cms_NE: 61
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 61 | HOMESTEAD REHABILITATION CENTER | 285049 | 4735 SOUTH 54TH STREET | LINCOLN | NE | 68516 | 2019-09-30 | 583 | F | 1 | 1 | UZYC11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > LICENSURE REFERENCE NUMBER 175 NAC 12-006.05(21) Based on record review, interview and observations the facility failed to protect resident privacy by posting photos/videos of residents on a social media site for 2 residents (Resident 45 and 86), the facility failed to ensure that a resident was draped during personal cares for 1 resident (Resident 58), and the facility failed to protect residents privacy by having the EMR (Electronic Medical Records) open to public view, this had the potential to affect all residents past and present. The facility census was 123. Findings are: [NAME] Record review of a report dated 05/24/19 revealed Resident 45 was admitted on [DATE]. Resident 45 [DIAGNOSES REDACTED]. Assist level is total dependence for all activities of daily living. Record review of Quarterly MDS dated [DATE] revealed; Section G 0110 Functional status Resident 45 required extensive 2 person assist for bed mobility, transfers, dressing, toilet use, and personal hygiene. BIMS ( Brief Interview for Mental Status) was 0 of 15 indicating severe impaiment. Section I 8000 revealed; TODD's paralysis (post epileptic), Diabetes, Parkinson, encephalopath, dysphasia and [MEDICAL CONDITION] following cerebral infarct. Record review of a report dated 05/24/19 revealed; an anonymous reporter had notified the Administrator that a staff member had posted videos and photos of residents making fun of them on snap chat. It was found that NA (Nursing Assistant) L had posted the photos. The Administrator had confirmed the 2 resident in the photos were Resident 45 and 86. The Administrator and CSC (Clinical Services Coordinator) had called NA L, who had become agitated with the questions. On 05/31/19 NA L's employment was terminated. The conclusion was that NA L violated the facility policy of Abuse, Neglect and Exploitation. The facility action was to terminate NA [MI] The facility notified APS (Adult Protective Services), DHHS (Department of Health and Human Services), and the NA registry. Record review of the Policy for Homestead personal cellular phones revealed; while on duty to use a cell phone was prohibited. Since this policy was overly abused the facility was no longer allowing cell phones in the building. Employees were not to carry cellular phones on them in person while at work. Managers were to use cell phones for business purposes only. Record review of the Policy for Social Networking Media Policy signed and dated by NA L on 04/24/19 revealed; Photos of the facility/company or residents were not to be used or posted on any site. Photographs of other employees could only be posted with permission of the employee and may not identify the employer. Please refer to resident privacy and HIPPA (Health Insurance Portability and Accountability Act- is United States legislation that provides data privacy and security provisions for safeguarding medical information) policy for further guidance. Record review of a document signed by NA L dated 9 revealed; NA L had been given a copy of the reporting requirements for elder abuse and neglect. Record review of a document signed by NA L dated 9 confirmed; that NA L had read the HIPAA/Privacy Policy. Record review of Nebraska Central Registry Check Request revealed; NA L had no records found for APS (Adult Protective Services) or CPS (Child Protective Services). Record review of Public health Licensure Unit Certification of Licensure revealed; no disciplinary action taken against this license. Record An observation with the CSC on 09/25/19 at 3:50PM of a video that had been posted to a social media site of Resident 45, the facility was able to identify that the resident in the video was Resident 45. The film showed the employee prior to the resident filmed. An interview on 9 at 3:50 PM with the CSC confirmed; that the facility identified the employee who had posted the video because they had filmed themselves prior to the filming the resident. The CSC reported that the employee would not answer questions and employee had been terminated post investigation. B Record review of investigation document initiated on 05/24/19 and completed on 05/30/19 revealed; that Resident 86 was admitted on [DATE]. Primary [DIAGNOSES REDACTED]. BIMS score was 7/of 15 indicating severe cognitive impairment. Record review of a photo posted to the social media site provided by the facility revealed; Resident 86 was seated in a wheelchair with a cover and had laughing emoji's with my life help, help, help. The post was dated 9. NA L's name was posted and the photo was posted 14 hours ago. Record review of Resident 86's MDS Quarterly dated 05/29/19 revealed; Section G 0110 Resident 86 was extensive assist with 2 person for Bed mobility, transfers, dressing, and toileting, was one assist for eating and locomotion, the MDS revealed; resident 86 did not ambulate was able to surface to surface transfers with assistance. Section I 4800 revealed; dx of dementia, I 5700 anxiety, C. An observation on 09/25/19 at 10:23 AM of Perineal care for Resident 58. Resident 58's pants were pulled down to the residents ankles and the resident was exposed (no blanket covered the resident) the brief was removed and the resident had been incontinent. Perineal care was completed. Resident 58 requested to be covered. The NM (Nurse Manager) had to exit room to ask staff to get a cover. The bed spread was on the floor between the wall and bed. There was not sheet located on the bed. An interview on 09/30/19 03:30 PM with the DON confirmed; that staff should have linen in the room prior to the start of cares. Record review of Perineal Care Policy dated 9 revealed; Fold the bed spread toward the foot of the bed, Fold the sheet down to the lower part of the body and cover the torso with a sheet, raise the gown or lower the pajamas, and avoid unnecessary exposure of the resident's body. D) Observation on 9/24/19 at 7:47 AM revealed the 200 hall medication cart computer was left unattended with the screen unlocked and displaying resident information. Observation on 9/24/19 at 7:48 AM revealed LPN-A (Licensed Practical Nurse) returned to the 200 hall medication cart and was preparing to administer a resident's medications. Observation on 9/24/19 at 7:50 AM revealed the 200 hall medication cart was left unattended with the screen unlocked and displaying resident information. Interview on 9/24/19 at 7:51 AM with LPN-A revealed the computer with access to resident medical records should have been secured when left unattended. E) Observation on 9/26/19 at 7:13 AM revealed the 200 hall medication cart computer was left unattended with the screen unlocked and displaying resident information. Interview on 9/26/19 at 7:15 AM with LPN-B revealed the computer screen should not have been unlocked and displaying resident information when unattended. Interview on 9/26/19 at 11:17 AM with CSC (Clinical Services Coordinator) revealed the expectation for securing resident medical information was to secure the computer and ensure resident information is not displayed when the computer would be left unattended. | 2020-09-01 |