cms_NE: 74

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
74	HOMESTEAD REHABILITATION CENTER	285049	4735 SOUTH 54TH STREET	LINCOLN	NE	68516	2019-09-30	759	D	1	1	UZYC11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > LICENSURE REFERENCE NUMBER 175 NAC 12-006.10D Based on observation interview and record review the facility failed to maintain a medication error rate of less than 5 % which affected 2 residents (Residents 27 and 62) of 8 residents observed. The facility census was 123. Findings are: [NAME] An observation on 09/25/19 at 12:50 PM of RN (Registered Nurse) W prepared Humalog 100units/ML Kwik Pen, 10 units ( sub Q) subcutaneous ( a shot given in the skin between fat and musle layer) 3 times a day with meals. The Pen was dialed to 10 units. Hand Hygiene was performed with hand sanitizer. The insulin was taken to Resident 227 gloves donned and administered to the right abdominal area, gloves doffed, hand hygiene with hand sanitizer was completed. An interview on 9 at 12:55PM with RN W confirmed; the insulin pen had not been primed. The RN reported that they had not had training for priming the insulin pens. Record review of the Insulin Administration Policy dated [DATE] revealed; in the procedure step 11. When using an insulin pen, prime the pen, i.e. turn the vial dose to the select 2 units, press holding the dose button and make sure a drop appears. Record review of Insulin Administration Competency Check for Connie Blankenship RN revealed that the competency had not included insulin Pen. An interview on 09/25/19 at 245PM with CSC confirmed; the Insulin Administration Competency had not include the insulin pen. B) Observation on 9/25/19 at 7:20 AM of LPN-D (Licensed Practical Nurse) administering Resident 62's insulin revealed LPN-D drew 11 units of [MEDICATION NAME] 70/30 insulin (medication that lowers blood sugar - contains 70% intermediate-acting insulin and 30% short-acting insulin) into an insulin syringe and administered subcutaneous (under the skin, between the skin and muscle) into Resident 62's abdomen. Review of Resident 62's Physician order [REDACTED]. Interview on 9/25/19 at 2:33 PM with LPN-D confirmed LPN-D administered 11 units of 70/30 insulin to Resident 62. LPN-D confirmed the physician's orders [REDACTED].	2020-09-01