cms_GU: 63

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
63 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2013-09-20 367 D 0 1 JK1T11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and record review the facility failed to ensure one random resident (Resident #10) received his therapeutic diet as prescribed by the attending physician. Failure to receive a prescribed therapeutic diet could potentially contribute to chocking and/or aspiration of food products into the lungs. Findings include: On (MONTH) 20, 2013 Medication Pass was being completed for Resident #10 at approximately 8:30AM. He was admitted on (MONTH) 14, 2013 with a [DIAGNOSES REDACTED]. The resident was finishing his breakfast and agreed to take his AM medications. The medications were administered in accordance with the physician's orders [REDACTED]. LN#7 asked the resident to open his mouth several times to ascertain if all the medications had been swallowed. When the resident opened his mouth there were no medications observed in his oral cavity. He had no permanent teeth or dentures but was attempting to chew on a piece of pear from a fruit cup. The pears on his tray were not chopped. The meal card indicated the resident was to receive a Low Salt Mechanical Soft Chopped Diet-Regular Liquids. Nursing staff called the Dietary department and they were requested to bring a cup of mechanical soft pears to the resident. When the dietary staff member arrived she acknowledged original cup of pears was not chopped. The resident was able to eat the cup of chopped pears without difficulty. In a review of the medical record the physician had prescribed a Low Salt Mechanical Soft Chopped Diet- (with) Regular Liquids. 2018-07-01