cms_GU: 54

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
54	GUAM MEMORIAL HOSPITAL AUTHORITY	655000	499 NORTH SABANA DRIVE	BARRIGADA	GU	96913	2014-09-19	514	D	0	1	OCYD11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based upon interview and record review, and the facility failed to ensure that all verbal and telephone orders obtained related to the urgent or emergent situations, and that all clinical records were legible, dated, timed, and signed. Persistent over use of verbal and or telephone orders, that are handwritten or re-transcribed on the monthly basis, has the potential for increased transcription error. Findings include: 1. On 9/19/14 the medical records for Residents 1 and 3 were reviewed with a licensed nurse (LN4). The nurse acknowledged that the monthly reoccurring orders for Resident 1 for the months of (MONTH) and (MONTH) 2014 were telephone orders. The records reflected that there were five physician's orders [REDACTED]. LN 4 acknowledged that the following orders were possibly not related to an emergent or urgent situations: [MEDICATION NAME] 100 milligrams orally two times a day; and [MEDICATION NAME] cream to hemorrhoids two times a day as needed. 2. Resident 3 was admitted on [DATE] with hand written telephone orders. Between 8/23/14 to 8/26/14, there were 8 physician's orders [REDACTED]. 3. On 9/19/14, the Guam Memorial Hospital Authority Nursing Services Manual addressing Physician order [REDACTED]. The policy indicated, All physician orders [REDACTED]. Additionally, The policy reflected Use of verbal and telephone orders must be minimized in all nursing units. Verbal or telephone orders must be taken by an RN only. Use of verbal orders must be limited to urgent and emergent situations 4. Resident 2 was admitted to the facility on [DATE] with several [DIAGNOSES REDACTED]. The resident was also noted as having a right below-knee amputation and described in the initial minimum data set ((MDS) dated [DATE] as having no cognitive impairments and dependent on staff for most activities of daily living with one-person physical assist. Review of the medical record revealed that the resident had a physician's orders [REDACTED]. Review of the Medication Administration Record [REDACTED]. elevated temperature), or result or effect, if any, after the medication was given.	2019-04-01