cms_NE: 5787
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5787 | HILLCREST HEALTH & REHAB | 285133 | 1702 HILLCREST DRIVE | BELLEVUE | NE | 68005 | 2016-09-29 | 309 | D | 1 | 0 | QWZ111 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Licensure Reference: 175 NAC 12-006.09D Based on record review, observation, and interview; the facility failed to ensure an effective pain management program for one of four sampled residents (Resident 6). The facility had a total census of 101 residents. Findings are: Resident 6 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. A review of Pain assessment dated [DATE] revealed Resident 6 identified continuous pain at a level of 10 in the area of left hip and groin. A pain rating scale of 0 to 10 was used with levels 8-10 being severe. Resident 6's Care Plan identified a problem with pain dated 9/10/16. Interventions included pain medication scheduled with therapy times. A review of Resident 6's 9/2016 MAR (Medication Administration Record) revealed Resident 6 had orders for the following pain medications: [REDACTED]. Observations on 9/29/16 between 8:34 AM and 9:09 AM revealed Physical Therapist A was assisting Resident 6 to therapy. Resident 6 reporting having pain of a level 4 in Resident 6's left thigh. Physical Therapist A asked LPN B (Licensed Practical Nurse) if Resident 6 would be receiving any medications for pain. LPN B reported Resident 6 would be receiving pain medications and provided Resident 6 with medications. Physical Therapist A then transported Resident 6 to the therapy gym. Resident 6 continued to report pain in left thigh. Physical Therapist A utilized electrical stimulation (use of electrical stimulation for pain management) to decreased Resident 6's pain but Resident 6 continued to report pain in left thigh. Physical Therapist A modified Resident 6's therapy due to on-going reports of pain and increased heart rate. Observations on 9/29/16 at 8:28 AM of LPN B providing medications to Resident 6 revealed no medications for pain were provided. In an interview on 9/29/16 at 9:50 AM, LPN B confirmed no medications for pain were given at 8:28 AM. In an interview on 9/29/16 at 12:55 PM, LPN B reported Resident 6 had been given [MEDICATION NAME] 5-325 approximately 1 hour ago after returning from therapy. In an interview on 9/29/16 at 4:47 PM, the Director of Nursing confirmed Resident 6 should have received pain medications prior to going to therapy. | 2019-09-01 |