cms_NE: 5782

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
5782 HILLCREST HEALTH & REHAB 285133 1702 HILLCREST DRIVE BELLEVUE NE 68005 2015-06-03 329 D 0 1 EJB611 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D Based on record review and interview; the facility staff failed to administer a PRN (as needed) antipsychotic medication according to the indications, failed to clarify orders for the use of a antipsychotic medication for 1 resident (Resident 552) and failed to have target behaviors for the use of a antipsychotic medication for 1 resident (Resident 560). The facility staff identified a census of 83. Findings are: A. Record review of a Face Sheet dated 4-30-2015 revealed Resident 552 was admitted to the facility on [DATE]. Record review of Resident 552's Medication Administration Record [REDACTED]. Further review of Resident 552's MAR for (MONTH) (YEAR) revealed Resident 552 had received the PRN [MEDICATION NAME] for anxiety on the following dates: -5-17-2015. -5-21-2015. -5-22-2015. -5-25-2015. Resident 552 received the PRN [MEDICATION NAME] on 5-18-2015 for restlessness and on 5-26-2015 received the medication for anxiety and agitation. B. Record review of a Physician's Progress Notes (PPN) dated 5-21-2015 revealed Resident 552's practitioner had made a weekly visit for the resident. According to the PPN dated 5-21-2015 Resident 552's [MEDICAL CONDITION] had resolved and the practitioner documented Will DC (discontinue) [MEDICATION NAME]. An interview was conducted with the Director of Nursing (DON) on 6-01-2015 at 2:02 PM. During the interview, review of the PRN [MEDICATION NAME] administration was reviewed with the DON. The DON confirmed the PRN [MEDICATION NAME] was not given correctly. The DON reported following up with the practitioner and confirmed the [MEDICATION NAME] should have been discontinued on 5-21-2015. C. Record review of Resident 560's Comprehensive Care Plan (CCP) dated 05/23/2015 revealed Resident 560 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Record review of Resident 560's Medication Administration Record [REDACTED]. Further review of Resident 560's MAR for may (YEAR) revealed Resident 560 had received the PRN on the following dates: -05/25/2015 -05/26/2015 -05/27/2015 -05/30/2015 -05/31/2015 Review of Pharmacy Medication Regimen review dated 05/22/2015 revealed Resident 560 was receiving psychoactive medication and should have ongoing behavior monitoring, diagnoses, target behaviors identified, necessary gradual dose reduction and side effect monitoring for Resident 560. Record review of Resident 560's Comprehensive Care Plan (CCP) dated 05/23/2015 did not have identified targeted behaviors for antipsychotic and antianxiety medication order by Resident 560's physician. In an Interview with the Director of Nursing (DON) on 06/02/2015 at 10:37 AM the DON revealed that the expectation was to have targeted behaviors identified for [MEDICATION NAME] and [MEDICATION NAME] for Resident 560 and that the targeted behaviors should be located on the CCP. DON also confirmed that there were no targeted behaviors identified for Resident 560 for the antipsychotic medication, [MEDICATION NAME], and the antianxiety medication, [MEDICATION NAME]. 2019-09-01