cms_GU: 81

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
81 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2012-01-26 367 D 0 1 J2NN11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview, the facility did not ensure that therapeutic diets was prescribed by the attending physician. Finding includes: Resident 1 was admitted to the facility on [DATE] with several [DIAGNOSES REDACTED]. Review of the minimum data set ((MDS) dated [DATE] revealed that the resident was alert and oriented and because of obesity, was dependent on staff for most activities of daily living. Review of the medical record revealed that on admission on 1/04/12, a physician's orders [REDACTED]. On 1/18/12, this diet order was changed to a low sodium. During meal observations conducted on 1/24/12 and 1/25/12, Resident 2's meal tray was observed to be regular and also contained a salt packet. In an interview during the lunch meal observation 1/24/12, Resident 1 stated that he appreciated the salt packet because it helped improve the flavor of his food. During an interview on 1/25/12, a dietary staff was asked to clarify Resident 1's diet order because his meal trays contained a salt packet and his diet order was supposed to be low sodium. The dietary staff went to the facility's electronic database and stated that the regular diet order had not been changed when the new order for a low sodium was made on 1/18/12. When asked if the salt packet would significantly alter a low sodium diet, the staff stated that it would especially depending on the resident's medical condition. 2017-01-01