cms_GU: 21

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
21 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2017-08-24 315 D 0 1 10C511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, staff interviews, and facility policy review, Catheterization with a revised date of 2/16, the facility failed to ensure there was a physician's order, upon admission, for the use of an indwelling urinary catheter, and the care and management of an indwelling urinary catheter for 1 resident (R4). The survey sample was 8. Findings include: Per clinical record review R4 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. The resident was admitted to the facility with a urinary indwelling catheter put in place during her hospital stay. Per electronic clinical record review for R4, there was no physician order for [REDACTED]. The initial admission Minimum Data Set (MDS) assessment dated [DATE] for R4, Section H for Bowel and Bladder, identified that the resident had a indwelling urinary catheter. Under the Care Area Assessment (CAA), Section V, identified that the resident triggered for urinary incontinence and indwelling catheter and directed the staff to care plan. The Skilled Nursing Unit (SNU) Interdisciplinary Plan of Care dated 5/1/17 identified R4 was to receive Foley catheter care per shift. The Medication Administration Records (MAR) were reviewed for the months of 5/17, 6/17, 7/17, and 8/17. It was documented R4 received Foley catheter changes on 5/2/17, 6/3/17, 7/2/17, and on 8/3/17. An interview was conducted with Staff Member 9 on 8/22/17 at 1:35 p.m. and she stated R4 was admitted to the facility from a local hospital with a catheter already inserted. Staff Member 9 said that the nurse should have obtained a physician's order for catheter care, French size, and identify how often the catheter should be changed. Staff Member 9 confirmed that there was no physician's order in place, in the electronic clinical record for the resident. A review was conducted of a facility policy entitled Catheterization with a revised date of 2/16. This policy failed to identify that a physician's order was required for the use of a Foley catheter, upon admission to the facility, which includes French size, and catheter care and changes made to the catheter. 2020-09-01