cms_NE: 7734

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
7734	ASHLAND CARE CENTER	285140	1700 FURNAS STREET	ASHLAND	NE	68003	2014-05-15	241	E	0	1	2Z8011	Licensure Reference Number 175 NAC 12-006.05 (21) Based on observations and interviews, the facility failed to maintain the dignity of six residents (Residents 6, 14, 39, 41, 46 and 48) during dining service related to assessment of vital signs, injection administration, standing while assisting residents with meal consumption and discussing medical care within hearing of others. The facility census was 71. Findings are: A. On 5/12/14 at 11:41 am, Resident 46 had blood glucose (sugar) checked and insulin (medication used to regulate blood sugars in diabetics) injected at his/her seat in dining room. Interview with Licensed Practical Nurse (LPN) B on 5/12/14 at 11:41 am revealed that residents come to the medication cart in the dining room for blood glucose checks and insulin so the nurse did not have to go to their rooms. On 5/14/14 at 6:05 pm Resident 6 had blood glucose checked by LPN D at the table in dining room. B. On 5/12/14 at 12:05 pm, Resident 48 spilled a glass of water before meal service. The water spilled on tablecloth, resident's lap and floor. NA (Nursing Assistant) E wiped off the tablecloth and clean water from floor. Neither NA-E or another staff member, who took Resident 48's B/P (blood pressure), addressed the resident's wet lap. After the meal was completed, Resident 48 left the dining room with pants still wet. C. Observation of the dining service on 5/12/14 at 11:50 AM revealed two NA's (Nursing Assistants) passing meal trays to approximately 13 residents on the SCU (Special Care Unit). NA (Nursing Assistant) C finished passing meal trays and began to assist Resident 41 with eating. NA C stood hovering over Resident 41 rather than sitting to assist Resident 41 throughout the meal. During the same meal NA C was overheard from across the room informing Resident 39 that Resident 39 would be going to Omaha to get new hearing aides at 12:30 PM. NA C was loud enough for all residents to overhear and Resident 24 verbally responded to NA C from across the room about Resident 39's appointment. Observation of dining service on the SCU on 5/14/14 at 5:45 PM revealed NA I assisting Resident 14 with eating while standing over Resident 14. At 6:02 PM NA I was still standing over Resident 14 assisting with meal consumption. Interview with the Director of Nursing on 5/19/14 at approximately 10:00 AM confirmed that staff should sit while assisting residents with eating at meal time.	2018-01-01