cms_NE: 51

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
51	HOMESTEAD REHABILITATION CENTER	285049	4735 SOUTH 54TH STREET	LINCOLN	NE	68516	2017-05-25	312	D	0	1	18U611	Licensure Reference Number: 175 NAC 12-006.09D1c Based on observation, record review and interview; the facility failed to assist one resident (Resident 187) of three sampled residents with wearing eye glasses as needed. The facility census was 131 residents. Findings are: Review of Resident 187's Minimum Data Set (MDS, a federally mandated assessment tool used for care planning) dated 4/7/17 revealed Resident 187 had moderately impaired vision and required extensive assistance for dressing and grooming. Review of Resident 187's Care Pan revised 4/4/17 revealed Resident 187 required assistance of one with grooming and to complete all activities of daily living. There was no specific mention of Resident 187's impaired vision or need for eye glasses on Resident 187's Care Plan. Review of a Resident Assignment sheet dated 5/22/17 indicated that Resident 187 wore glasses. Interview with Family Member A on 05/18/2017 at 03:16 PM revealed Family Member A noted that Resident 187 was often not wearing Resident 187's glasses. Observation of Resident 187 on 05/23/2017 at 10:49 AM revealed Resident 187 had been assisted out of bed to the wheelchair for the lunch meal and was not assisted with donning glasses. Interview with Nursing Assistant (NA) P on 5/24/17 at 9:30 AM revealed staff found Resident 187's glasses on the floor so NA P picked them up and put them back in the case so they wouldn't get broken. Observation of Resident 187 on 5/24/17 at 12:10 PM revealed Resident 187 at the dining room table without any glasses on. After asking NA Q on 5/24/17 at 12:10 PM to obtain Resident 187's glasses and put them on Resident 187 observation revealed Resident 187 did not attempt to remove the glasses. Interview with NA Q on 5/24/17 at 12:17 PM revealed Resident 187 just liked to have something to hold onto and if Resident 187 had something to hold that Resident 187 would not attempt to remove the glasses. NA Q went on to say that staff had not tried interventions such as waiting till right before meal time or giving Resident 187 something else to hold in order to assist Resident 187 with wearing and keeping the glasses on. Interview with the unit manager/Registered Nurse (RN) F on 05/25/2017 at 12:22 PM revealed there was no problem on the care plan addressing Resident 187's impaired vision or interventions to aide in the wearing of the eye glasses but that it is noted on the Resident Assignment sheet that Resident 187 was to wear glasses.	2020-09-01