cms_NE: 5789
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 5789 |
HILLCREST HEALTH & REHAB |
285133 |
1702 HILLCREST DRIVE |
BELLEVUE |
NE |
68005 |
2016-09-29 |
332 |
D |
1 |
0 |
QWZ111 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > LICENSURE REFERENCE NUMBER 175 NAC 12-006.10D Based on observation, record review and interview;the facility staff failed to ensure a medication error rate of less then 5%. Observations of 30 medication administered revealed 4 errors resulting in an error rate of 13.33%. The medication errors effected 2 (Resident 5 and 6) of 3 sampled residents. The facility staff identified a census of 101. Findings are: A. Record review of Resident 5's physician's orders [REDACTED]. The directions were that resident 5 was to have 1 spray in each nostril. The instruction for use of the [MEDICATION NAME] medication was that Resident 5's pulse was to be taken prior to the administration. Observation on 9-29-2016 at 9:40 AM revealed Certified Medication Assistant (CMA) C prepared the morning medications that included the [MEDICATION NAME] and [MEDICATION NAME] and entered Resident 5's room. CMA C without obtaining a pulse gave Resident 5 the medications that were to be swallowed. CMA C then prepared to administer the nasal spray when Resident 5 reported (gender) would do the nasal spray. CMA C without cuing Resident 5 on the use of the nasal spray gave it to Resident 5. Resident 5 sprayed 2 sprays into each nostril. An interview with CMA C was conducted on 9-29-2016 at 9:50 AM. During the interview, CMA C confirmed Resident 5's pulse was not obtained prior to the administration of the [MEDICATION NAME] and Resident 5 used 2 sprays instead on one in each nostril. B. Record review of Resident 6's Medication Administration Record [REDACTED]. Observation on 9-29-2016 at 8:28 AM revealed Licensed Practical Nurse (LPN) B prepared Resident 6's medications. During the preparation LPN B reported Resident 6's Vitamin A, C and Zinc and [MEDICATION NAME] were not available to be given to Resident 6. On 9-29-2016 at 9:50 AM a follow up interview was conducted with LPN B. During the interview LPN B confirmed Resident 6 did not receive the [MEDICATION NAME] or the Vitamin A, C and Zinc combination. |
2019-09-01 |