cms_GU: 27

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
27 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2016-09-29 250 D 0 1 H7FJ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility did not provide medically-related social services to enable the resident to attain or maintain the highest practicable physical, mental, and psychosocial well-being. Finding includes: Resident 9 was admitted to the facility on [DATE] with several [DIAGNOSES REDACTED]. The most current MDS dated [DATE] described the resident as having short or long-term memory problems, with severely impaired cognitive skills for daily decision making, and was dependent on staff for most activities of daily living (ADLs). The MDS also noted that the resident did not have any mood or behavior problems. Review of the medical record also revealed the the lack of any indication that Resident 9 was bedbound. During the survey, Resident 9 was always observed in bed sleeping or looking out to the hallway when repositioned on her right side. In an interview on 9/28/16, a licensed staff (LN7) stated that the resident did not want to get out of bed but received 1:1 visits in her room (at the bedside) with recreational therapy staff. In separate interviews on 9/28/16, two recreational therapy staff members (AS1, AS2) stated that as far as they can remember, Resident 9 had been out of bed only twice since admission. Both AS1 and AS2 added that Resident 9 did not want to get out of bed but received 1:1 visits instead. AS1 and AS2 stated that they did not know why the resident preferred to stay in bed in her room. Further review of the medical record revealed that in spite of the isolation and refusal to get out of bed, there was no evidence of social services participation in determining the cause of the behavior or in identifying potential functional and/or psychosocial factors, and correlating these with her [DIAGNOSES REDACTED]. On 4/12/16, another RT note revealed that Resident 9's spouse who was admitted with a [DIAGNOSES REDACTED]. In the same interview on 9/28/16, LN7 stated that Resident 9's spouse subsequently passed away thereafter. Notwithstanding, there was no social services documentation of this significant loss in the medical record, as well as Resident 9's life-changing event and functional deficits as a result of the stroke. There was no indication that referrals to other healthcare professionals for guidance, counseling and/or other interventions were explored or considered in spite of the [DIAGNOSES REDACTED]. 2020-09-01