cms_NE: 91

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
91	AZRIA HEALTH MONTCLAIR	285054	2525 SOUTH 135TH AVENUE	OMAHA	NE	68144	2018-06-06	686	D	1	0	GX5K11	> LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D2a Based on observation, record review and interview; the facility staff failed to implement interventions to prevent pressure ulcers for 1 (Resident 43) of 5 sampled residents. The facility staff identified a census of 127. Findings are: [NAME] Record review of Resident 43's Comprehensive Care Plan (CCP) dated 3-01-2018 revealed Resident 43 was high risk or the development of a pressure ulcer and currently had a pressure ulcer. The goal identified on Resident 43's CCP was not have have any complications related to the pressure ulcer. Interventions identified on Resident 43's CCP included applying a pressure relieving cushion to the wheelchair, a special mattress to the bed and to off load ( remove pressure) both heels when in bed every shift and as needed. Observation on 6-05-2018 at 10:43 AM revealed Resident 43 was in bed and Resident 43's heels were pressing into the mattress. Observation on 6-06-2018 at 6:40 AM resident 43 was in bed with the heels on the mattress. Observation on 6-06-2018 at 8:40 AM revealed Resident 43 heels were on the mattress. Observation on 6-06-2018 at 9:12 AM with Licensed Practical Nurse (LPN) A revealed Resident 43's heels were resting on the mattress. On 6-06-2018 at 10:25 AM a interview was conducted with LPN [NAME] During the interview, review of Resident 43's CCP was completed with LPN [NAME] LPN A confirmed Resident 43's heels should have been off loaded and were not. B. Record review of a Physician/Prescriber orders sheet dated 5-23-2018 revealed Resident 43's practitioner had order the facility provide a Trapeze ( Devices that is placed over the bed so that a person is able to pull self up) for the bed so Resident 43 could better reposition self. Observation on 6-5-18 at 2:12 PM revealed Resident 43 was in bed and did not have a trapeze bar in place. Observation on 6-06-2018 at 8:40 AM revealed Resident 43 was in bed and there was not a trapeze bar in place. Observation on 6-06-2018 at 10:16 AM with LPN A revealed Resident 43 was in bed and did not have the trapeze bar in place. A interview was conducted on 6-06-2018 at 10:16 AM with LPN [NAME] During the interview LPN A confirmed Resident 43 did not have the trapeze bar in place for Resident 43 to use.	2020-09-01