cms_NE: 99

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
99 AZRIA HEALTH MONTCLAIR 285054 2525 SOUTH 135TH AVENUE OMAHA NE 68144 2018-09-17 625 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 of the right to hold a bed during hospitalization at the time of transfer for 5 of 6 residents (Resident's 15, 94, 90, 80, and 104). The facility census was 126. Findings are: [NAME] Review of Resident 15's progress note revealed on 9/1/2018 at 18:22 a 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 Bed hold revealed Resident 15 was issued a Bed hold notice on return to the facility. Review of the policy dated (MONTH) (YEAR) titled Bed-holds and Returns Prior to a transfer revealed written information will be given to the residents and the resident representatives that explains in detail: - The rights and limitations of the resident regarding bed-holds. - The reserve bed payment policy as indicated by the state plan - The facility per diem rate required to hold a bed or to hold a bed beyond the state bed-hold period. Interview on 9/13/2018 at 10:45 AM with the Business office manager revealed the only time bed hold are completed are on admission or readmission from the hospital. B. Review of Resident 80's progress notes revealed Resident 80 was admitted to the hospital on [DATE]. Review of resident scanned documents revealed the only bed hold was signed on admission. No bed hold located in the medical record for admission o 8/10/2018. Interview 9/13/2018 at 10:49 AM with the Social Services Director revealed bed holds are completed by the Business Office Manager. C. Review of resident 90's progress notes revealed resident 90 was admitted to the hospital on [DATE]. Review of Resident 90's scanned documents a Bed Hold was issued on 7/13/2018 on Resident 90's return to the facility. Interview on 9/13/2018 at 10:45 AM with the Business office manager revealed the Business office manager was not aware of the requirement to provide the bed hold on transfer to the hospital. D. Review of Resident 94's progress notes revealed Resident 94 was transferred to the hospital on [DATE]. Review of Resident 94's scanned document titled bed hold revealed it was issued on 7/24/2018 when resident 94 was readmitted to the facility. 09/13/18 11:00 PM DON Confirmed no bed hold was obtained when resident transferred to the hospital or followed up on and no letter was provided to the family or resident regarding the reason for transfer. The ombudsman was not notified of transfers. E. Review of Resident 104's progress notes revealed Resident 104 was transferred to the hospital on [DATE]. Review of Resident 104's scanned document titled Bed hold revealed no bed hold was issued to the resident on transfer to the hospital or during the hospitalization . 09/13/18 11:00 AM DON revealed no bed hold was provided when resident was transferred to the hospital. 2020-09-01