cms_GU: 32

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
32 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2016-09-29 325 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 ensure that the resident maintained acceptable parameters of nutritional status, such as body weight unless the resident's clinical condition demonstrated that this was not possible. Finding includes: Resident 3 was readmitted to the facility on [DATE] with several [DIAGNOSES REDACTED]. The most current quarterly MDS (minimum data set) assessment dated [DATE] described the resident as having no short or long term memory problems, had intact cognitive skills for daily decision making, and had no mood, [MEDICAL CONDITION], or behavioral problems. During the initial tour on 9/26/16, a licensed facility staff (LN6) described the resident as alert and oriented but non-verbal as a result of the stroke, and able to communicate or make his needs known by gestures. Review of the quarterly MDS (dated 8/04/16) revealed that Resident 3 was noted to weigh 119 lbs (with height of 65 ins). Review of dietary notes including dietary tech notes dated 8/24/16 revealed that Resident 3 consumed between 75 - 100% of his meals. During two meal observations conducted on 9/27/16 and 9/28/16, the resident was observed eating without need for any assistance and consumed most of his meals, a 2000 Kcal, 75-gm carbohydrate controlled diet. In an interview on 9/27/16, a dietary staff member (DT10) stated that Resident 3 had no problem eating in spite of his [MEDICAL CONDITION] and usually consumed most of his meals. Review of the medical record revealed that while weights were being taken and recorded, there was no documentation during the current admission that an acceptable parameter for determining nutritional adequacy, such as body weight, was established for Resident 3. Review of the dietary tech note dated 7/13/16, for example, noted Resident 3's weight as being 127 lbs on 3/02/16; 122 on 4/16/16; 138 on 4/26/16; 130 on 6/01/16; 118 on 6/16/16; and 123 lbs on 7/09/16. While the same note added that the fluctuating weight changes (were) based on the height and weight flowsheet, and the patient's good food intake, determining whether Resident 3 had achieved an adequate or desired level of nutritional status could not be made. And while care plans were developed for the problem that Resident 3 needs a therapeutic diet (dated 6/15/16), and decreased ability to chew and/or swallowing (dated 6/15/16), whether or not Resident 3's body weight was ideal and was his highest practicable level, was not addressed because a parameter had not been identified. Review of the medical record from a previous admission revealed that during an assessment by the registered dietitian on 12/24/13, Resident 3's ideal body weight (IBW) was noted to be 140 lbs. Further review revealed that Resident 3 had not been evaluated by a registered dietitian since 11/29/15. 2020-09-01