cms_NE: 93
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
93 | AZRIA HEALTH MONTCLAIR | 285054 | 2525 SOUTH 135TH AVENUE | OMAHA | NE | 68144 | 2018-06-26 | 610 | D | 1 | 0 | 49DM11 | > Based on record review and interview the facility failed to submit a completed investigation to the state agency within 5 working days for 2 residents (Residents 1 and 5) and failed to complete an investigation of an elopement (leaving a secure area without staff knowledge or supervision) for Resident 4. The facility census was 131. Findings are: [NAME] Review of the facility policy revealed the facility will conduct an investigation of all incidents involving the potential or allegation of abuse or neglect and submit a written report of the results of all abuse investigations to the state agency in 5 working days of the reported incident. Review of facility investigation related to an unwitnessed fall for Resident 1 revealed a fall occurred in the morning of 6/5/2018 and Resident 1 received a laceration to the head and was sent to the hospital for treatment. The facility completed an investigation and submitted it to the state agency 6 day later on 6/13/2018. Review of the facility investigation revealed Resident 1 fell a second time in the evening of 6/5/2018 and went to the hospital for treatment as remained at the hospital until 6/6/2018 Review of the facility investigation revealed it was submitted to the state agency 6 days later on 6/13/2018. Interview on 6/26/3028 at 8:45 with the Social Services Director revealed both investigations were submitted late. B. Review of a facility report for Resident 5 revealed a facsimile (fax) confirmation sheet attached to the investigation indicated the status of the fax to be S-OK. Review of the fax cover sheet revealed that S-OK means stop communication Interview on 6/26/2018 at 8:45 AM with the Director of Nursing revealed that the confirmation sheet would indicate that the fax did not go to the state agency. C. Review of the facility investigations for the past 4 months revealed that no investigation was completed or submitted to the state agency regarding an elopement for Resident 4. Interview on 6/26/2018 at 10:30 AM with the Director of Nursing revealed that an investigation was not completed or submitted to the state agency. | 2020-09-01 |