cms_NH: 47
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
|
rowid
|
facility_name
|
facility_id
|
address
|
city
|
state
|
zip
|
inspection_date
|
deficiency_tag
|
scope_severity
|
complaint
|
standard
|
eventid
|
inspection_text
|
filedate
|
| 47 |
GREENBRIAR HEALTHCARE |
305005 |
55 HARRIS ROAD |
NASHUA |
NH |
3062 |
2018-12-19 |
726 |
D |
0 |
1 |
P2R411 |
Based on observation record review and interview, it was determined that the facility failed to ensure that licensed nurses have the specific competencies and skill sets necessary to care for residents' needs for 1 resident in a final survey sample of 40 residents. (Resident identifier is #149.) Findings include: Observation on 12/13/18 at approximately 10:00 a.m. revealed Resident #149's call bell was ringing. When entering the room, Resident #149 gestured to say they were choking, lightly spoke with a gurgled voice, and pointed to the suction machine at Resident #149's bed side. Staff member was looked for to care for Resident #149 and no aide's could be found on the floor. Walking the length of the floor did not locate a staff member. Finally Staff G (Nurse) who was distrubuting medications, was told of the event , asking that they come to Resident #149 needs. Staff G walked down the hall and entered Resident #149's room. At this time Staff G told Resident #149 to clear their mouth themselves and use tissues, but Resident #149 was not able to clear their throat. The nurse then went to use the suction machine that was at Resident #149's bedside, but the canister was full and had to emptied. When doing this, the nurse removed the suction lines to the equipment, emptied the canister and cleaned it in the bathroom and returned to the suction machine at Resident #149 bedside. Then the nurse tried to hook up the suction machine but appered to not know where the suction lines hooked to. At this time surveyor showed Staff G where the suction lines go so the equipment could be used to help provide care to Resident #149. Once the tubing was properly connected to the suction machine Staff G said they did not have a piece of equipment for suction even though they had the yanko suction tube hooked to the machine. Staff G left the room again at 10:25 a.m. and returned with suction tubing trying to attach it to the end of the yanko then stopped. Staff G then said they will just use this (yanko tube) turning the suction machine on and off to extended the yanko further to clear Resident #149 throat. Staff G did this several times hitting Resident #149 gag reflex causing them to gag and cough. At the end of this process Resident # 149 had relief and was able to speak by 10:30. Resident #149 was asked if this nurse does this for them all the time and Resident #149 said not always. Resident #149 said, Staff I (Nurse) usually does it for me, they really know how to do it. Staff G after suctioning Resident #149 left the yanko uncovered and the suction tubing filled with mucus. Resident #149 told surveyor that Resident #149 was scared during the event but feels much better now that there throat was cleared. Resview on 12/17/18 Staff G personal file with education and training revealed that they had not completed their competencies for how to use a suction machine. Following this incident, the facility had Staff G complete the competencies needed on how to use and care for residents needing suction. Interview on 12/18/18 09:19 AM with Staff I confirmed that they provides suction to Resident #149 every morning and sometime in the afternoon depending on how much secretions form in Resident #149 throat. Staff I also stated when they suction Resident #149 they always removes clear/yellow discharge. Staff I stated Resident #149 needs the services but also feels it's a comfort measure that provides Resident #149 relief. |
2020-09-01 |