cms_NE: 7549

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.

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
7549 GOOD SAMARITAN SOCIETY - ALLIANCE 285174 P O BOX 970, 1016 EAST 6TH STREET ALLIANCE NE 69301 2015-06-25 152 D 1 0 P4MK11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews and interviews, the facility failed to obtain guardianship and resident approval prior to removing snack items, possessed by the resident, from the resident's room for one sampled resident (Resident 3). Facility census was 45. Findings are: Record review of Resident 3's Admission Record printed on 6/23/15 revealed the resident was admitted to the facility on ,[DATE]//2006. Review of Resident 3's electronic medical record revealed an Order Appointing Guardian document filed with the county court on 4/8/14 appointing the resident's family member as the resident's guardian. This document granted the guardian powers including Protecting the personal effects of the ward; along with Giving necessary consent, approval, or releases on behalf of the ward. Record review of a Suggestion or Concern (formal grievance) form dated 6/9/15 revealed Resident 3's guardian reported a concern that the DON (Director of Nursing) went into (Resident 3's) room and removed pkg (package) of cookies from the snack cart and also removed full cans of pop as if (Resident 3) had no right to possess (the resident's) items . The DON admitted at the meeting (the DON) did this . Interview with Resident 3's guardian on 6/23/15 between 4:30 p.m. and 5:30 p.m. confirmed having filed a formal grievance related to the facility removing snack items from the resident's room without receiving prior permission from the guardian. The removed items included three cans of lemon lime twist soft drinks and six packages of cookies. The guardian stated never directing the facility to remove any food items from the resident's room and said the IDON (Interim Director of Nursing) removed the items while the resident was not in the room. After the items were removed, the Interim Administrator notified the guardian of what was done. Interview with the IDON on 6/25/15 at 10:30 a.m. confirmed the IDON went into Resident 3's room while the resident was not in the room and removed snack items. The IDON stated having done so at the Interim Administrator's direction. The IDON confirmed the resident's guardian was not informed of this decision prior to the removal of the snacks. Interview with the Interim Administrator on 6/25/15 at 11:05 a.m. confirmed the snack items were removed from Resident 3's room without informing the guardian of this decision prior to the removal. 2018-02-01