cms_NE: 6729

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

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
6729	ASHLAND CARE CENTER	285140	1700 FURNAS STREET	ASHLAND	NE	68003	2015-10-20	441	E	1	0	4N8U11	Licensure Reference Number: 175 NAC 12-006.17 Based on observation, record review and interview, the facility failed to ensure dirty linens were not placed on the floor for for one resident (Resident 4), ensure that multi-use sit-to-stand lifts were maintained in a cleanable manner for (Resident 4) with the potential to effect three other residents that utilize sit-to-stands and failed to ensure staff performed hand hygiene in a manner to prevent cross contamination during cares for Residents 5 and 8. The facility had a census of 74. Findings are: A. Observation of toileting cares for Resident 4 on 10/8/15 at 3:01 PM revealed a wet washcloth and towel wadded up and thrown on the floor in the corner of Resident 4's bathroom. Nursing Assistant (NA) A and NA B performed perineal cares using a clean washcloth and towel after Resident 4 completed toileting. NA A And NA B then left the room and did not take the old washcloth and towel from the floor out of the room with them. Review of the facility's policy and procedure for Soiled Linen Handling dated 1/1/01 revealed, Place soiled linen directly into soiled hamper or linen bag. Do not place linen on floor . B. Observation of NA A and NA B assisting Resident 4 with transferring on 10/8/15 at 3:00 PM revealed the facility's sit to stand lift (a mechanical lift to assist in transferring residents from one surface to another while the resident grasps on to the handles) had black tape wound around both handles. The tape was not smoothly wrapped and was beginning to come apart from the handles in some areas. Interview with the Director of Nursing and Administrator on 10/8/15 at 4:30 PM confirmed that tape, especially unraveling tape, was not a cleanable surface. C. Observation of Licensed Practical Nurse (LPN) C on 10/8/15 at 11:55 AM revealed LPN C entered Resident 8's room to obtain Resident 8's blood glucose reading. LPN C went in to Resident 8's bathroom and performed hand hygiene for less than 10 seconds. LPN C performed the blood glucose testing with gloves on and then removed gloves and again performed hand hygiene that lasted 8 seconds. LPN C then entered Resident 5's room to perform wound care revealed LPN C did not perform hand hygiene prior to putting gloves on. LPN C proceeded to assist with wound care, removed gloves and performed hand hygiene for 8-9 seconds. Review of the facility's policy and procedure for Hand washing dated 10/15/14 revealed, Method/Steps: rub hands together using friction for 15-20 seconds .	2018-10-01