cms_NE: 6591
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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facility_name
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address
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city
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state
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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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| 6591 |
ASHLAND CARE CENTER |
285140 |
1700 FURNAS STREET |
ASHLAND |
NE |
68003 |
2015-12-16 |
353 |
E |
1 |
0 |
61U611 |
> LICENSURE REFERENCE NUMBER 175 NAC 12-006.04C Based on record review and interview, the facility failed to provide sufficient nursing staff to meet resident's needs related to not providing baths in accordance with bath schedules for Resident 8, 9, 10 and 11, who required assistance with bathing. Facility census was 70. Findings are: 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. NA A further stated 2 bath aides are normally scheduled for to give baths from 6 am to 2 pm on Monday through Friday. Interview with MA (Medication Aide) B on 12/15/15 at 2:30 pm revealed that the bath and restorative aides frequently get pulled to work on the floor when staffing is short and that staffing levels were frequently inadequate. 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. (MONTH) (YEAR) minutes revealed, (Residents) feel there should be more staffing. 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. 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. Record review of the facility's undated bath schedules for Resident 8, 9, 10 and 11 revealed these residents were to receive two baths per week. Record review of Resident 8, 9, 10 and 11's bath flow sheets (form used to record provision of each resident's shower/bath) for (MONTH) and (MONTH) (YEAR) indicated all four residents received an average of one bath per week for the months of (MONTH) and (MONTH) instead of twice a week as scheduled. Record review of the facility's (MONTH) (YEAR) daily nursing schedule revealed that there were only 9 days in the month that 2 bath aides were available for baths and that there was no bath aide at all scheduled on 11/13/15, 11/16/15 and 11/30/15. |
2018-12-01 |