cms_NE: 8513

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
8513 GOOD SHEPHERD LUTHERAN HOME 285148 2242 WRIGHT STREET BLAIR NE 68008 2014-05-08 329 D 1 1 05IK11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D Based on record review and interview; the facility staff failed to implement and evaluate the effectiveness of non-pharmacological interventions prior to increasing an anti-psychotic medication for 1 resident (Resident 6). The facility staff identified a census of 79. Findings are: Record review of a Admission Record sheet dated 2-03-2014 revealed Resident 6 was admitted to the facility on [DATE] with the [DIAGNOSES REDACTED]. Record review of a Confirmation of a Visit to the Physician sheet dated 3-16-2014 revealed Resident 6 had been on [MEDICATION NAME] ( an anti-psychotic medication) 12.5 mg (milligrams) twice a day. Resident 6's physician ordered a decrease in the [MEDICATION NAME] to 12.5 to be given at bed time, as staff had reported that Resident 6 did not have any behaviors and was at (gender) base line. Record review of Resident 6's Behavior Monthly Flow Sheet for May 2014 revealed Resident had 4 behaviors documented on the flow sheet. According to the documentation, Resident 6's behavior was the same or had improved. Record review of a Physicians Telephone Orders sheet dated 5-04-2014 revealed the practitioner ordered a Urine Analysis (UA) and to increase the [MEDICATION NAME] to 12.5 mg's, twice a day. Review of Resident 6's medical record revealed no documentation of implementation of non-pharmacological intervention and an evaluation of effectiveness. Further review revealed the results of the UA had not been obtained prior to the increase of the anti-psychotic medication. On 5-08-2014 at 10:21 AM an interview was conducted with the Director of Nursing (DON). During the interview, Resident 6's Behavior Flow sheet for May 2014 was reviewed with the DON. When asked if non-pharmacological had been attempted prior to the increase in [MEDICATION NAME], the DON stated no. The DON further confirmed during the interview that Resident 6's interventions to managed the behaviors had not been completed. 2017-05-01