cms_GU: 76

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
76 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2012-01-26 312 D 0 1 J2NN11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to provide the necessary services to maintain good personal hygiene for one of 10 sampled residents (Resident 5) and one non-sampled resident (Resident 11) who were unable to to carry out activities of daily living. Findings include: 1. Resident 11 was re-admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The initial assessment nursing notes revealed no skin breakdown. The initial assessment dated [DATE] revealed that the resident was totally dependent on staff with one person physical support for personal hygiene and bathing. On 1/25/12 at 9 a.m. Resident 11 was observed during morning care rendered by a certified nursing assistant (CNA). During the bedbath, the resident's fingernails were observed an quarter of an inch long with black substance under the nail bed in the right hand. There were also three areas of persistent redness observed in the resident's back: a raised reddened area in the mid-back, flat reddened area on the right side of the back and a blackish red abraded area on the sacrum. The licensed nurse indicated that the resident scratches herself at times. The nurse also indicated the resident had a history of [REDACTED]. The resident's bilateral hands and feet were observed dry and had significant amount of peeling skin. On the same day at 10 am, upon interview, the resident stated that she wanted her fingernails trimmed. On 1/25/12 at 4 p.m. interview with the resident's husband revealed a concern of the reddened raised area on the resident's back if it was a growing cyst. He was also concerned about the resident's peeling skin in the hands and feet from the allergic reactions incurred from antibiotics infused in the hospital. 2. Resident 5 was admitted with [DIAGNOSES REDACTED]. The resident had a gastrostomy tube ([DEVICE]) for feeding. The resident was alert and responsive with eye movement and required total care for activities of daily living (ADLs). A family member was with the resident 24 hours per day. During Family interviews on 1/24/2012 at 3:45 PM, Resident 5's family stated they had informed the facility of this on admission that Resident 5 had always preferred bathing later in the day. The facility did not give the resident a bath until the family asked them too, three days after admission, and then the staff woke the resident up at 5 AM to give her a bath. The family said that although the resident was unable to speak and was bedbound as a result of a recent stroke she still knew what was going on. 2017-01-01