cms_NE: 6590

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
6590 ASHLAND CARE CENTER 285140 1700 FURNAS STREET ASHLAND NE 68003 2015-12-16 312 E 1 0 61U611 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > LICENSURE REFERENCE NUMBER: 175 NAC 12-006.09D1c Based on record review and staff interview; the facility failed to provide bathing in accordance with bath schedules for four residents requiring assistance with bathing tasks (Residents 8, 9, 10 and 11). Facility census was 70. Findings are: A. Review of Resident 8's MDS (Minimum Data Set -a federally mandated comprehensive assessment tool used for care planning) dated 11/27/15 indicated that Resident 8 was totally dependent with assistance of one for bathing. Record review of the facility's undated bath schedules for Resident 8 revealed Resident 8 was to receive two baths per week. Record review of Resident 8's bath flow sheet (form used to record provision of each resident's shower/bath) for (MONTH) and (MONTH) (YEAR) indicated Resident 8 only received a bath on 11/2/15, 11/9/15, 11/19/15, 11/24,15 and 12/9/15 and not twice a week as scheduled. Interview with Resident 8 and Resident 8's family member on 12/16/15 at 4:20 PM revealed Resident 8 was supposed to be getting two baths per week but had only been getting one per week and wasn't sure why this was occurring. Resident 8 further stated there were days when the facility did not have enough staff working. Resident 8's family member responded that one bath per week was just not enough for Resident 8. B. Review of Resident 9's MDS dated [DATE] indicated the resident was totally dependent with assistance of one for bathing. Record review of the facility's undated bath schedules for Resident 9 revealed Resident 9 was to receive two baths per week. Record review of Resident 9's bath flow sheets for (MONTH) and (MONTH) (YEAR) indicated Resident 9 received a bath on 11/5/15, 11/10/15, 11/19/15, 12/1/15, 12/8/15 and 12/10/15 and not twice a week as scheduled. Interview with Resident 9 on 12/16/15 at 4:10 PM revealed Resident 9 was no longer getting 2 baths per week because the facility was having trouble finding staff to get both baths done. C. Review of Resident 10's MDS dated [DATE] indicated the resident was totally dependent with assistance of one for bathing. Record review of the facility's undated bath schedules for Resident 10 revealed Resident 10 was to receive two baths per week. Record review of Resident 10's bath flow sheet for (MONTH) and (MONTH) (YEAR) indicated Resident 10 received a shower on 11/3/15, 11/10/15, 11/20/15, 11/25/15, 12/3/15, 12/8/15 and 12/10/15 instead of twice a week as scheduled. D. Review of Resident 11's MDS dated [DATE] indicated the resident required physical assistance of one to transfer into the bath. Record review of the facility's undated bath schedules for Resident 11's revealed Resident 11 was to receive two baths per week. Record review of Resident 11's bath flow sheet for (MONTH) and (MONTH) (YEAR) indicated Resident 11 received a bath on 11/6/15, 11/13/15, 11/20/15, 11/27/15, 12/1/15, 12/8/15 and 12/12/15 instead of twice a week as scheduled. Record review of the minutes from Resident Council Meetings from (MONTH) to (MONTH) (YEAR) revealed reoccurring monthly complaints that baths were not being given as scheduled. Interview with NA (Nursing Assistant) A on 12/15/15 at 2:15 pm revealed that residents are scheduled for 1 or 2 baths per week. NA A stated that NA A had gotten pulled from baths to work the floor about 1 time per week. 2018-12-01