cms_GU: 17

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
17 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2017-08-24 241 E 0 1 10C511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, staff and resident interviews, and facility policy review, the facility failed to ensure that 2 stage 2 sample Residents (R)1 and R4 and 5 random residents were served meals in a dignified manner by the kitchen staff. The residents were served part of their meal in Styrofoam cups. The facility failed to ensure that R5 was provided privacy during personal care. The survey sample is 8. Findings include: 1. Per clinical record review R1 was admitted to the facility on [DATE]. Per clinical record review R4 was admitted to the facility on [DATE]. An initial kitchen tour was conducted on 8/21/17 at 9:20 am. During this tour, it was discovered that the dishwasher was broken and kitchen staff were washing dishes manually. Per interview with staff, the dishwasher was in disrepair since 6/29/17. Maintenance staff were in the process of getting dishwasher repaired during this time, and eventually purchased a new dishwasher. As of the date of this observation, the dishwasher still had not been delivered or installed. A tray line observation was conducted on 8/22/17 at 7:15 a.m. It was during this observation that a random dietary staff member placed hot oatmeal into a Styrofoam cup. An interview was conducted at 7:21 a.m. with dietary staff member 6. Staff Member 6 stated that the dietary staff communicated with her that they could only manually wash dishes, silverware, cups and not bowls. She went onto say the residents have been spoken to about the use of the Styrofoam cups and Staff Member 6 stated that residents were fine using the Styrofoam cups. A resident group interview, which included R1 and R4, was conducted on 8/22/17 at 2:00 p.m. The group of sample and random residents were asked if they were served part of their meals in Styrofoam cups. Each resident responded yes and 1 random resident gave a thumb up gesture. When asked what type of food was served in the Styrofoam cups, multiple residents stated that they were served fruit, soup, and salad in Styrofoam cups. The group stated that they were not informed by staff there would be a temporary use of the Styrofoam cups to serve meals related to the dishwasher was not in operating condition. An interview was conducted with Staff Member 3 and staff member 18 on 8/22/17 at 3:00 p.m. revealed both stated the use of Styrofoam cups instead of traditional dishware bowls was considered to be a dignity issue. The Facility policy entitled .Dignity . dated last revised as 2/16 was reviewed. There was no reference to the use of Styrofoam cups instead of dishware in the policy. 2. On 08/22/2017 the Medication Pass Observation occurred with several facility nurses. On that date Staff 20 poured all the medications for Resident 5 who was to receive her medications through her gastric tube. Prior to administering the medications Staff 20 requested the resident to pull up her gown to expose the gastric tube so placement of the gastric tube could be checked. Resident pulled up her gown above her left breast. Staff 20 then proceeded to check placement by aspirating on the tube to ascertain the presence of gastric contents. The second method Staff 20 used to check for placement was by auscultation. Staff 20 listened for placement by inserting air in the gastric tube and listening with a stethoscope for a distinct the sound created when inserting the air near the insertion site of the gastric tube. During the entire time while checking for gastric tube placement Staff 20 did not close the curtain nor did she close the door. Again, Resident 5 had pulled up her gown above her left breast. The door was open and Staff 21 had full view of what was occurring. After checking gastric tube placement and washing her hands and observing Staff 21 from across the hall Staff 20 closed the door and proceeded to administer the medications. Immediately after the Medication Pass Observation during an interview with Staff 20 she acknowledged she could have conserved the resident's dignity by closing the door or closing the curtain within the resident's room. Later that day the facility policy titled Privacy and Confidentiality (Revision date of 02/2016) When providing care for a resident, bed curtains will be drawn to provide privacy. 2020-09-01