cms_NE: 936

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
936 ARBOR CARE CENTERS-FRANKLIN LLC 285096 1006 M STREET FRANKLIN NE 68939 2018-09-05 637 D 0 1 Y9XX11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** LICENSURE REFERENCE NUMBER 175 NAC 12-006.09B1(2) Based on observation, interview, and record review; the facility staff failed to complete a SCSA (Significant Change in Status Assessment) MDS (Minimum Data Set-a comprehensive assessment used to develop a resident's care plan) when Resident 8 was admitted to Hospice (care designed to give supportive care to people in the final phase of a terminal illness). This affected 1 of 16 residents whose MDS assessments were reviewed during the survey process. The facility identified a census of 22 at the time of survey. Findings are: Review of Resident 8's Annual MDS dated [DATE] revealed Resident 8 was admitted to the facility on [DATE]. Resident 8 had a terminal prognosis and received Hospice care during the assessment period. Observation of Resident 8's room on 8/30/18 at 3:59 PM revealed a Hospice aide was sitting in the Resident 8's room. Interview with the unidentified Hospice aide at this time revealed they provided Resident 8 Hospice care twice a week. Interview with NA-A (Nurse Aide) on 9/04/18 at 1:34 PM revealed Resident 8 received Hospice services. Review of Resident 8's Hospice Certification and Plan of Care dated 9/18/2017 revealed a start of Care Date of 9/14/2017. Review of Resident 8's MDS assessments revealed the following assessments were completed: 6/15/2018 Annual 3/15/2018 Quarterly 12/18/2017 Quarterly 9/18/2017 Quarterly 6/15/2017 Annual There was no documentation a SCSA MDS was completed after Resident 8 was admitted to Hospice on 9/14/2017. Review of the Centers for Medicare and Medicaid RAI (Resident Assessment Instrument) 3.0 manual revealed the following: A SCSA is required to be performed when a terminally ill resident enrolls in a hospice program (Medicare-certified or State-licensed hospice provider) or changes hospice providers and remains a resident at the nursing home. The ARD (Assessment Reference Date) must be within 14 days from the effective date of the hospice election (which can be the same or later than the date of the hospice election statement, but not earlier than). A SCSA must be performed regardless of whether an assessment was recently conducted on the resident. This is to ensure a coordinated plan of care between the hospice and nursing home is in place. A Medicare-certified hospice must conduct an assessment at the initiation of its services. This is an appropriate time for the nursing home to evaluate the MDS information to determine if it reflects the current condition of the resident, since the nursing home remains responsible for providing necessary care and services to assist the resident in achieving his/her highest practicable well-being at whatever stage of the disease process the resident is experiencing. Interview with the DON (Director of Nursing) who was also the MDS Coordinator on 9/04/18 at 1:14 PM confirmed the SCSA MDS was not completed after Resident 8 was admitted to Hospice. 2020-09-01