cms_NV: 51

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.

Data source: Big Local News · About: big-local-datasette

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
51 LEFA SERAN SNF 295001 1ST AND A ST/ PO BOX 1510 HAWTHORNE NV 89415 2019-10-16 623 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 provide a resident, family member, and State Long Term Care Ombudsman's Office with a discharge notification for 1 of 2 sampled closed records (Resident #22). Findings Include: Resident #22 Resident # 22 was admitted to the facility on [DATE] and readmitted on [DATE] with [DIAGNOSES REDACTED]. The resident was discharged on [DATE]. Resident #22's clinical record lacked documented evidence the resident's discharge was planned. The Psycho-Social Narrative, electronically signed by Social Services, documented the resident had weakness and several falls resulting in the family deciding it was no longer safe for the resident to be at home, as the spouse could no longer manage the resident's care needs. Resident #22's Care Plan for discharge, created and initiated on 07/13/19, documented discharge plans were to be discussed with the resident and/or family during care plan meetings. Resident #22's clinical record lacked documented evidence of a discharge notification and evidence the notification was sent to the State Long Term Care Ombudsman's Office. Resident #22's clinical record lacked documented evidence this was a Resident or Facility Initiated Discharge. Resident #22's Nursing Progress Note, dated 09/26/19, completed by the Director of Nursing (DON), documented the resident discharged home to care of self and wife. On 10/15/19 at 9:33 AM, the Unit Secretary confirmed Resident #22's clinical record lacked documented evidence the discharge notification was completed prior to the resident's discharge. On 10/15/19 at 9:44 AM, the DON verbalized the DON thought it was the DON's responsibility to complete the discharge notification but it might have been the responsibility of a staff member on the acute side of the facility. The DON confirmed the facility had not provided the resident, the resident's family, or the State Long Term Care Ombudsman's Office with a discharge notification for Resident #22. The facility policy titled, Notice of Discharge Procedure, effective 12/2016, documented before the facility discharged a resident, the facility was to notify the resident and the resident's representative of the discharge and the reasons for the move, in writing and in a language and manner they understand. The facility was also to send a copy of the notice to a representative of the Office of the State Long Term Care Ombudsman. Record the reasons for the discharge in the resident's medical record. 2020-09-01