|
Included is the data tag numbers and the short phrase from
the listing retrieved.
If you need more information, contact:
Joann Erickson, RN, Section Administrator
Acute Care Facilities
HHA Regulation and Licensure
(402) 471-3484
Email: joann.erickson@hhss.ne.gov
Starting with the most cited deficiency first
HEALTH SURVEY
C0241 — Governing Body
Deficiencies related to medical staff credentialing/privileging as required by
bylaws and practitioners not functioning within their scope of privileges
granted
C0301 — Records System
Deficiencies related to medical record completion not within timeframes
established in medical staff bylaws
C0225 — Clean Facility
Deficiencies related to facility premises not clean and orderly, i.e. patient areas not clean,
peeling paint ceiling in kitchen, water leaks in patient care
areas
C0278 — Policies – Infection Control
Deficiencies related to infection control surveillance and reviewing all patients with nosocomial infections
C0276 — Policies -- Drug Management
Deficiencies related to inadequate handling and/or dispensing of drugs and biological,
no drug inventory system for anesthesia carts/other departments
C0221 — Construction
Deficiencies related to patient safety issues, hot water temperatures
C0227 — Emergency Procedures
Deficiencies related to training of staff for non-medical emergencies, such as fires and disasters
C0224 — Drug Storage
Deficiencies related to safe drug and biological storage
C0399 — Discharge Planning
Deficiencies related to discharge planning or summary of care for swing-bed patients
C0302 — Clinical Records
Deficiencies related tomedical record accessibility/organized system
LIFE SAFETY CODE SURVEY
Starting with the most cited deficiency first
HEALTH SURVEY
C0241 — Governing Body
Deficiencies related to medical staff credentialing/privileging as required by
bylaws and practitioners not functioning within their scope of privileges
granted
C0278 — Policies – Infection Control
Deficiencies related to infection control surveillance and reviewing all patients with nosocomial infections
C0276 — Maintenance
Deficiencies related to facility premises being clean and orderly, i.e. patient areas not clean, peeling paint, water leaks
C0227 — Emergency Procedures
Deficiencies related to training of staff for non-medical emergencies, such as fires and disasters
C0279 — Patient Care Policies
Deficiencies related to nutritional needs of patients
C0224 — Maintenance
Deficiencies related to safe drug and biological storage
C0272 —
Patient Care Policies
Deficiencies related to group composition of the professionals who review
facility policies
C0276 — Patient Care Policies
Deficiencies related to drug storage, handling and dispensing of drugs and
biologicals
C0298 — Nursing Services
Deficiencies related to nursing care plan development and being current for the
patient
C0280 — Clinical Records
Deficiencies related to records being complete, readily accessible and organized
systematically
LIFE SAFETY CODE SURVEY
K029 — LSC
Deficiencies related to failure to provide self-closing devices on the doors to
hazardous areas
K018 — LSC
Deficiencies related to failure to provide doors to the corridor that stay
latched tightly within the doorframes
Starting with the most cited deficiency first
HEALTH SURVEY
C0301 — Records System
Deficiencies related to timely completion of patient medical records in
accordance with the facility policies and procedures
C0241 — Governing Body
Deficiencies related to medical staff credentialing/privileging as required by
bylaws and practitioners not functioning within their scope of privileges
granted
C0276 — Provision of Services
Deficiencies related to drug storage, handling and administration and that
outdated, mislabeled, or otherwise unusable drugs are not available for patient
use
C0221 — Physical Plant and Environment
Deficiencies related to facility maintained to ensure safety of patients
C0322 — Anesthetic Risk and Evaluation
Deficiencies related to each patient being evaluated, prior to discharge, for
proper anesthesia recovery by a qualified practitioner
C0278 — Policies - Infection Control
Deficiencies related to infection control surveillance and reviewing all
patients with nosocomial infections
C0280 — Patient Care Policies
Deficiencies related to annual review of patient care polices by group of
professional personnel
C0225 — Physical Plant and Environment
Deficiencies related to facility premises are clean and orderly
LIFE SAFETY CODE SURVEY
K018 — LSC
Deficiencies related to failure to provide doors to the corridor that stay
