cms_GU: 89

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
89 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2010-09-17 244 E 0 1 7DPX11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview the facility failed to listen to and act on the views, grievances and recommendations of a resident's family concerning decisions affecting residents care and life in the facility. This failure has the potential impact quality of life for residents and could lead to a potential delay in staff response to an emergent or urgent resident situation in the dining room if a resident started choking. Finding includes: On [DATE], during the noon meal observation there were 3 residents observed eating in the dining room. Two residents were feeding themselves and the other was being fed by a family member. No nursing or dietary staff was observed in attendance during the meal service. On [DATE], during the dinner meal observation there were 3 residents observed eating in the dining room. Two residents were feeding themselves and the other was being fed by a family member. No nursing or dietary staff members were observed in attendance during the meal service. During the meal observation, the nurse call light was activated by this surveyor at 5:00 p.m. From 5:00 p.m. to 5:25 p.m. there was no dietary or nursing staff response to the dining room call light. The call light was deactivated by an upstairs front desk security staff member. On [DATE], A licensed staff (LN3) was interviewed. She stated that there was usually a CNA (certified nursing assistant) or dietary staff member present in the dining room during the meal service; however, the CNAs may return to the rooms to assist the residents in need of feeding assistance. She stated all staff had CPR (cardiopulmonary resuscitation training) with First Aid and therefore the dietary staff should know what to do in the event a resident was choking. LN3 acknowledged a choking resident may not be able to speak and with the doors closed to the dining room, shouts for help by family members or other residents may not be heard by the staff. On further investigation LN3 acknowledged that there was no system to ensure nursing or dietary staff members had been, or were currently, assigned to the dining room to provide potential resident assistance during meal times. On [DATE], the Grievances/ Complaints policy dated [DATE] was reviewed. The policy defined a complaint as "Any concern expressed by the patient or family member concerning care or services that can be addressed relatively quickly, on the spot, by the staff or managers present. No written response is needed." On [DATE], the family of Resident 9 was interviewed. The father and the mother stated that on [DATE], they had discussed the concern about the lack of staff in the dining room to address potential resident needs with LN 2. Accordingly, the facility had not responded to their concern by placing a staff member in the dining room during the meal times; nor had they received a written or verbal response to the concern. 2014-12-01