cms_NE: 5779

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

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
5779 HILLCREST HEALTH & REHAB 285133 1702 HILLCREST DRIVE BELLEVUE NE 68005 2015-06-03 309 D 0 1 EJB611 LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D2c Based on observation, record review and interview; the facility staff failed to identify and monitor a wound area for 1 resident (Resident 569). The facility staff identified a census of 83. Findings are: Record review of Resident 569's Care Plan (CP) printed on 6-01-2015 revealed an admitted d of 5-21-2015. Review of Resident 569's CP revealed Resident 569 was at risk for skin breakdown. The goal for the resident was to .have no skin breakdown. Observation of personal cares on 6-01-2015 at 11:43 AM with Nursing Assistant (NA) E revealed NA E positioned Resident into left side laying position and began to cleanse Resident 569's buttocks and scrotum area. Resident 569 reported to NA E the scrotum area had a sore and the nurses were aware. Observations revealed Resident 569 had an open area to the lower part of the scrotum that measured approximately 0.7 cm (centimeters). Record review of a Weekly Skin Assessment (WSA) sheet dated 5-31-2015 revealed the open area to Resident 569's scrotum had not been identified. According to the information on the WSA sheet, Resident 569's scrotum was red and was being treated. Record review of Resident 569's medical record did not contain evidence that the facility staff had identified and were monitoring the open area. On 6-02-2015 at 8:00 AM the Director of Nursing (DON) provided documentation dated 6-01-2015 that Resident 569 had 2 open areas on the scrotum. On 6-04-2015 at 9:13 AM a follow up interview via phone call was conducted with the DON. During the interview, the DON confirmed the facility was not aware Resident 569's scrotum had open areas. 2019-09-01