cms_GU: 22

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
22 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2017-08-24 318 D 0 1 10C511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to ensure 1 of 8 sample residents (Resident 2), a resident with limited range of motion, receives appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion (ROM). Failure to provide services to increase and/or prevent a further decrease in ROM may potentially contribute to worsening of contractures. Findings include: Resident 2 is a [AGE] year old female admitted into the facility on [DATE]. The record reflects some of her [DIAGNOSES REDACTED]. Resident 2 was interviewed on 08/21/2017 and she acknowledged that she had been admitted into the facility with contractures. During further investigation on 8/22/2017, Resident 2 denied consistently receiving ROM exercises 2-3 times a week to her lower extremities. The resident assessments dated 05/10/2017 and 07/23/2017 show both Brief Interviews of Mental Status resulted in a score of 15 indicating the resident is cognitively intact. Both assessment also show the resident has a functional limitation in range of motion to both lower extremities. On 08/23/2017 during a concurrent record review and interview with Staff 18 it was validated: Resident 2 was admitted with lower extremity contractures; that the resident's assessments confirmed the contractures; that no nursing care plan existed to maintain or prevent the worsening of the lower extremity contractures; and, that the Recreational Therapy (RT) notes did not reflect that the patient was receiving ROM exercises 2-3 times each week to improve the contractures and mobility as outlined in the RT care plan. On 08/23/2017 during a concurrent interview and record review of the Recreational Therapy notes with Staff 4 it was validated that the RT care notes did not reflect that the patient was receiving ROM exercises 2-3 times each week to improve contractures or prevent the worsening of the contractures as outlined in the RT care plan 2020-09-01