cms_NE: 67

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
67 HOMESTEAD REHABILITATION CENTER 285049 4735 SOUTH 54TH STREET LINCOLN NE 68516 2019-09-30 644 D 0 1 UZYC11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews and interview, the facility failed to ensure a PASARR (Pre-admission/Resident Review an assessment to determine placement recommentations and services for residents with serious mental illness or mental disability) level 2 referral was completed for two sampled residents (Residents 77 and 116). The faciilty census was 123. Findings are: [NAME] Record review of Resident 77's, Face Sheet printed on 9/24/19 revealed the resident was admitted to the facility on [DATE]. Among the psychiatric [DIAGNOSES REDACTED]. Record review of Resident 77's MDS (Minimum Data Set, a federally mandated comprehensive assessment tool utilized to develop resident care plans) assessments revealed the resident had a Quarterly assessment completed on 8/14/19. The MDS recorded the resident had not been evaluated by Level II PASRR and determined to have a serious mental illness and/or mental [MEDICAL CONDITION] or a related condition. The MDS identified Psychiatric/Mood Disorder [DIAGNOSES REDACTED]. In the medication section of the MDS, the facility identified the resident received an Antipsychotic medication and an Antidepressant medication on 7 of the previous 7 days. Record review of Resident 77's PASRR documents from the resident's medical record revealed the resident received a PASRR Level I assessment on 1/18/05 and no PASRR Level II assessments during the resident's stay. Review of the PASRR Level I revealed the resident has substantial limitations for major life activities due to inability to make decisions, and capacity to independent living. The assessment did not record a [DIAGNOSES REDACTED]. The PASRR level I did not record that the resident received [MEDICATION NAME] (an antipsychotic medication) daily for dementia. Interview with CSC (Clinical Services Consultant) on 9/24/19 at 3:30 PM revealed there is not another PASRR for Resident 77 since the one that was completed on 1/18/05. The CSC confirmed Resident 77 was diagnosed with [REDACTED]. The CSC verified that Resident 77 was diagnosed with [REDACTED]. B. Record review of PASARR for Resident 116 dated 11/16/15 revealed; no SMI (Serious Mental Illness), no history of mental disorders, No behaviors, No concentration/task related problems, no adaptation to change, no mental health problems, and no significant disruption in life. Resident 116 had a primary [DIAGNOSES REDACTED]. Record review of Psychiatric Services dated 4/12/19 revealed; dx of [MEDICAL CONDITION] Major neurocognitive disorder, HX of [MEDICAL CONDITION]/anxiety with development of cognitive deficits. The Provider was asked to see due to agitation period of yelling out Resident 116 was noted to be confused but was calm during exam. Medications were increased [MEDICATION NAME] to 200mg TID (3 times daily) better overall. The medications prescribed for Resident 116 were [MEDICATION NAME] for [MEDICAL CONDITION] and [MEDICATION NAME] for [MEDICAL CONDITION] per chart. Record review of Care plan dated with a start date of 10/02/2018 Category: [MEDICAL CONDITION] Drug Use Resident 116 was at risk for adverse consequences R/T receiving antidepressant medication [MEDICATION NAME] and antipsychotic medication [MEDICATION NAME] for treatment of [REDACTED]. Care Plan dated with a start date of 07/03/2018 revealed that Resident 116 had behaviors of calling out help me frequently. [DIAGNOSES REDACTED]. On [MEDICATION NAME] for [MEDICAL CONDITION]. An interview on 09/24/19 03:36 PM CSC Q confirmed; the PASARR received from the facility that discharged Resident 116 did not reflect the residents current [DIAGNOSES REDACTED]. Record review of Resident 116 Annual MDS dated 9 revealed; Section A 1500 Prescreening and Resident Review was answered no, Level II 1510, 1550 had not been marked. Section I 4800 Non-Alzheimer's Dementia Section I 5300 [MEDICAL CONDITION] Section I 5900 [MEDICAL CONDITION] Section O No special therapies. 2020-09-01