cms_GU: 7

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
7 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2019-01-30 693 D 0 1 IS8311 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to ensure that one of eight sample residents (Resident 5) who was fed by enteral means received appropriate care and services to prevent potential complications associated with the tube feeding. Failure to administer tube feedings as ordered and in accordance with standards of practice has the potential to contribute to facility acquired conditions. Finding includes: Resident 5 is a [AGE] year old female that was admitted into the skilled nursing unit on 1/13/2019. Her admission [DIAGNOSES REDACTED]. The records also identified that she was totally dependent on staff for all care. Her other [DIAGNOSES REDACTED]. The resident also had a gastric tube which was being used for nutritional feeding and was placed sometime in the past. On 1/29/2019, a licensed nurse (LN5) was observed preparing seven medications that were to be administered to Resident 5 at 9:00 a.m. At that same time the resident was to receive her ordered intermittent bolus tube feeding of [MEDICATION NAME] (1 carton) which equaled to approximately 250 milliliters (ml) of liquid. Prior to administering the medications or tube feeding LN5 checked placement of the tube and checked for gastric residual. Resident 5 had a gastric residual of approximately 50 - 60 ml. LN5 consulted with the physician and held the medications and feeding till 10:00 a.m. At 10:00 a.m., LN5 again checked placement of the gastric tube and assessed for gastric residual. Resident 5 had After administering the medications and the tube feeding LN5 acknowledged she did not flush the gastric tube with water between each medication. She also validated that she gave 1 and 1/2 cartons of the [MEDICATION NAME] tube feeding. LN5 validated that the only times Resident 5 was to receive one and a half carton of tube feeding was at 1:00 a.m. and at 1:00 p.m. Later that same day, LN2 provided the Enternal (SIC) Tube Medication Administration policy. Within the procedure it stated, The enternal (SIC) tubing is flushed with at least five (5) ml of water between each medication to avoid physical interaction of the medications. She also validated LN5 should have flushed the tube feeding line between each medication. After reviewing the Medication Administration Record, [REDACTED]. 2020-09-01