - F 425 (F 755 and F 658) failed to ensure medications were administered per standards of practice and that medications were available for administration; - F 441 (F 880) failed to ensure infection control procedures were in place to reduce the risk of cross contamination; - F 520 (F 865 and F 867) failed to ensure that the QAPI Committee 1) identified quality of care issues and had a plan to correct the issues and 2) ensure that the plan of correction for previous deficiencies was effective to obtain and maintain regulatory compliance. Review of the facility Quality Assurance and Performance Improvement policy, dated (MONTH) (YEAR), revealed the following including: . 11. Governance and leadership - . b. Governing oversight responsibilities include, but are not limited to the following: . vi. Ensuring that corrective actions address gaps in systems, and are evaluated for effectiveness. Interview with the Administrator, QAPI Coordinator, on 3/6/18 at 11:30 AM confirmed that, based on comparison of the current survey findings and the previous annual survey findings and identified repeat deficiencies, the QAPI Committee was not effective in obtaining or maintaining regulatory compliance. |
2020-03-01 |