cms_NE: 9652

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.

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
9652 LANCASTER REHABILITATION CENTER, LLC 285275 1001 SOUTH STREET LINCOLN NE 68502 2013-03-20 174 D 0 1 ZJLW11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** LICENSURE REFERENCE NUMBER: 175 NAC 12-006.05(14) Based on observation, resident and staff interviews, review of resident records and regulations identifying Resident Rights: the facility failed to ensure that three (Resident 50, 224 and 276) residents were provided a private area for telephone conversations. The facility census was 219. FINDINGS ARE: A: INTERVIEW with Resident 224 on 03/18/2013 in residents room revealed: -Does not have privacy when talking to spouse on the phone; -Has to use the phone at the nurses station and everyone can hear that is around the station; -Sometimes I like to say I love you but that is private to my (spouse); -Is not aware of any other place for residents to speak on the phone in private. REVIEW of the MDS (Minimum Data Set: a federally mandated comprehensive assessment tool used for care planning) completed as a Quarterly review and dated 12/04/2012 revealed: -BIMS (Brief Interview for Mental Status) scored 14 out of 15; -Independent with locomotion/ambulation on the unit; -[DIAGNOSES REDACTED]. INTERVIEW: SOCIAL WORKER C (SSW), on 03/19/2013 at 9:50 AM in the Dining Room, for Station 4 revealed: -Facility land lines are available in the conference room by elevators or the SSW office for Station 4: -If residents do not have their own cell phone they can call from pay phones or from the nurses stations; -Station 3 (Skilled Service/rehab) has a landline phone in each resident private room. INTERVIEW with RN B on 03/19/2013 at 10:10 AM, at the Nurses Station 5/Secured Unit for memory and behaviors revealed: -Residents can use phone at nurses station or can purchase their own; -Resident 224 used the desk phone at the nurses station when on Station 5. B: OBSERVATION on 03/20/2013 at 11:55 AM at Station 4 Nurses Station: -Resident 50 sitting in a wheelchair on the exterior side of the nurses station talking on the station phone; -Numerous nursing staff are in and around the nursing station area within hearing distance; - 2 residents are sitting in wheelchairs approx 5-7 feet outside of the nurses station, one is eating lunch and one is waiting for the lunch tray to be served within hearing distance. REVIEW of MDS (Minimum Data Set: a federally mandated comprehensive assessment tool used for care planning) dated 11/30/2012 for Resident 50 revealed: -[DIAGNOSES REDACTED]. -Preferences identified by Resident 50 identified: very important to be able to use the phone in private; -Locomotion around the facility is by wheelchair. INTERVIEW with Resident 50 in the dining room at 12:05 PM revealed: -Resident 50 had a phone in the past but no longer has one; -Uses the phone at the nurses station for making calls; -Yes,sometimes it bothers (resident) that there are people around when talking on the phone and sometimes it does not per Resident 50; -Resident is not aware of a phone in the Social Service Office (SSW) or in the Station Four conference room to make calls that would be private with the door closed; -Resident is aware there is a wall-phone in the visitors lobby for Station 4 that is wheelchair height; -The pay phones cost 50 cents to call but they don't work (per resident) .They (facility) say they are going to do something about it but no one ever does (per resident). OBSERVATION touring the facility on 03/20/2013 at 10:30 AM revealed: -Pay phone installed on the wall are noted in the visitors lobby by the vending machines on Station Four; -Pay phone installed on the wall in a corner (across from the elevators) of the resident's dining room for Station 2/3. OBSERVATION: -Surveyor attempted to use the pay-phone in the dining room for Station 1 and 2 03/20/2013 at 2:30 PM without success; -Attempted two different calls (50 cents each) and could not complete the calls; -A recording at that time identified that the caller could make a call with the use of a credit card, debit card or a phone card to pay for the call; -The operator stated that 50 cents would identify how much money the call would cost and then the caller would deposit the money to complete the call; -The conference for Station 4 was observed: A land-line phone. No call cord system was identified for the resident to use to alert staff when the call was complete. The door to enter/exit the room was heavy to open/close; -Noted that the SSW office in the hallway between Station 4-5 revealed a keyed lock on the door. -INTERVIEW with Social Service Worker C revealed: -The SSW office was locked when SSW was not in the building and the phone was not available for residents to use after hours; -SSW was not aware that the pay phones required cards to make calls or cash and the local calls were more then 50 cents; -SSW did not think that residents had credit,debit or calling cards to make calls from the pay phones; -Was not aware if the pay phones worked or not and acknowledged that the pay phones did not provide privacy for resident calls. REVIEW OF THE FACILITY ADMISSION AGREEMENT PACKET revealed: -Booklet 2 identifies TELEPHONE and use of this; -Identifies that the resident can install at their cost a landline and/or use a public phone; -Information is provided instructing family and friends on when it is the best time to call (the nurses station) so that they do not interfere with facility routines and mealtime. REVIEW of regulations governing licensure revealed: -175 NAC 12-006.05(14) .Residents must have the right to: Have access to the use of a telephone with auxiliary aides where call can be made in private; -Federal Tag 174 . The resident has the right to have reasonable access to the use of a telephone where calls can be made without being overheard. C. Review of Resident 276's History and Physical dated 4/11/12 revealed that the resident had a [DIAGNOSES REDACTED]. Review of Resident 276's MDS (Minimum Data Set: a federally mandated comprehensive tool used for care planning) dated 10/1/12 revealed that it was very important to the resident to use the phone in private. Interview with Resident 276 on 3/18/13 at 10:16 am revealed that the resident was unable to have private phone conversations. The resident stated that the resident had to make phone calls at the nurses' station. Observation of Resident 276 revealed: -On 3/19/13 at 10:52 am the resident was on the phone at the nurses' station using the phone. There were two nurses and other residents around during the phone conversation. -On 3/20/13 at 11:35 am the resident was talking on the phone at the nurses' station. There were three nurses at the nurses' station and two residents within hearing distance. 2016-07-01