cms_GU: 46

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
46 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2014-09-19 309 D 0 1 OCYD11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility did not ensure that the resident received care and services to enable him to meet the highest practicable physical and psychosocial well-being. Finding includes: Resident 2 was admitted to the facility on [DATE] with several [DIAGNOSES REDACTED]. The resident was also noted as having a right below-knee amputation and described in the initial minimum data set ((MDS) dated [DATE] as having no cognitive impairments and dependent on staff for most activities of daily living with one-person physical assist. During an interview on 9/16/14 at about 3:20 p.m., Resident 2 stated that he had been having irregular bowel movements and that while he receives milk of magnesia (MOM) when he hasn't had a bowel movement for several days, he added that by the time, he feels loaded and uncomfortable. Review of the electronic medical record revealed that while Resident 2's bowel movements were being monitored, the frequency however was such that he would have none for three or more days, including on 9/14/14 - 9/16/14 (3 days); 8/28/14 - 9/01/14 (5 days); and 8/16/14 - 8/19/14 (4 days). In light of this, there was no documentation that Resident 2 was always given MOM as needed. Review of the Medication Administration Record [REDACTED]. During an interview on 9/18/14 at 11:00 a.m., a licensed staff (Admin 1) stated that facility protocol was to give 30 ccs of MOM if a resident had no BMs for 3 days. Further record review revealed that while the facility developed a plan of care dated 4/23/14 for constipation with the goal to maintain regular bowel pattern, there was no indication that the care plan was reviewed to determine if interventions were being implemented, were effective, or needed to be revised. While the care plan, for example, noted encourage high fiber intake and coordinate with the dietitian, there was no evidence of any coordination or that the resident's diet order (Cardiac 2000 cal bite-sized) was modified, or that consideration was made for the use of daily stool softener or addition of fiber to the resident's drug regimen. In a follow-up interview on 9/18/14, Resident 2 stated that while waiting 3 days for a laxative (MOM) might be good for other residents, it was too long of a wait for him. 2019-04-01