cms_NH: 88

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
88	ROCHESTER MANOR	305024	40 WHITEHALL ROAD	ROCHESTER	NH	3867	2017-04-13	279	D	0	1	K2IK11	Based on record review and interview, it was determined that the facility failed to develop a coordinated/integrated Plan of Care for 2 of 2 residents receiving Hospice services in a survey sample of 17 residents. (Resident identifier's are #12 and #16.) Findings include: Review on 4/13/17 of Resident #12 and Resident #16 medical record revealed that Resident's #12 and #16 were receiving Hospice services. Record review revealed that the facility failed to show a coordinated Plan of Care as evidenced by not including or documenting the Hospice goals and interventions in order to ensure that facility staff is providing consistent care when Hospice staff are not scheduled in the facility. Resident #16 Review on 4/13/17 of Resident #16's hospice care plan with a start date of 8/25/16 revealed the following disciplines visiting Resident #16: skilled nurses, Medical social worker, Nurses aide, and a chaplain. Review on 4/13/17 of Resident #16's facility's care plan revealed a hospice care plan with a start date of 8/25/16. Under the interventions section it revealed the hospice nursing assistant to compliment ADL (activities of daily living) care, provide comfort and companionship .Provide resident with food & fluids as desired for physical & emotional comfort Hospice nursing along with Center Staff Nurses to assess and manage symptoms, comfort/pain, bowel function. Interview on 4/13/17 at 1:00 p.m. with Staff B (Director of Nurses) after review of Resident's #16's current facility and the hospice care plans Staff B revealed that the care plans did not include the frequency of services provided by the hospice agency for the skilled nurse, licensed nursing aide, social worker, and spiritual. Staff B confirmed that the facility's was unaware of all the services that the hospice was providing via the care plan. Staff B also confirmed that the facility's and the hospice care plans did not coordinated/integrated with each other. Resident #12 Review on 4/13/17 of Resident #12's care plan revealed a hospice care plan with a start date of 3/5/17. Under the intervention section it revealed the Hospice nursing assistant to compliment ADL care, provide comfort. Provide ADL support, companionship and other interventions as desired by pt (patient) to promote comfort. Hospice Nursing .to assess and manage symptoms comfort/pain, bowel function. Review on 4/13/17 of Resident #12's Hospice Team Care Plan revealed the following disciplines are visiting Resident #12: volunteer, social worker and a chaplain. The frequency of services were not present on the care plan for this hospice resident.	2020-09-01