cms_NE: 6616
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6616 | OMAHA NURSING AND REHABILITATION CENTER | 285240 | 4835 SOUTH 49TH STREET | OMAHA | NE | 68117 | 2015-12-07 | 309 | D | 1 | 0 | JX0E11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and interview; the facility staff failed to evaluate respiratory status for 1 resident (Resident 1). The facility staff identified a census of 60. Findings are: Record review of an Admission Record sheet printed on 12-07-2015 revealed Resident 1 was admitted to the facility with the [DIAGNOSES REDACTED]. Record review of an Order Summary Report sheet printed on 12-07-2015 revealed Resident 1 was to have nothing by mouth (NPO). Record review of a Fax sheet noted on 9-02-2015 revealed the facility staff had notified Resident 1's physician that Resident 1 was observed drinking water and reported did not know (gender) was NPO. According to the information on the fax sheet, Resident 1 reported eating and drinking when goes out with a family member. Resident 1's physician gave an order to . try thicken liquids PO (by mouth). Record review of Resident 1's medical record revealed there was not an ongoing evaluation of Resident 1's respiratory status for the trail of the thicken liquids. An interview was conducted with the facility Director of Nursing (DON). During the interview review of the Fax sheet notes on 9-02-2015 was reviewed. When asked how often Resident 1's respiratory status should be evaluated, the DON reported every shift. The DON confirmed during the interview Resident 1's respiratory status had not been monitored every shift and should have been. | 2018-12-01 |