cms_NE: 6197

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.

Data source: Big Local News · About: big-local-datasette

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
6197	DOUGLAS COUNTY HEALTH CENTER	285019	4102 WOOLWORTH AVENUE	OMAHA	NE	68105	2015-06-24	441	D	0	1	72PT11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY LICENSURE REFERENCE NUMBER 175 NAC 12-006.17D Based on observation and interview; the facility staff failed to utilize handwashing and gloving techniques to prevent potential cross contamination during catheter cares for 1 Resident ( Resident 13) and failed to clean scissors before and after use during a wound treatment for 1 resident (Resident 234). Findings are: A. Record review of a undated Patient Admission sheet Revealed Resident 13 was admitted to the facility on [DATE]. Record review of Resident 13's Minimum Data Set (MDS: a federally mandated comprehensive assessment tool used for care planning) dated 4-02-2015 revealed the facility staff assessed the following about the resident: -Resident 13 required extensive assistance with bed mobility. -Required total assistance with transfers, dressing, eating, toilet use and personal hygiene. -Indwelling catheter (tube placed into the bladder to drain urine). Record review of Resident 13's Comprehensive Care Plan (CCP) printed on 1-28-2015 revealed Resident 13 used 2 types of catheters, a supra pubic catheter ( tube placed into the bladder usually through the abdominal area) and a indwelling foley catheter (tube inserted through urinary tract). Observation of catheter cares on 6-22-2015 at 10:22 AM revealed Nursing Assistants (NA) I and NA J washed hands and donned gloves. NA I cleansed the supra pubic insertion site and catheter tubing, and without changing the soiled gloves, cleansed the foley catheter, that included the penis and tubing. After completing the catheter cares, NA I and NA J removed the soiled items and washed hands. An interview was conducted with NA I on 6-22-2015 at 10:58 AM. During the interview when asked if the gloves should have been changed between cleaning catheters, NA I stated yes, I should have. B. Record review of Resident 234's Comprehensive Care Plan (CCP) printed on 5-27-2015 revealed Resident 234 was admitted on [DATE]. Record review of a Physicians Orders sheet dated 6-08-2015 revealed Resident 234 had pressure ulcers to each heel. Observation on 6-22-2015 at 11:33 AM revealed Licensed Practical Nurse (LPN) H obtained the required treatment supplies. LPN H explained to Resident 234 about the treatment. LPN H removed scissors from (gender) pocket and placed then onto Resident 234 tray table. LPN H removed socking from each foot and cut off Kling wrap from around each wound. LPN H applied the ordered medication to left heel, wrapped it with part of a new roll of Kling wrapping and using the unclean scissors, cut the excess off. LPN H completed the treatment to the right heel, wrapped it with Kling and placed the unclean scissors into (gender) pocket. An interview with LPN H was conducted 6-22-2015 at 11:58 AM. During the interview, LPN H confirmed that the scissors for the treatment were removed from (gender) pocket and had not been cleaned after cutting off the soiled dressings.	2019-05-01