cms_GU: 43

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
43	GUAM MEMORIAL HOSPITAL AUTHORITY	655000	499 NORTH SABANA DRIVE	BARRIGADA	GU	96913	2016-09-29	520	F	0	1	H7FJ11	Based on interviews and record review, the facility failed to maintain a quality assessment and assurance (QAA) committee consisting of the director of nursing services; a physician designated by the facility; and at least 3 other members of the facility's staff. The quality assessment and assurance committee failed to meet at least quarterly to identify issues with respect to which quality assessment and assurance activities are necessary; and failed to develop and implement appropriate plans of action to correct identified quality deficiencies. Findings include: On 9/28/16 at 10:00 a.m. during an interview with licensed nurse (LN1), it was revealed that the facility did not have a quality assurance program although she represented the SNU in program improvement (PI) meetings at the hospital on a monthly basis. According to LN1, quality assurance consisted of collecting SNU-specific data and reporting this to the hospital PI meetings. LN1 added that the SNU was part of the hospital's overall PI meetings. LN1 further explained that ever since the last SNU's director of nursing/administrator left last May, (YEAR), the facility had not conducted a formal quality assessment and assurance (QAA) meeting exclusive to SNU. LN1 added that while each licensed nurse was assigned a specific quality indicator to monitor, such as incidence of pressure sores, the data collected was sent to the facility's administrative assistant for compilation. Target goals not met continue to be monitored on the list of key indicators. There was no evidence if analysis of data collected was conducted or not. In another interview on 9/29/16 at 1:30 p.m. the administrative assistant (AA1) stated that she worked closely with LN1 to establish and maintain the SNU's QAA program. She stated that while quarterly QAA meetings were held with the medical director and the department heads, no other meetings were convened since March, (YEAR) when the former director of nursing/acting administrator left and the former medical director retired. She recalled that the last official QAA meeting in the SNU that was attended by the medical director was (MONTH) (YEAR). In the same interview, AA1 confirmed that there was no evidence of an existing QAA committee for the SNU except for the PI program in the hospital. However, AA1 stated that the facility will reconvene and plan to start QAA meetings in SNU on 10/15/16 with the new medical director and heads of the each department.	2020-09-01