cms_NE: 6095
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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| 6095 |
BLUE HILL CARE CENTER |
285144 |
414 NORTH WILLSON |
BLUE HILL |
NE |
68930 |
2015-08-03 |
156 |
C |
0 |
1 |
IVKP11 |
Based on record review and staff interview, the facility failed to provide Medicare denial notices for three residents (Residents 27, 19, and 21) using the correct expedited process forms and giving the beneficiaries the notice to request a Medicare demand bill. The facility census was 34. Findings are: A. Review of Resident 21's Social Service IDPN (Interdisciplinary Note) on 7/29/15 at 12:32 revealed that, on 4/9/15, the resident's family (no name) was notified that the resident no longer qualified for Medicare A and would be returning to the resident's former payer source. A message was left on the family member's answering machine. Interview on 7/29/15 at 9:44 AM with the Administrator revealed that there was no copies of Resident 21's forms in the facility. The forms had not been sent certified and the family had not returned the forms. The resident no longer resided in the building. B. Review of Resident 27's Medicare Expedited Letter issued on 6/8/15 revealed the wrong form was used. The family member was notified by phone on 6/8/15. C. Review of Resident 22's Expedited Letter revealed that the resident's Medicare A benefits were ending on 2/17/15. Resident 22 signed the Expedited letter on 2/16/15. The resident was given the wrong form and not the 48 hours the notice required. Resident 22 received a Skilled Nursing Facility Non Coverage Notice dated 2/13/15 and the notice was not signed until 2/16/15 when the Expedited Letter was signed. D. On 7/29/15 at 3:32 PM, an interview with the Administrator revealed that the Administrator acknowledged that Residents 27 and 22 were not given a 48 hour notice when they were denied from Medicare A. |
2019-06-01 |