cms_NE: 87

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
87	AZRIA HEALTH MONTCLAIR	285054	2525 SOUTH 135TH AVENUE	OMAHA	NE	68144	2017-06-06	329	D	0	1	LLQX11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09D Based on interviews and record reviews, the facility failed to identify current behaviors and implement non-pharmacological interventions prior to administering an as needed psychoactive medication for 1 resident (Resident 152) of 5 residents sampled. The facility identified the census at 128. The findings are: A review of Resident 152's Admission Record dated 6/6/17 revealed Resident 152 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. A review of Resident 152's Medication Administration Record [REDACTED]. According to documentation on the MAR indicated [REDACTED]. A review of Resident 152's Behavior/Intervention Monthly Flow Record for (MONTH) (YEAR) revealed there were no behaviors or non-pharmacological interventions documented for the days and times that the as needed [MEDICATION NAME] was administered. A review of Resident 152's Medical Record revealed no behaviors or non-pharmacological interventions were documented in the progress notes for the days and times that the as needed [MEDICATION NAME] was administered except for the dose given on 5/19/17 at 10:05 PM. A review of Resident 152's Comprehensive Care Plan for [MEDICAL CONDITION] medication use dated 1/27/17 revealed an intervention for staff to administer the medications as ordered by the physician, document the occurrence of target behaviors symptoms, and document the effectiveness of the medications administered. An interview conducted on 6/5/17 at 1:57 PM with Licensed Practical Nurse (LPN) [NAME] revealed that their procedure for administering an as needed psychoactive medication was to attempt 3 non-pharmacological interventions prior to giving the medication and to document in the progress notes the behaviors, interventions attempted, medication given, and effectiveness of the medication. An interview conducted on 6/5/17 at 2:15 PM with Registered Nurse (RN) F revealed that their procedure for administering an as needed was to find out what was wrong, attempt activities, and document in notes after the medication is given what activities were done, what medication was given, and the effectiveness of the medication. An interview conducted on 6/5/17 at 3:49 PM with the Director of Nursing (DON) revealed that the expectation for administration of an as needed psychoactive medication was that the staff were to try non-pharmacological interventions prior to administration and the behaviors, interventions, medication effectiveness were to be documented on the Behavior/Intervention Monthly Flow Record. The DON reported that prior to their start at the facility the documentation was supposed to be done in the progress noted, but that the nursing staff had received education in (MONTH) to document on the Flow Record.	2020-09-01