cms_NE: 6305

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
6305 HILLCREST HEALTH & REHAB 285133 1702 HILLCREST DRIVE BELLEVUE NE 68005 2016-04-27 333 D 1 0 IO6811 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Licensure Reference Number: 175 NAC 12-006.10D Based on interview and record review; the facility failed to ensure that one resident (Resident 4) was free of significant medication errors. The facility census was identified at 109. Findings are: A. Record review of Resident 4's Face Sheet, dated 04/27/2016, revealed that Resident 4 was admitted on [DATE] for the following medical [DIAGNOSES REDACTED]. Record review of Resident 4's Medication Administration Record [REDACTED]. Record review of Resident 4's Preoperative Surgery Instruction sheet dated 11/19/2015 revealed instructions to do not take blood thinner medications within 7 days prior to your surgery. Surgery was scheduled on 12/1/2015. Staff noted this and both medications were discontinued on 11/24/2015. Record review of nursing progress notes dated 11/24/2015, revealed that Resident 4's POA (Power of attorney) canceled the scheduled surgery and that the nursing staff had notified the pharmacy to restart both medications. Record review of Resident 4's (MAR) for the month of (MONTH) revealed that Resident 4 was not receiving either Aspirin [MEDICATION NAME] coated 81 mg by mouth daily and Eliquis 2.5 mg by mouth twice a day as previously ordered on [DATE]. Record review of the physician orders [REDACTED]. Interview with RN G and RN E on 04/26/2016 at 1:30 PM, confirmed that these medications were discontinued and not restarted. When RN G was asked what the expectations for follow-up was; RN G stated the expectation of the staff was that the staff would report on to the oncoming shifts that the medication needs to be restarted and that they should continue to follow-up until the medication is restarted. RN G confirmed that the resident probably should have been on an anticoagulant due to the [MEDICAL CONDITION] condition and was not. Based on this resident's condition and the length that Resident 4 had gone without the anticoagulant medication, RN G considers this to be a significant medication error. 2019-04-01