cms_NH: 7

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
7 GREENBRIAR HEALTHCARE 305005 55 HARRIS ROAD NASHUA NH 3062 2018-03-05 684 D 0 1 6C1411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview with staff, and interview with resident, it was found that the facility failed to provide care and services to meet 1 of 1 resident's bowel regime by failing to notified the physician to establish a bowel regime in a survey sample of 43 residents. (Resident identifier is #192) Findings include: During the initial tour of the facility on 2/27/18 it was stated by Resident #192 to surveyor during interview that they had not had a bowel movement for over 5 days and had told staff several times but no medications where given to help. Resident #192 did state that they did finally move their bowels but it was very uncomfortable during that period of time. On review of the bowel record for the month of (MONTH) it was found that from 2/20/18 until 2/25/18 Resident #192 did not have a bowel moment as documented on the bowel record, not until 2/26/18 did it show that a bowel movement occurred. On 3/2/18 at 11:35 a.m. Resident #192 record was further reviewed and on 3/1/18 a Bowel and Bladder Evaluation was in progress and under section 13 Bowel Evaluation Summary part (B) it states Does the resident have bowel movements with regularity (every 3 days or more often)? If no please establish bowel regime with Physician. This information was shown to Staff C (DON) at 8:45 a.m. on 3/2/18 who confirmed the finding and notified the physician, getting orders that state Senna Tablet 8.6 mg Give 1 tablet by mouth at bedtime for constipation and [MEDICATION NAME] Suppository 10 mg insert 1 suppository rectally as needed for Constipation if no BM x 2 days. 2020-09-01