cms_GU: 62

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
62	GUAM MEMORIAL HOSPITAL AUTHORITY	655000	499 NORTH SABANA DRIVE	BARRIGADA	GU	96913	2013-09-20	328	D	0	1	JK1T11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review the facility failed to ensure one of eight sample residents (resident #1) with special needs received the proper [MEDICAL CONDITION] suctioning care in accordance with facility policy. Failure to suction the resident's [MEDICAL CONDITION] in accordance with facility policy could potentially lead to lung tissue damage, [MEDICAL CONDITION], or the collection of [MEDICAL CONDITION] sections near or at the [MEDICAL CONDITION] stoma. Findings include: On (MONTH) 20, 2013 at approximately 12:00PM Resident #1, who has a [MEDICAL CONDITION], was observed having several dressings changed; she was logged rolled during the process. The log rolling activity possibly contributed to the loosening of [MEDICAL CONDITION] sections which could be heard as air moved in and out of the [MEDICAL CONDITION]. LN #7 acknowledged the need to suction the resident and suctioning finally occurred at 12:30PM. According to LN#7, the suction should be between negative 240 to a negative 26 milliliters mercury (mmhg). The nursing supervisor (LN2) was requested to provide the [MEDICAL CONDITION] Suctioning policy. LN#2 provided the Naso-tracheal Suctioning policy and it was reviewed concurrently with her. The facility policy states (sic)Lowes possible vacuum pressures are preferred. The higher the negative pressure the greater the possibility for trauma to the tracheal mucosa. Suction pressure should be set at -60 to -80 mmhg in neonates, and -80 to -100 mmhg in adults. LN#2 acknowledged that LN#7 failed to suction the resident in accordance with facility policy.	2018-07-01