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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
1	GUAM MEMORIAL HOSPITAL AUTHORITY	655000	499 NORTH SABANA DRIVE	BARRIGADA	GU	96913	2019-01-30	565	E	0	1	IS8311	Based on record review and interview, the facility did not ensure that guests and/or other individuals attended the resident group meetings only at the respective group's invitation; and did not always act promptly upon the grievances and recommendations raised by the residents regarding issues of resident care and life in the facility. Findings include: 1. During an interview on 1/28/19, Resident 9, a member of the resident council, stated that meetings were held at least monthly by the residents. Resident 9 added that while a facility staff member was present during the meetings to provide assistance such as documenting minutes of discussion, the ombudsman however, was also always present. In the same interview, Resident 9 stated that she did not know that attendance by the ombudsman was by invitation of the resident council only. The resident added that in some cases , the meeting was postponed when the ombudsman was not available. Review of council meeting notes provided by an activity staff member (AD1) on 1/29/19 revealed that the ombudsman was in attendance during meetings including those held in May, (YEAR); June, (YEAR); July, (YEAR); September, (YEAR); and (MONTH) (YEAR). In a separate interview on 1/29/19, AD1 verified that the ombudsman was a regular participant during the resident group meetings. 2. Review of the resident council meeting minutes revealed that efforts made by the facility to address complaints or grievances by the residents were not always sustained. Review of the (MONTH) (YEAR) meeting minutes, for example, noted a complaint by residents waiting to be attended to and not being attended at all. While the complaint was acknowledged by nursing staff as an ongoing problem and corrective actions were undertaken, including reminding staff about addressing resident needs attentively and immediately, the same (or similar issues) were raised again during the September, (YEAR) meeting with the residents reporting being told by staff to wait for your nurse, or I'll come back but does not return. In (MONTH) (YEAR), meeting minutes also noted that white boards were not being updated so that residents could identify the nurse or CNA (certified nurse aide) assigned to them. While nursing staff were reminded about the importance of updating the white boards, the same issue was raised once again in September. During the same interview on 1/28/19, Resident 9 stated that while the situation would get better after having been discussed during the meeting, the same issues however would come up again after especially on the night shift.	2020-09-01