cms_NH: 2
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.
This data as json, copyable
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 2 |
GREENBRIAR HEALTHCARE |
305005 |
55 HARRIS ROAD |
NASHUA |
NH |
3062 |
2018-03-05 |
609 |
D |
0 |
1 |
6C1411 |
Based on interview and record review, it was determined that the facility failed to ensure that the all alleged violations involving abuse, neglect, exploitation and/or mistreatment are reported to the State Survey Agency within the prescribed time frames (see regulation above for timeframes) for one resident out of a subgoup of one resident, with an allegation of resident to resident abuse, in a survey sample of 43 residents. (Resident identifier is #130). Findings include: Resident #130: 2/27/18 1:37 PM: Interview with Resident #130 revealed a verbal report as follows: (Resident #121) came at me and knocked me down. I thought (he/she) would kill me but two staff saved me. This was a couple of months ago. I will never forget the experience! Social services comes to talk to me and make sure I'm okay. I still watch (him/her) like a hawk whenever (he/she) is nearby. (He/She) hasn't tried anything lately. 2/28/18 1:00 pm: Interview with Staff D, Unit Manager revealed that Staff D felt that the incident was overplayed by Resident #130, and it was most likely that both residents were frightened by each other and that caused Resident #130 to fall. Staff D stated, when asked, that the facility did not report this incident as the residents both have dementia, and would not remember what happened. Staff D went on to say that she was unaware that resident to resident altercations needed to be reported to the State Survey Agency if the residents both had dementia. 03/02/18 07:52 AM: Review of nurses notes from the alleged incident on 2/14/18 confirm that there was a resident to resident altercation in Resident #130's room with Resident #121, who held Resident #130 by the upper arms and knocked him/her down. This was witnessed by a nurse, Staff F, and an LNA (un-named) assisted with separating Resident #121 and redirecting him/her from the room so that Resident #130 could be assessed for injury. On nursing assessment by Staff F, an abrasion to the left elbow was noted to be sustained by Resident #130, and neurological checks were initiated as Resident #130 bumped his/her head on a chair when he/she was knocked down. 3/2/18, 10:30 am: The facility's investigation on this incident was reviewed. Facility Policy & Procedures state that resident to resident altercations are not reported to the State unless there is: .serious injury sustained requiring transfer to a hospital, or transfer for a psychiatric evaluation, and/or prolonged emotional upset.A system for follow up on altercations, with an emphasis to prevent future altercations will be in place, including: .Care plans will be updated to incorporate recommendations from the formal incident review process . This incident was not reported to the State Survey Agency as per interview with Staff D, related to the Facility Policies and Procedures for Resident to Resident Altercation Reporting, and that Staff D did not think it needed to be reported because both residents had dementia. |
2020-09-01 |