cms_GU: 51

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
51	GUAM MEMORIAL HOSPITAL AUTHORITY	655000	499 NORTH SABANA DRIVE	BARRIGADA	GU	96913	2014-09-19	441	D	0	1	OCYD11	Based on interview and record review the facility failed to establish and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment to prevent the development and transmission of disease and infection. Finding includes: On 9/16/14 during the initial tour of Resident 3's room with a licensed nurse (LN3), the nurse acknowledged the normal saline solution and irrigation set use for the dressing changes was not dated nor timed. During further interview the licensed nurse stated that irrigation solution was good for 28 days after the bottle was opened but acknowledged it would be difficult to determine when the current bottle was opened since there was no date or time on it. On 9/17/14 during a wound care observation for Resident 3 with LN 3 the normal saline solution was observed to be labeled with the date and time opened; however the irrigation set was not dated nor timed as to when it was initially opened. The wound for Resident 3 was a large pressure ulcer which extended from above the anus to the coccyx area. LN3 executed the following steps before and during the dressing change: hands were washed and clean gloves applied; the old dressing was removed; original gloves removed and the hands washed then a new set of clean gloves were applied; the wound site was irrigated with normal saline solution; then the wound was pat dried from the anus to the superior aspect of the wound; the gloves were removed, the hands were washed and new set of clean gloves were applied; Hydrogel was applied to the fresh dressing then the wound was covered and tape applied to secure the dressing. The licensed nurse was question about the drying technique and acknowledged the wound should've been dried from the clean superior aspect to the dirtiest aspect of the wound (the anus). On 9/17/14 during an interview with LN1 it was ascertained that the normal saline irrigation solution is good for only 24 hours after being open and that the container of solution should be dated and timed. Furthermore, during a concurrent observation with LN1 of the manufacturer's label on the irrigation set it was determined that the irrigation set was a single use item. That is, the irrigation set was not intended to be used multiple times within a 24 hour period.	2019-04-01