cms_NE: 5824

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

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
5824 ST JANE DE CHANTAL 285004 2200 SOUTH 52ND STREET LINCOLN NE 68506 2015-10-29 431 D 0 1 484F11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference Number: 175 NAC ,[DATE].12E7 Based on observation and interview, the facility failed to ensure two insulin vials were not expired prior to administration for two residents (Residents 155 and 137). The facility had a census of 121 residents. Finding are: A. Observation of a medication pass to Resident 155 on [DATE] at 12:08 PM revealed Licensed Practical Nurse (LPN) D to get a vial of Resident 155's Humalog (a fast acting insulin used to treat diabetes) from a zippered bag in the medication cart, prepare it and administer 4 units to Resident 155 by injection. After completion of the insulin administration the vial of Humalog insulin was observed to not be labeled with the date it was opened. B. Observation of medication pass to Resident 137 on [DATE] at 12:34 PM revealed LPN D to get a vial of Resident 137's Humalog insulin from another zippered bag in the medication cart, prepare it and administer 15 units to Resident 137 by injection. After completion of the insulin administration the vial for the Humalog insulin was observed to not be labeled with the date it was opened. C. Interview with LPN D on [DATE] at 12:50 PM revealed, when the individual resident's insulin vials were opened, they were stored in a separate zipped bag in the medication cart for administration. A follow up observation of the insulin vials on [DATE] at 4:30 PM revealed the insulin remained in the individual zippered bags and the vials remained in place for administration on the evening shift. Interview with LPN E on [DATE] at 4:33 PM confirmed that the insulin would be used for the next medication pass. LPN E further stated that LPN E had no way of knowing how many days had passed since the vials were opened because no one labeled them with the date they were opened. Interview with the Director of Nursing (DON) on [DATE] at 5:00 PM revealed all insulin should be dated when opened and discarded 28 days after being opened. 2019-08-01