cms_GU: 45

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
45 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2014-09-19 279 E 0 1 OCYD11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to ensure ongoing resident's assessment data was used to develop and revise the comprehensive plan of care for 2 of 8 sample residents (Residents 1 and 4). Failing to use ongoing assessment data to develop and revise the resident's plan of care can lead to potential declines in resident functioning. Finding include: 1. The medical records of Resident 1 were reviewed on 9/18/2014. The resident sustained [REDACTED]. The nursing documentation for that incident reads, Was informed by assigned nurse that patient was found on floor near bed at around 2020. No injuries noted. Assisted patient back to wheelchair by three staff members. MD informed. No new orders obtained. During two separate interviews and record reviews with licensed nurses (LN1 and LN2) it was determined that the records did not reflect an investigation for the circumstances surrounding or contributing to the fall. The licensed nurses acknowledged that investigating or assessing the circumstances contributing to the fall could potentially prevent future falls. Additionally, both nurses acknowledged the fall occurred on 7/22/14 and that the last time the Potential for Fall care plan had been updated was 7/03/2014; 19 days before the fall. 2. Resident 4 was admitted to the facility on [DATE] with a medical [DIAGNOSES REDACTED]. The Minimum Data Set (MDS) assessment Section D (Mood) was completed by the facility social worker. The resident was assessed to be feeling down, depressed, or hopeless. During an interview with the Resident and family member, he stated that he was tired of being at the facility, and tired of being in the shape I am now. The family member stated that the resident was depressed about his condition because he wants to enjoy his retirement like everyone else, not like this. The Resident added I am tired of the pain, and just feel frustrated about having to be here (in the facility), and I just want to go home. It's depressing. review of the resident's medical record revealed [REDACTED]. The LN of the Resident stated she was not aware if the Resident was depressed or sad. The facility administrator was interviewed on 9/17/14 at approximately 3:30PM, and stated that he was aware that the Resident was not happy about having to be in the facility. When I talk to him, I try to redirect him, and remind him that he will be going home soon. When asked if a care plan addressing the emotional/psycho-social needs of the Resident would be appropriate, the administrator stated that even though he was mindful of the Resident's condition, it would be a good idea to address it in a nursing care plan so that staff would be aware, and what interventions to utilize to help the Resident cope with his depression. 2019-04-01