cms_NE: 68

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
68 HOMESTEAD REHABILITATION CENTER 285049 4735 SOUTH 54TH STREET LINCOLN NE 68516 2019-09-30 657 D 0 1 UZYC11 LICENSURE REFERENCE NUMBER 175 NAC 12-009.C1c Based on observation, record review, and interview the facility failed to ensure that the resident care plan (a written interdisciplinary comprehensive plan detailing how to provide quality care for a resident) was updated to include care for a facility acquired pressure ulcer (an injury to the skin and underlying tissue resulting from prolonged pressure on the skin) for 1 resident (Resident 21) of 1 resident observed. The facility census was 123. Findings are: Record review of the physician Referral Form dated 8/29/19 confirmed that Resident 21 had a decubitus (pressure) ulcer on the 4th digit of the left foot. Record review of the nurse progress note for Resident 21 dated 8/29/19 at 5:35 PM noted a pressure ulcer to the resident's left foot 4th toe. Observation of wound care on 9/25/19 at 1:13 PM revealed Licensed Practical Nurse D (LPN D) entered Resident 21's room and removed the band aid from the resident's left 4th toe and the left great toe. A wound was observed on top of the resident's left 4th toe that was approximately 1 centimeter x 0.3 centimeter in size per visual measurement that was yellow and dry in the center with light red tissue around the wound edges. Record review of the resident care plan for Resident 21 revealed no interventions for the care of the resident's pressure ulcer. Interview with the Director of Nursing (DON) on 9/26/19 at 10:44 AM confirmed that the care plan for Resident 21 did not identify the resident pressure ulcer and required care. 2020-09-01