cms_GU: 49

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
49 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2014-09-19 428 D 0 1 OCYD11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to conduct a drug regimen review monthly for 2 of 8 sample residents (Residents 1 & 2). Failure to complete the drug regimen has the potential subject the residents to unnecessary medications. Findings include 1. On 9/18, 14, during a concurrent interview and record review for Resident 1 with the consulting pharmacist she acknowledged there was no documentation to reflect drug regimen reviews were completed for the months of (MONTH) through (MONTH) 2014. During a concurrent interview and medical record review with a licensed nurse (LN1), there was acknowledgement that the record did not reflect the drug regimen reviews were completed since (MONTH) 2014. The facility policy titled Skilled Nursing Unit Drug Regimen Review, last revised (MONTH) 2012, indicated drug regimen reviews will be conducted monthly to ensure that each resident will not receive unnecessary drugs. 2. 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. Review of the medical record revealed that Resident 2 had a physician's orders [REDACTED]. The Medication Administration Record [REDACTED]. Further review revealed that the medication had been re-ordered monthly since 6/27/14. The medical record revealed that while the pharmacist conducted a review of the resident's drug regimen in (MONTH) and (MONTH) 2014, to identify and report any irregularities, no reviews were conducted monthly thereafter, as required. During an interview on 9/18/14, a pharmacy staff member (PH1) acknowledged that drug regimen reviews were not conducted monthly and that she needed to allocate time amongst other competing workload obligations to conduct and document the reviews. 2019-04-01