cms_NE: 7929

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
7929 LOUISVILLE CARE CENTER 285267 410 WEST 5TH STREET LOUISVILLE NE 68037 2014-05-05 156 C 0 1 WLGK11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference Number: 175 NAC ,[DATE].05 (4) Based on record review and interview, the facility failed to ensure residents were informed of changes in the facility's policy and procedures for CPR (Cardiopulmonary Resuscitation - Using rescue breathing and chest compressions to help a person whose breathing and heartbeat have stopped) which had the potential to impact all of the resident's or their legal representatives' decisions regarding their CPR status. The facility census was 58. Findings are: Interview with LPN (Licensed Practical Nurse) C on [DATE] at 3:03 PM revealed residents are asked their preference for the initiation of CPR if needed upon admission and an advance directive form is signed and placed in the residents chart. Review of a blank undated form titled Advanced Directives revealed, Do Not Resuscitate - What would you want us to do in the event facility staff find you without a heart beat and/or not breathing? (First option) I want facility staff to begin CPR and/or call 911. (Second option) I want the facility staff NOT to begin CPR. Residents and/or their responsible parties are to check which option they prefer and sign their names. Interview with the Director of Nursing Services on [DATE] at 3:30 PM revealed the facility had changed their policy and procedure for CPR to reflect that CPR would not be initiated if obvious signs of death were present when the need for CPR was identified. Review of the facility's policy titled, CPR/No CPR status and revised on [DATE] revealed the following, In the event of cardiac and/or respiratory arrest, a yes to CPR would then initiate the following: CPR will start immediately and a call to 911 will be placed A nurse is not expected to perform resuscitation on an individual when obvious signs of death are present. Obvious signs of death include lividity (bluish colored tissue) or pooling of blood in dependent body parts, cooling of the body following death, hardening of muscles or rigidity, and injuries incompatible with life. Interview with the Administrator and Director of Nursing on [DATE] at 5:25 PM revealed that residents were not informed of the changes in the CPR/No CPR status policy. 2017-12-01