cms_NH: 51

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
51	GREENBRIAR HEALTHCARE	305005	55 HARRIS ROAD	NASHUA	NH	3062	2018-12-19	761	D	0	1	P2R411	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and facility policy review, it was determined that the facility failed to ensure that all medications are labeled, stored in locked compartments and discarded when expired for 3 residents in a final survey sample of 40 residents. (Resident identifiers are #109, #165 and #29) Resident #109 Observation on [DATE] at approximately 9:45 a.m. in Resident #109's room revealed the following treatment items: Wound packing strip container without a cover and open to air, and sterile water (single use container) opened and on Resident #109's dresser. Interview on [DATE] at approximately 9:46 a.m. with Staff A (Unit Manager) confirmed that the items did not have a date of opening, Staff A put the items in the garbage. Resident #165 Observation on [DATE] at approximately 10:00 a.m. in Resident #109's room revealed the following treatment item: lac-hydrin five lotion expiration date of ,[DATE]. Interview on [DATE] at approximately 10:30 a.m. with Staff B (Licensed Practical Nurse) confirmed that the items on the dresser were expired and the items were thrown in the garbage. Resident #29 Observation on [DATE] at approximately 12:30 p.m. in Resident #29's room revealed on the dresser was an opened, undated (single container) of sterile water. The sterile water container had several floating black substances in it. Interview on [DATE] at approximately 12:35 p.m. with Staff A (Unit Manager) was not able to identify the floating substances in the container of sterile water. Staff A confirmed that the container was opened and not dated. Review on [DATE] of the facility policy and procedure titled, Storage of Medications, Revision date ,[DATE] revealed: Policy: The facility shall store all drugs and biologicals in a safe, secure, and orderly manner. Guidelines: . 2. The nursing staff shall be responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner. . 4. The facility shall not use discontinued, outdated, or deteriorated drugs or biologicals. All such drugs shall be returned to the dispensing pharmacy or destroyed.	2020-09-01