cms_NE: 5817
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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| 5817 |
SIDNEY REGIONAL MEDICAL CENTER-EXTENDED CARE |
285290 |
549 KELLER DRIVE |
SIDNEY |
NE |
69162 |
2016-09-27 |
226 |
J |
1 |
0 |
CZTZ11 |
> Licensure Reference Number 175 NAC 12-006.05 (9) Based on record reviews and interviews, the facility failed to ensure that staff reported allegations of staff to resident abuse immediately to administrative staff to protect the resident from further opportunities of abuse for one sampled resident (Resident 1). The facility census was 50. Findings are: Review of the facility Investigative Report Incident/Unusual Occurrence, completed by the DON (Director of Nursing), revealed that on 9/9/16 at 3:00 PM NA (Nursing Assistant) - A reported that NA - B was too rough with Resident 1 during cares on 9/2/16. Further review revealed that NA - A reported that during the cares the resident stated to NA - B don't be so rough that hurts and get out of here I don't want you in here and NA - B continued with the resident's cares. NA - A reported that NA - B bent over and got into the resident's face and prayed over the resident and stated in a mocking way God bless your angry hateful soul and sung taunting like songs over the resident. When the cares were completed NA - A tried to report the incident to a charge nurse who was on the phone and told NA - A to find (gender ) after break. Later, in the dining room, NA - A reported that NA - B was tauntingly blowing kisses and making comments to the resident during the meal. NA - A and another staff member assisted the resident later in the evening and the resident stated that (gender) didn't want NA - B in the room again. Further review of the report revealed that RN (Registered Nurse) - C, Charge Nurse, stated that NA - A reported the incident at approximately 6:00 PM on 9/2/16. RN - C instructed NA - A to write out concerns and put it under the DON's office door. RN - D, Charge Nurse, stated was aware of the incident at approximately 7:30 PM - 8:00 PM from NA - B. Review of the nursing Schedule revealed that NA - B was not suspended pending an investigation to protect the resident from potential further abuse. NA - B worked the evening shift on 9/9/16 , the day shift on 9/10/16 and 9/12/16. Review of the facility policy Suspected Patient or Resident Abuse or Neglect, not dated, revealed the following including: Purpose: . To ensure that the patient's safety and rights are protected. Investigation Procedure: 1. When a person has reasonable cause to believe, or has observed a condition which would result in abuse, staff be responsible for reporting the incident to their supervisor and assisting with the documentation of the incident. 2. The supervisor/DON is responsible to: i: Assist the employee to complete a variance reports(s). ii. 'Clock-Out' the employee observed violating the abuse policy and send home pending an investigation if appropriate. iii. Report the incident to the Director of Nursing and Administrator on call. iv. Document the events, patient's condition, interventions, and other relevant information in the clinical record. v. Monitor the patient's condition and follow up as needed. Protection Procedure: Any employee who suspects or observes that a patient is being or has been abused or neglected will immediately report his/her concerns or observation to the Charge Nurse on duty. The nurse on duty must immediately assess the situation, the patient/resident's condition . The Director of Nursing and Administrator must be contacted immediately.If it is a staff to patient the staff will be interviewed, incident or written detail obtained and they they will be clocked out and sent home . Interview with the Administrator on 9/13/16 at 11:40 AM confirmed that the 1) staff did not report the allegations of staff to resident abuse immediately to the administrative staff and 2) the administrative staff did not suspend the staff member immediately for an investigation when they were notified of the allegations of staff to resident abuse. Further interview confirmed that the staff were to follow the facility abuse prohibition procedures to ensure that residents were protected from potential further abuse. Prior to the survey team exit on 9/13/16, the Administrator set up inservices for all staff on duty to review the facility abuse prohibition procedures, including how to protect the resident from further abuse. The Administrator planned to provide the inservice for the employees on the next two shifts and then provide a mandatory inservice for all staff. Due to these measures, the Immediate Jeopardy was abated and the scope and severity of the deficiency was lowered to a D. The staff inservices were completed on 9/15/16. |
2019-09-01 |