cms_GU: 41

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
41 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2016-09-29 514 F 0 1 H7FJ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interviews, the facility failed to maintain clinical records on each resident in accordance with accepted professional standards and practices that are complete; accurately documented; readily accessible; and systematically organized. The clinical record must contain sufficient information to identify the resident; a record of the resident's assessments; the plan of care and services provided; and progress notes. Findings include: 1. On 9/26/16 to 9/27/16, access to electronic medical record was not readily accessible. Interview with administrative and nursing unit supervisor on 9/26/16 at 2:00 p.m. revealed that surveyors will not be allowed to access the electronic records unless the Optimum RN/LPN Clinical User Request Form was signed to ensure privacy and protection of Patient Information, under the Health Insurance Portability and Accountability Act (HIPAA) of 1996. Multiple exchanges of information with the hospital's Information Technology (IT) staff were held to explain that surveyors were exempt from the HIPAA law. Access was granted only on 9/26/15 at 3:00 p.m. On 9/27/16 at 9:00 a.m. Minimum Data Set (MDS) information - an assessment tool for residents in skilled nursing facilities, was requested from nursing staff to evaluate facility's regulatory compliance. The surveyors were granted limited access to electronic record until requests were made to print all the MDS and resident care plans that needed to be reviewed. 2. Resident 3 was admitted to the facility on [DATE] with several [DIAGNOSES REDACTED]. Review of the medical record on 9/27/16 revealed that Resident 3 had a progress note dated 8/09/16 by the attending physician describing the resident as still intubated, was off pressors, and being on a [MEDICATION NAME] drip for pain. Interview with a licensed staff (LN1) on 9/27/16 revealed that the progress note entry was not applicable to Resident 3 following her admission to the facility, and not for any of the other residents in the skilled nursing facility. 3. Review of medical records revealed that minimum data set assessments (MDS) including admission and quarterly assessment were not easily retrievable. When a request was made on 9/26/16 to have them available for review, facility staff stated that they cannot be reviewed electronically but can only be printed by a designated staff member from a separate database so they can be reviewed. Copies of the requested assessments were not made available for review until 3:00 p.m. on 9/27/16. 2020-09-01