cms_NE: 861

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
861 MONUMENT REHABILITATION AND CARE CENTER 285095 111 WEST 36TH STREET SCOTTSBLUFF NE 69361 2019-05-28 867 G 0 1 3V0011 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference Number: 175 NAC ,[DATE].07 Based on observations, record reviews, and interviews, the facility Quality Assurance Program failed to identify, correct, and maintain regulatory required compliance resulting in multiple citations and repeat areas of non-compliance from prior surveys. Facility census was 89. Sample size included 24 current residents and three closed records. Findings are: Record review of the facility QAPI (Quality Assurance Program) plan developed on [DATE] revealed the purpose of the committee was to educate, support and encourage staff to increase their skills to provide quality care to all residents. To provide residents with a comfortable environment where they are involved in, and have a voice in, the daily activities of their home. The committee's plan is to review all data sources and other available data to identify, prioritize, and correct issues with performance. The QAPI committee will evaluate the effectiveness of actions taken for further recommendation. Observations, record reviews, and interviews during the survey processes from surveys conducted on [DATE] and the current survey from [DATE] through [DATE] revealed the following areas of repeated non-compliance: F578- ensuring facility staff had valid CPR (Cardiopulmonary Resuscitation) certifications. F583- providing privacy with resident personal cares. F622- documentation regarding discharges from the facility. F684- providing assessments and care for residents with skin abnormalities. F689- ensuring staff were performing safe transfer techniques preventing accidents with injury. F726- competency of staff. F732- posting staffing information daily. F757- ensuring medications were being monitored to rule out unnecessary medications. F880- infection control The current survey also identified patterns in five additional areas of non-compliance: F576- mail delivery on Saturdays. F584- environmental issues. F623- notice provision in writing for facility-initiated transfers and discharge. F625- written notice of bedhold policies when residents are transferred to the hospital. F725- provision of staffing to meet the needs of the residents. Failures at the following tasks resulted in negative outcomes: F626- facility denial of re-admission to Resident 89 following hospitalization . The failure resulted in a prolonged stay in an acute setting after the resident's condition was stabilized. F684- facility failed to assess and monitor Resident 41's bruising condition resulting in hospitalization for an adverse effect of medication. F686- facility failed to provide care and treatment to prevent the development and/or healing of pressure sores for Residents 42 and 48 F689- facility failed to ensure safety measures in place during bathing resulting in hospitalization and surgery for [REDACTED]. Interview with the Administrator on [DATE] at 10:39 a.m. discussed and confirmed the repeated areas of deficiency and current survey findings. 2020-09-01