cms_NE: 98
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
98 | AZRIA HEALTH MONTCLAIR | 285054 | 2525 SOUTH 135TH AVENUE | OMAHA | NE | 68144 | 2018-09-17 | 623 | E | 0 | 1 | XOYL11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to notify residents representatives and the ombudsman in writing of resident transfers for 5 (Residents 15, 94, 90, 80, 104) of 6 residents reviewed for hospitalization . The facility census was 126. Findings are: [NAME] Review of Resident 15's progress note revealed on 9/1/2018 Resident 15 Change of Condition Note revealed the resident has a change of condition and was transferred to the hospital for evaluation and treatment. Review of Resident 15's scanned documents revealed no documentation regarding notification in writing to the Resident 15's representative or the State Ombudsman regarding the reason for Resident 15's transfer. 09/13/18 10:40 AM Interview with the director of nursing(DON) revealed they do not send a letter to the family or resident regarding reason for the transfer and they do not notify the State Ombudsman. Review of the facility policy dated (MONTH) (YEAR) titled Bed-holds and Returns revealed; prior to transfer written information will be given to the residents and the resident representatives that explains in detail including the details of the transfer using the Notice of Transfer. B. Review of Resident 80's progress notes revealed Resident 80 was admitted to the hospital on [DATE]. Review of Resident 80's scanned documents revealed no evidence of notification to Resident 80, the family representative or the State Ombudsman in writing of the reason for Resident 80's transfer to the hospital. Interview on 09/13/18 at 11:01 AM with the (DON) revealed the facility has not been using the Notice of Transfer referenced in the facility policy. C. Review of Resident 90's progress notes revealed Resident 90 was admitted to the hospital on [DATE]. Interview on 09/13/18 at 10:40 AM with the DON revealed families are verbally notified of transfer and the reason for the transfer. The State Ombudsman is not notified. D. Review of Resident 94's progress notes revealed Resident 94 was transferred to the hospital on [DATE]. Review of Resident 90's scanned documents revealed no evidence of notification to Resident 80 or the family representative or the State Ombudsman in writing of the reason for Resident 80's transfer to the hospital Interview 9/13/2018 at 10:49 AM with the Social Services Director revealed transfers are not reviewed with the State Ombudsman. E. Review of Resident 104's progress notes revealed Resident 104 was transferred to the hospital on [DATE]. Review of Resident 90's scanned documents revealed no evidence of notification to Resident 80 or the family representative or the State Ombudsman in writing of the reason for Resident 80's transfer to the hospital Interview on 09/13/18 at 11:00 PM with the DON revealed no letter was provided to the family or resident regarding the reason for transfer. The ombudsman was not notified of transfers. | 2020-09-01 |