cms_NH: 94

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
94 ROCHESTER MANOR 305024 40 WHITEHALL ROAD ROCHESTER NH 3867 2019-07-11 580 D 0 1 NENQ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and interview, it was determined the facility failed to notify the resident's physician and/or representative when treatment has been discontinued or delayed for 2 residents in a final sample of 20 residents (Resident identifiers are #22 and #183). Findings include: Resident #183 Interview on 7/8/19 at 12:38 p.m. with Resident #183 revealed the resident was admitted on [DATE] and had not received all of their prescribed pain medications and the resident was upset because they were having constant moderate to severe pain. Review on 7/10/19 of Resident #183's Medication Administration Record [REDACTED]. There were notes for the first 10 administration times that indicated the medication was not given because it was not available from the pharmacy. There was no documentation of notification of the missed administration to Resident #182's physician. Resident #183 received [MEDICATION NAME] starting on 7/9/19. Interview on 7/10/19 at 12:00 p.m. with Staff A (Director of Nursing) confirmed there was no documentation that the physician was notified in the delay of Resident #183 receiving the above medication. Resident #22 Interview on 7/8/19 at approximately 12:10 p.m. with Resident #22's DPOA (Durable Power of Attorney) revealed that the facility had stopped Resident #22's orders for medications, and that they needed to be restarted as Resident #22 had some health issues, in particular acid reflux, without the medications. Resident #22's DPOA stated that they were not aware that the medications were being discontinued and that when they realized it, they asked to have them restarted. Review on 7/10/19 of Resident #22's Physician order [REDACTED]. Review on 7/10/19 of Resident #22's (MONTH) 2019 Medication Administration Record [REDACTED]. Review on 7/11/19 of the facility policy, titled, Communication of Health Status, last reviewed on 3/1/16, revealed that it was the facility's policy to .Advise patient and /or health care decision maker of any change in his/her medical condition, medication orders or treatment orders . Interview on 7/11/19 at approximately 10:35 p.m. with Staff B (Unit Manager) confirmed that some of Resident #22's medications were discontinued, because they were on Hospice, and that their DPOA was not notified of the discontinuation. Staff B confirmed that when they found out, they asked that the medications be restarted. Staff B also confirmed that the DPOA should have been notified of the medication change. 2020-09-01