cms_GU: 28

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
28 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2016-09-29 279 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 develop a comprehensive plan of care for each resident to meet the resident's medical, nursing, mental and psychosocial needs identified in the initial assessment for one of 10 sampled residents (Resident 6). Finding includes: Resident 6 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the printed skilled nursing unit's (SNU) Admission Assessment form dated 9/22/16 lacked information related to over all condition of the resident upon admission. On 9/28/16 a handwritten Assessment form dated 9/21/16 timed at 10:35 p.m. was presented. The assessment revealed the resident was lethargic and verbally non-responsive, and that the information was obtained from the resident's husband. The resident had a [MEDICATION NAME] lock as an intravenous access on the right hand and an indwelling catheter on admission. She was also identified as totally dependent for all activities of daily living. The resident's code status was Do Not Resuscitate (DNR). A pain assessment revealed the presence of generalized mild pain on movement. There was also the presence of a Stage 2 pressure ulcer on the left buttocks upon admission. The assessment form identified the following problems: acute pain, alteration in tissue perfusion, alteration in nutrition, risk for aspiration, risk for constipation, impaired gas exchange, and impaired skin integrity. The nursing [DIAGNOSES REDACTED]. As a newly admitted resident that had been in the facility for less than 14 days, the facility identified a problem list for the resident's special needs, however, an individualized plan of care was not initiated to address each of the problem area identified. On 9/26/16 at 11 a.m., during the initial tour the SNU's nursing supervisor revealed that Resident 6 has been designated as comfort care due to metastatic [MEDICAL CONDITION]. On 9/27/16 during a concurrent review of the resident's plan of care, she confirmed the absence of an individualized plan of care to address the identified needs of the resident such as pain management, intravenous therapy, pressure ulcer and comfort care. 2020-09-01