cms_NE: 8

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
8 ST JANE DE CHANTAL 285004 2200 SOUTH 52ND STREET LINCOLN NE 68506 2019-06-04 561 D 1 1 GLUX11 > Licensure Reference Number 175 NAC 12-006.05(4) Based on interviews and record reviews, the facility failed to ensure residents bathing preferences were assessed and provided according to the resident's preferences. This failure had the potential to affect two residents, Resident #62 and 102. The facility census was 115. Findings; [NAME] 05/28/19 03:31 PM an interview with Resident #62 revealed that the resident wants 2 showers a week in the evenings, but is only receiving one a week during the day. Record review of MDS (Minimum Data Set, a health status screening and assessment tool used for all residents of long term care nursing facilities dated 4/9/19 revealed a BIMS (Brief interview of mental status) score of 14 (BIMS score ranges from 00. to 15. 13 - 15: cognitively intact. 08 - 12: moderately impaired. 00 - 07: severe impairment , Record review of the residents care plan revealed bathing not addressed on the care plan. Record review of the resident's electronic medical record revealed no documentation related to the resident's choices related to bathing. Record review of Worklist Report Visit task Shower dated from 3/4/19 to 5/31/19 revealed resident to receive 2 showers a week. Week of 3/10/19 received one shower, week of 3/17 received no showers, week of 4/7/19 received one shower, and week of 4/21/19 received one shower. Weeks 5/8/19 through 5/31/19 resident received one shower a week. Three of these showers were given in the evening. Record review of the resident's electronic medical record revealed no documentation related to the resident's choices related to bathing. 06/04/19 04:39 PM DON (Director of Nursing) confirmed resident #62 was only receiving one shower a week and preferences are not documented. B An interview on 05/28/19 at 12:34 PM with Resident 102 who had expressed the preference to have a bath every other day, the resident reported that the facility had a bath schedule for twice a week. An interview on 05/30/19 at 12:08 PM with RN C confirmed that the Resident were placed on the bathing schedule on admission. The facility has a set schedule and the new admissions were added to that, if the resident was unhappy with the schedule then they would be moved to the preferred days. RN reported that they do full showers 2 times a week and partial bed baths daily. An interview on 06/03/19 at 03:47 PM with the Administrator, the Administrator confirmed the facility ask residents at the initial care plan meeting. The Administrator confirmed the facility had offered 2 baths, no more that that per week. Record review of Active orders dated 05/29/19 revealed an Order that Resident 102 was able to shower in the trauma tub scheduled bath days were Tuesdays and Saturdays. Record review of Resident 102's care plan revealed no bathing preferences were documented An interview on 06/03/19 at 05:03 PM with the DON (Director of Nurses) confirmed that the facility did not have documentation of the personal preferences regarding bathing for Resident 102 on admission. The DON confirmed no documentation of bathing preferences in the care plan 2020-09-01