cms_NH: 15

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
15 GREENBRIAR HEALTHCARE 305005 55 HARRIS ROAD NASHUA NH 3062 2018-03-05 881 D 0 1 6C1411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to ensure that residents who required an antibiotic were prescribed the appropriate antibiotic by obtaining a culture for organism identification. Findings include: Review on 3/5/18 of the infection control line listings, revealed many residents who had infections within the past 5 months and who were placed on antibiotics without obtaining a culture for organism identification. Review on 3/5/18 of the facility's policy and procedure titled, Antibiotic Stewardship - Order for Antibiotics, date established was 11/2017, last revised is documented as 11/2017 and is listed as version 1.0. Section A, third paragraph reveals the following verbiage: Appropriate indications for use of antibiotics include: b. Criteria met for clinical definition of active infection or [MEDICAL CONDITION]; and c. Pathogen susceptibility, based on culture and sensitivity, to antimicrobial (or therapy begun while culture is pending). During review of the facility's Infection Control Logs, the following infections were revealed with no culture obtained but antibiotics were prescribed: Date identified Organism Antibiotic ordered Meets McGeer's Criteria 11/4/17 [MEDICAL CONDITION] - Wound [MEDICATION NAME] No 11/6/17 (blank) - UTI [MEDICATION NAME] No 11/7/17 (blank) - Infection [MEDICATION NAME] No 11/7/17 (blank) - Cyst [MEDICATION NAME] No 11/7/17 (blank) - Cyst [MEDICATION NAME] No 11/14/17 (blank) - Infection [MEDICATION NAME] No 11/14/17 (blank) - PNA (Pneumonia) [MEDICATION NAME] No 11/14/17 (blank) - Infection [MEDICATION NAME] No 11/20/17 (blank) - Wound Infection Keflex No 11/27/17 (blank) - PNA [MEDICATION NAME] No 11/27/17 (blank) - PNA [MEDICATION NAME] No 11/30/17 (blank) - Vaginal Itch [MEDICATION NAME] No 12/4/17 (blank) - PNA (normal flora) [MEDICATION NAME] No 12/11/17 (blank) - [MEDICAL CONDITION] [MEDICATION NAME] No 12/20/17 (blank) - PNA [MEDICATION NAME] No 12/21/17 [MEDICATION NAME] Keflex (Indefinitely) (line drawn through area) 12/25/17 (blank) - PNA Keflex No 12/28/17 (blank) - UTI [MEDICATION NAME][MEDICATION NAME] (line drawn through area) 12/29/17 (blank) - UTI Bactrim - DS No 12/29/18 (blank) - UTI [MEDICATION NAME] No 12/29/17 (blank) - Sinus Infection [MEDICATION NAME] No 1/2/18 (blank) - UTI [MEDICATION NAME] No 1/2/18 (blank) - UTI [MEDICATION NAME] No 1/3/18 (blank) - Increased WBC [MEDICATION NAME] No 1/3/18 (blank) - PNA [MEDICATION NAME] No 1/3/18 (blank) - Increased [MEDICATION NAME] No 1/4/18 (blank) - UTI [MEDICATION NAME] No 1/5/18 (blank) - URI [MEDICATION NAME] No 1/5/18 (blank) UTI [MEDICATION NAME] No 1/7/18 (blank) - PNA [MEDICATION NAME] No 1/7/18 (blank) - PNA [MEDICATION NAME] No 1/8/18 (blank) - [MEDICAL CONDITION] [MEDICATION NAME] No 1/9/18 (blank) - UTI [MEDICATION NAME] No 1/10/18 (blank) - PNA Levoquin No 1/10/18 (blank) - [MEDICAL CONDITION] [MEDICATION NAME] No 1/15/18 (blank) - UTI [MEDICATION NAME] No 1/17/18 (blank) - [MEDICAL CONDITION] Infection [MEDICATION NAME] Yes 1/19/18 (blank) - PNA [MEDICATION NAME] No 1/26/18 (blank) - [MEDICAL CONDITION] Keflex No 1/29/18 (blank) - SOB (shortness of breath) [MEDICATION NAME] No 1/29/18 (blank) - UTI [MEDICATION NAME] No 1/13/18 (blank) -[MEDICAL CONDITION] [MEDICATION NAME] No 1/31/18 (blank) - [MEDICAL CONDITION] Bactrim, [MEDICATION NAME], Vanco No 1/31/18 (blank) - UTI [MEDICATION NAME] No 1/31/18 (blank) - [MEDICAL CONDITION] Cephaloxin No 2/2/18 (blank) - PNA Levoquin No 2/5/18 (blank) - Cough/URI Azithomax No 2/5/18 (blank) - [MEDICAL CONDITION] Keflex No 2/9/18 (blank) - PNA Levoquin No 2/11/18 (blank) - Fever Keflex No 2/11/18 (blank) - Fever [MEDICATION NAME] No 2/17/18 (blank) - Wound Infection Bactrim - DS No 2/20/18 (blank) - [MEDICAL CONDITION] Keflex No 2/20/18 (blank) - UTI [MEDICATION NAME] No ( 2/28/18 (blank) - Wound Infection Bactrim No 2/28/18 (blank) - [MEDICAL CONDITION] Cephalox No Interview on 3/5/18 at approximately 2:15 p.m. with Staff Q (RN Infection Control Program) revealed that cultures were not done to determine the most appropriate antibiotic based on the organism. Interview on 3/5/18 at approximately 2:15 with Staff B (RN Director of Nursing) revealed that cultures were not done to determine the most appropriate antibiotic based on the organism. 2020-09-01