cms_NE: 5787

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
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