cms_GU: 40

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
40	GUAM MEMORIAL HOSPITAL AUTHORITY	655000	499 NORTH SABANA DRIVE	BARRIGADA	GU	96913	2016-09-29	501	F	0	1	H7FJ11	Based on record review and interview, the facility failed to designate a physician to serve as medical director for the facility who was responsible for implementation of resident care policies, and the coordination of medical care in the facility. Finding includes: On 9/28/16 at 9:15 a.m., interview with LN1 revealed that there was no position description for the current medical director assigned to skilled nursing unit (SNU). During the survey, an interview with the medical director was not conducted because he was off-island, according to LN1. On 9/28/16 at 2:15 p.m., following a request to review the position description for the medical director of the SNU, a human resources staff person responded with a note to the surveyor indicating that the facility did not have position description. The following day on 9/29/16 at 9:00 a.m., a document, Hospital Staff Physician - Skilled Nursing Unit (SNU) with collateral duties and work tasks as Director, Skilled Nursing Unit, Responsibilities was provided by the administrative assistant (AA1). The document described the scope of work for the facility's medical director to include the following: Directs the day-to-day functions of the Skilled Nursing Facility/Skilled Nursing Unit (SNF/SNU) in accordance with current federal, state and local standards, guidelines, and regulations that govern, hospital-based long term care units to assure the highest degree of quality of care is provided to all residents, at all times. Assures that there is continuous monitoring and evaluation of the quality and appropriateness of the medical care provided as part of the overall quality assurance program. Develops and directs educational programs related to medical activities such as, but not limited to, results from Quality Assurance monitoring and evaluation activities. Provides consultation to the Medical Records Department on the development and maintenance of an adequate medical record. (Cross-refer to F322, F329, F441 and F520.)	2020-09-01