cms_NE: 7673

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.

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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
7673 GOLD CREST RETIREMENT CENTER 285065 200 LEVI LANE ADAMS NE 68301 2014-11-10 241 D 0 1 2C8X11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference Number NAC 12-006.05 (21) Based on observation, interview and record review; the facility failed to ensure the dignity of two residents (Residents 21 and 24) related to positioning and hygiene. The facility census was 43. Findings are: A. Record review of the Minimum Data Set (MDS: a federally mandated comprehensive assessment tool used for care planning) dated 7/30/14 revealed that Resident 21 required extensive to total dependence on 1-2 person physical assist and was severely cognitively impaired. Observation on 11/05/2014 at 1:05 PM of Resident 21's legs were dangling unsupported from elevated foot rests on wheelchair. A staff member came along and put feet up on foot rest. At 1:14 PM Resident 21's feet had slid off the foot pedals and legs were dangling. Observation on 11/06/2014 at 9:20 AM of Resident 21 sitting in common area, tilted slightly back in wheelchair. Resident 21's feet were on foot pedals, a gait belt was tied around the wheelchair leg mechanism to support ankles so that legs did not dangle. In an interview on 11/06/2014 at 11:50 AM with the Restorative Aide revealed the facility provides wheelchairs to most residents. The Restorative Aide also stated that maintenance does repairs to wheelchairs and if the problem is bigger than that the Restorative Aide talks to the OT (Occupational Therapist) and the resident may be put on the therapy case load. In an interview on 11/06/2014 11:41 AM with the OT revealed that the OT gets involved when wheelchairs are ill-fitting or not meeting resident needs. The OT stated that the OT always looks at residents for positioning and if the wheelchair is appropriate for the resident. The OT also stated that if possible the facility tries to reuse wheelchair parts to meet resident needs and that had not been a problem getting equipment needed for resident wheelchairs. In an interview on 11/10/14 at 9:22 AM with LPN (Licensed Practical Nurse) M revealed that LPN M did not find using a gait belt to support legs to be undignified. B. Record review of the Minimum Data Set (MDS: a federally mandated comprehensive assessment tool used for care planning) dated 9-3-2014 revealed [DIAGNOSES REDACTED]. Resident 24's plan of care dated 12-30-13 states resident is unable to dress self related to [MEDICAL CONDITION] and Dementia. The approach (dated 11-26-13) states to lay out the clothes of the Resident's choice and encourage the Resident to dress self as much as able to. Observation of Resident 24 on 11-4-14 at 1:53 PM revealed resident had food crumbs and stains on shirt and pants. Observation of Resident 24 on 11-5-14 at 4:08 PM revealed resident had on shoes covered with food stains and crumbs. Resident 24's sweat pants also had crumbs and a grease stain on the left leg. Observation of Resident 24 on 11-6-14 at 1:50 pm revealed resident was wearing the same shoes as the day before still covered with stains and crumbs. On 11-10-14 at 12:40 PM during the survey exit conference the DON (Director of Nursing) stated the only time food crumbs and stains from a meal should be seen are right after the meal. 2018-01-01