cms_NE: 83

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
83 AZRIA HEALTH MONTCLAIR 285054 2525 SOUTH 135TH AVENUE OMAHA NE 68144 2017-06-06 242 D 0 1 LLQX11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference Number 175 NAC 12-006.05 (4) Based on record review and interviews, the facility failed to ensure resident choices for bathing were followed for Resident 182 and Resident 222. The facility Census was 128. Findings are: [NAME] Interview with Resident 182 on 05/31/2017 at 03:04 PM revealed Resident 222 had not been offered a bath since being admitted to the facility 6 days prior on 5/25/2017. Interview on 06/05/2017 at 11:05 PM with the Assistant Director of Nursing (ADON)-D revealed the nursing staff ask the residents on admission about their bathing preferences and forward the preference sheets to ADON-D. ADON-D places the resident on the bath schedule with the use of the sheet. Interview on 06/05/2017 at 12:58 PM with the Director of Nursing (DON) revealed Resident 222 should be placed on the bath schedule based on personal preference. Review of facility form titled Bath Preferences dated 5/25/2017 revealed Resident 222 prefers 2 baths per week on Tuesday and Friday in the morning and prefers a shower. Review of the bath schedule dated as updated on 6/2 revealed Resident 222 is scheduled for Tuesday and Thursday and does not specify that Resident 222 prefers it in the morning. Review of the facility documentation of baths located under tasks in the electronic medical record revealed Resident 222 had received one bath since admission on Thursday, 6/1/2017 at 2:29 PM. Interview with the DON on 6/6/2017 at 1:30 PM revealed Resident 222 is not scheduled for baths on her preferred schedule. Findings are: B. Record review of Resident 182's Admission Record dated 6/6/17 revealed that Resident 182 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Interview with Resident 182 on 6/1/17 at 8:50 AM revealed that his choice of bathing was a shower, 2 x a week and to be performed by the male musing assistant, in the evening. Resident 182 revealed that he had not been receiving his shower 2 x week. Resident 182 revealed that the male who performs his showered had changed shifts, and after that he did not receive a shower. Record review of Resident 182's comprehensive care plan revealed that the facility identified a Self Care Performance Deficit. The plan of care for Resident 182 included interventions that follow: Resident 182 requires extensive staff participation with personal hygiene, dated 1/17/17 Resident 182 is dependent on staff to provide a bath as necessary, dated 1/17/17 Record review of the facility bathing schedule revealed that Resident 182 was to receive shower two times per week in the evening on Sunday and Wednesday. Record review of the facility documentation of bathing received by resident revealed that Resident 182 had bathing performed on the following dates, for the month of May; 5/10,5/17,5/21,5/28,5/31. There was no record of bathing for the month of June. Interview with Nursing Assistant (NA) G on 6/6/17 at 8:44 AM confirmed that the schedule performed had changed from evening shift to day shift. NA G confirmed that the duties of the shower for Resident 182 had been changed to other staff. Interview with Assistant Director of Nursing (ADON) D confirmed that Resident 182's choices of bathing had not been met, that Resident 182 had not been provided shower 2 x week for (MONTH) or June. ADON D confirmed that the facility had made staffing changes and had not provided care as per Resident 182's plan of care. 2020-09-01