latched tightly within the doorframes
K029 — LSC
Deficiencies related to failure to provide self-closing devices on the doors to
hazardous areas
Starting with the most cited deficiency first
HEALTH SURVEY
C0301 — Records System
Deficiencies related to timely completion of patient medical records in
accordance with the facility policies and procedures
C0241 — Governing Body
Deficiencies related to medical staff credentialing/privileging as required by
bylaws and practitioners not functioning within their scope of privileges
granted
C0227 — Emergency Procedures
Deficiencies related to training of staff for non-medical emergencies, such as fires and disasters
C0280 — Patient Care Policies
Deficiencies related to annual review of patient care polices by group of
professional personnel
C0278 — Policies - Infection Control
Deficiencies related to infection control surveillance and reviewing all
patients with nosocomial infections
C0283 — Radiology Services
Deficiencies related to unqualified/unlicensed staff performing services
C0303 — Records System
Deficiencies related to designated member of professional staff responsible for
maintaining records and for ensuring they are completely and accurately
documented
C0270 — Provision of Services
Deficiencies related to use of qualified staff in the Emergency Room
C0322 — Anesthetic Risk and Evaluation
Deficiencies related to each patient being evaluated, prior to discharge, for
proper anesthesia recovery by a qualified practitioner
LIFE SAFETY CODE SURVEY
K018 — LSC
Deficiencies related to failure to provide doors to the corridor that stay
latched tightly within the doorframes
K029 — LSC
Deficiencies related to failure to provide self-closing devices on the doors to
hazardous areas
Starting with the most cited deficiency first
HEALTH SURVEY
C0301 — Records System
Deficiencies related to completion of patient medical records in accordance with
the facility policies and procedures
C0241 — Governing Body
Deficiencies related to medical staff credentialing/privileging as required by
bylaws and practitioners not functioning within their scope of privileges
granted
C0227 — Emergency Procedures
Deficiencies related to training of
staff for non-medical emergencies, such as fires and disasters
C0280 — Patient Care Policies
Deficiencies related to annual review of patient care polices by group of
professional personnel
C0278 — Policies - Infection Control
Deficiencies related to infection control surveillance and reviewing all
patients with nosocomial infections
C0283 — Radiology Services
Deficiencies related to unqualified/unlicensed staff performing services
C0306 — Records System
Deficiencies related to lack of physician orders for care and treatment
C0270 — Provision of Services
Deficiencies related to use of qualified staff in the Emergency Room
LIFE SAFETY CODE SURVEY
K018 — LSC
Deficiencies related to failure to provide doors to the corridor that stay
latched tightly within the doorframes.
K029 — LSC
Deficiencies related to failure to provide self-closing devices on the doors to
hazardous areas.
Starting with the most cited deficiency first
C0301 — Records System
Deficiencies related to completion of patient medical records in accordance with
the facility policies and procedures
C0241 — Governing Body
Deficiencies related to medical staff credentialing/privileging as required by
bylaws and practitioners not functioning within their scope of privileges
granted
C0276 — Policies
Drug Management Deficiencies related to acceptable drug distribution systems,
outdated drugs available for use and maintaining current and accurate records
for dispensing of drugs
C0221 — Construction
Deficiencies related to patient safety, including maintaining limited access to
unsafe areas and dangerous chemicals, hot water temperatures in patient care
areas
C0280 — Patient Care Policies
Deficiencies related to annual review of patient care polices by group of
professional personnel
C0225 — Clean Facility
Deficiencies related to cleanliness and repair of facility
C0322 — Evaluations
Pre- & Post-Op Deficiencies related to completion of pre- and post-op
evaluations and timely completion of evaluations
C0278 — Policies
Infection Control Deficiencies related to infection control surveillance and
reviewing all patients with nosocomial infections
C0283 — Radiology Services
Deficiencies related to unqualified/unlicensed staff performing services
C0306 — Records System
Deficiencies related to lack of physician orders for care and treatment
|
