cms_GU: 75

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
75 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2012-01-26 309 D 0 1 J2NN11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interviews and record and review, the facility failed to provide the necessary care and services to attain or maintain the highrest practicable physical, mental, and psycho-social well-being, in accordance with the comprehensive assessment and plan of care for two of 10 sampled residents. (4 and 8) 1. Resident 4 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of initial assessment dated [DATE] identified the resident as totally dependent on staff with all activities of daily living except eating. The resident had surgery to repair the fractured left hip (open reduction internal fixation) on 12/18/11. The initial assessment identified the resident with frequent hip pain daily. For pain management, Resident 4 was prescribed [MEDICATION NAME] tablets. Also, she was received one tablet of [MEDICATION NAME] 5/325 on 12/22/11 twice that same day and once on 12/24/11. One of the side effects of [MEDICATION NAME] is constipation. The Medication Administration Record [REDACTED]. one tablet daily. Review of the vital signs log and MAR indicated [REDACTED]. On 12/25/11 at 2:15 p.m., the physician ordered [MEDICATION NAME] suppository as needed (PRN) for constipation and milk of magnesia (MOM) 30 milliliters (ml) by mouth three times a day PRN for constipation. Review of the MAR indicated [REDACTED]. The second episode of 3 consecutive days of no BM for 3 shifts was from 12/26/11 to 12/28/11. The MAR indicated [REDACTED]. was administered with results as followed: On 7 a.m.-3p.m. shift, the resident had large BM 3x and on 3 p.m.-11a.m. had one extra large BM. The third episode of no BM episode was from 12/30/11 to 1/2/12. Review of the MAR indicated [REDACTED]. without results. On 1/3/12 at 7:30 a.m., MOM 30 ml was administered. On the same day during the 3p.m.-11p.m. shift, the resident had medium size BM twice and on 1/4/12 during the 3p.m.-11p.m. shift had one large BM. On 1/25/12 at 11:45 a.m., in an interview, the administrator and former director of nursing confirmed the inconsistencies in the implementation of PRN medications for constipation. He further explained that the facility no longer implement the old bowel protocol because each resident should have an individualized bowel program. He added that the expectation is for the nurses to administer the oral medication first and to administer the suppository if the oral medication ordered did not work. 2. Resident 8 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. On 1/24/12 at 3:30 p.m., Resident 8's husband expressed concern regarding the coordination of [MEDICAL TREATMENT] treatments related to schedules and transportation. He indicated that post surgery, Resident 8 was moved to the Tuesday, Thursday, Saturday last shift schedule due unavailability of the M-W-F slot. The [MEDICAL TREATMENT] facility would call them if ever there was an available chair to dialyze earlier than scheduled. However, at times, the [MEDICAL TREATMENT] schedule would change and they remain waiting for hours on standby until the first available chair would be available. This also affects arrangements with transportation services. Interview with the social service designee on 1/25/12 at 10:30 a.m. revealed that they discuss these issues with the husband. review of the resident's medical record revealed [REDACTED]. There was no interdisciplinary plan of care on how to care for residents residing in the facility and dialyze outside of the facility in terms of accountability in care and emergency services. 2017-01-01