cms_NH: 50

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
50 GREENBRIAR HEALTHCARE 305005 55 HARRIS ROAD NASHUA NH 3062 2018-12-19 758 D 0 1 P2R411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, it was determined that the facility failed to ensure PRN (As Needed) orders for [MEDICAL CONDITION] drugs are limited to 14 days except, if the attending physician or prescribing practitioner believes that it is appropriate for the PRN order to be extended beyond 14 days, he or she should document their rationale in the resident's medical record and indicate the duration for the PRN order for 1 resident out of a final sample size of 40 residents. (Resident identifier is #212.) Findings include: Review on 12/18/18 of Resident #212 current physician orders [REDACTED].#212 had an order for [REDACTED]. Review on 12/18/18 of Resident #212 physician orders [REDACTED]. Review on 12/18/18 of Resident #212 EMAR (Electronic Medication Administration Record) for the month of (MONTH) (YEAR) revealed that [MEDICATION NAME] 1 mg by mouth every 6 hours PRN for anxiety with start date of 9/20/18 and with no end date was given on 9/21, 23, 24, 25, 26, 27, 28, and 30/2018. Review on 12/18/18 of Resident #212 EMAR for the month of (MONTH) (YEAR) revealed that [MEDICATION NAME] 1 mg by mouth every 6 hours PRN for anxiety with start date of 9/20/18 and with no end date was given on 10/1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11,12, 14, 15, 17, 18,19, 20, 21, 22, 23, 24, 25, 26, 27, 29 and 30/2018. Review on 12/18/18 of Resident #212 EMAR for the month of (MONTH) (YEAR) revealed that [MEDICATION NAME] 1 mg by mouth every 6 hours PRN for anxiety with start date of 9/20/18 and with no end date was given on 11/1, 2, 3, 4, 5, 6, 7, 8, 10, 11, 12, 13, 14, 15, 16, 17, 18, 22, 23, 25, 26, 27 and 29/2018. Review on 12/18/18 of Resident #212 EMAR for the month of (MONTH) (YEAR) revealed that [MEDICATION NAME] 1 mg by mouth every 6 hours PRN for anxiety with start date of 9/20/18 and with no end date was given on 12/ 5-6, 9-12, and 14-17/2018. Review on 12/18/18 of Resident #212 physician and nurse practitioner notes dated 9/24/18, 10/1/18, 10/3/18, 10/12/18, 10/26/18, 11/19/18, and 11/27/18 revealed that there were no notes regarding rationale for the PRN [MEDICATION NAME] use and indication of the duration for the PRN [MEDICATION NAME] order. Review on 12/18/18 of Resident #212 consult notes revealed that there were no psychiatry consult notes from (MONTH) to (MONTH) (YEAR) regarding rationale for the PRN [MEDICATION NAME] use and indication of the duration for the PRN [MEDICATION NAME] order. The last psychiatry notes documented was dated 8/28/18. Interview on 12/18/18 at 9:30 a.m. with Staff A (Unit Manager) confirmed the above findings. Staff A revealed that Resident #212 was transferred to their unit (5-2) since (MONTH) (YEAR) and had been using the [MEDICATION NAME] PRN order. Staff A was unable to give explanation of Resident #212's [MEDICATION NAME] PRN order not having a documented rationale for use and duration. 2020-09-01