cms_NE: 7736
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 7736 |
ASHLAND CARE CENTER |
285140 |
1700 FURNAS STREET |
ASHLAND |
NE |
68003 |
2014-05-15 |
309 |
D |
0 |
1 |
2Z8011 |
Licensure Reference Number: 175 NAC 12-006.09D2 Based on observation, interview and record review; the facility failed to assess and implement a plan of care to address two Residents (Residents 59 and 25) with ongoing bruises. The facility census was 71. Findings are: A. Observation of Resident 59 on 5/14/14 at 11:08 AM revealed Resident 59 to have Bruising noted to both forearms. Review of Resident 59's Care Plan dated 1/13/14 revealed that Resident 59 sustained a bruise on the left forearm and on 1/17/14 the wanderguard bracelet (a bracelet worn that activates an alarm if the resident attempts to leave the facility without supervision) was identified as a possible causative factor and was discontinued. Review of Resident 59's medical record revealed no documentation of the current bruises as observed. Interview with the Assistant Director of Nursing (ADON) who also serves as the facility's wound nurse on 5/15/14 at 1:00 PM revealed that the ADON was unaware of Resident 59's bruising. A follow up interview with the ADON on 5/15/14 at 2:45 PM revealed the ADON had now seen Resident 59 and noted the bruising to Resident 59's right forearm. The ADON further reported staff are to inform the ADON of new bruises or skin tears and then the ADON ensures they are assessed for possible causative factors and updated on the plan of care for interventions to prevent further injuries from occurring. The ADON went on to say that the direct care nurses have had difficulty notifying the ADON of new bruising and skin tears. B. Observation of Resident 25 on 5/14/14 at 11:19 AM revealed four fingerprint sized bruises on Resident 25's left hand and two on left forearm. One bruise larger than fingerprint sized was noted also on Resident 25's left forearm. Review of Resident 25's daily Skin Assessments for the month of May revealed that on 5/9/14 abrasions to Resident 25's buttocks were noted and No changes in skin were noted with the last entry being 5/15/14. Review of Resident 25's Weekly Skin Checks completed by the Nursing Assistant on 5/14/14 revealed bruises were noted to be preexisting - arms. No record of when the bruises were initially sustained or noticed in Resident 25's record. Review of Resident 25's Care plan dated 4/8/14 revealed Resident 25 was at risk for skin breakdown. Interventions include to assess resident for presence of risk factors in order to reduce, eliminate risk factors to the extent possible. Staff were to conduct a systematic skin inspection on admission with daily skin review by the nurse. No mention of bruising was noted on the plan of care. Interview with the ADON on 5/15/14 at 2:45 PM revealed that Resident 25 did bruise easily. The ADON did not feel that the finger print sized bruises were suspicious due to Resident 25's history of bruising. The ADON went on to report that it could be caused by hitting arms on table or during cares. The ADON confirmed that there was no assessment of possible causes or interventions to prevent further bruising from occurring. |
2018-01-01 |