cms_NV: 52
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 52 |
LEFA SERAN SNF |
295001 |
1ST AND A ST/ PO BOX 1510 |
HAWTHORNE |
NV |
89415 |
2019-10-16 |
655 |
D |
0 |
1 |
LI3Z11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, clinical record review, and document review, the facility failed to ensure a total dependent resident's care needs for positioning were documented on a baseline care plan for 1 of 12 sampled residents (Resident #123). Findings Include: Resident#123 Resident #123 was admitted on [DATE] with [DIAGNOSES REDACTED]. On 10/13/19 at 6:06 PM, a family member verbalized Resident #123 had a lot of limitations to Range of Motion. The resident had been in bed for nearly a year and had not walked in five to six months. The resident's movements of the body were limited to the ability to kick the legs and move the neck. A Resident Turn Schedule form, dated 10/07/19 - 10/15/19, indicated the facility staff began repositioning the resident on 10/13/19 on a schedule of every two hours between 8:00 AM and 6:00 PM; Three days after admission. Resident #123's Care Plans lacked documented evidence a Baseline Care Plan was initiated for the resident's need for repositioning and the resident's lack of ability to do so alone. On 10/15/19 at 2:48 PM, a Certified Nursing Assistant (CNA) verbalized the Resident #123 was total dependent on staff. The resident was turned every two hours in bed and adjusted frequently in the Geri chair. The CNA explained whenever the CNA changed the resident's clothes, the CNA lifted the resident's arms a few more times then needed to work on Range of Motion. On 10/16/19 at 8:52 AM, the Director of Nursing (DON) explained Resident #123 was not able to walk, could not feed self, and could not turn self in bed. The DON verbalized this was the condition of the resident on the day the resident was admitted . The DON confirmed the resident was a total dependent on staff for assistance and required turning every two hours. The DON explained a care plan for Activities of Daily Living (ADL) would include the resident's total dependence and requirement to turn every two hours. The DON confirmed the Resident did not have an ADL care plan completed. The DON expected this information on a baseline care plan for person centered care. The DON verbalized the DON did not know how long the facility had to complete a baseline care plan for a newly admitted resident. The facility policy titled Care Plans, last revised 03/22/17, documented a baseline care plan was to be developed and implemented within 48 hours of admission. The care plan must include the instructions needed to provide effective person-centered care of the resident and meet professional standards of quality care. |
2020-09-01 |