cms_NE: 5786
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5786 | HILLCREST HEALTH & REHAB | 285133 | 1702 HILLCREST DRIVE | BELLEVUE | NE | 68005 | 2015-06-03 | 520 | D | 0 | 1 | EJB611 | Licensure Reference: 175 NAC 12-006.07C Based on record review and staff interview, the facility Quality Assurance and Performance Improvement program failed to identify issues relevant to F280 and failed to ensure correction was maintained for repeat deficiencies at F280 and F329. The facility had a total census of 83 residents. Findings are: A review of facility policy titled Quality Assurance and Performance Improvement dated 1/1/2013 revealed the purpose of the quality assurance and performance improvement programs was to ensure person person-centered care. An objective of the quality assurance and performance improvement programs was to continually improve quality of care and quality of life to comply with regulatory requirements and customer satisfaction. Quality of care data collection areas include falls, falls with major injury, antipsychotic medication, pressure ulcers new or worsened, influenza vaccination and pneumococcal vaccination. A review of facility Casper Report 0003D, Provider History Profile revealed the facility was cited for F280 revision of care plan, and F329 drug regimen free from unnecessary drugs during recertification survey completed 3/31/14. The facility was cited for the same requirements during survey completed 6/3/15. In an interview on 6/3/15 at 8:27 AM, the Director of Nursing reported the Quality Assurance and Performance Improvement program was not currently reviewing urinary incontinence or care planning or development of care plans. | 2019-09-01 |