cms_GU: 86

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
86 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2012-01-26 501 E 0 1 J2NN11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and interview, the facility did not ensure that the medical director was responsible for the implementation of resident care policies and the coordination of medical care in the facility. Findings include: 1. During the survey, the medical director did not ensure that facility staff complied with and implemented patient care policies and procedures regarding the provision of care and services for residents who were admitted without pressures to ensure that they did not develop pressure sores and for residents with pressure ulcers to promote healing and prevent infection of the pressure sores. (Cross-refer to F314.) 2. The Medical Director did not ensure that a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections [MEDICAL CONDITION] and to restore as much normal bladder function as possible. (Cross-refer to F315) 3. The Medical Director did not ensure that a resident maintained acceptable parameters of nutritional status, such as body weight and protein levels when the facility did not promptly provide necessary equipment or supplies to ensure that residents received adequate nutrition.(Cross-refer to F325) 4. The medical director did not ensure that facility staff complied with facility policies and procedures on infection control and prevention. (Cross-refer to F441.) Review of the responsibilities of the medical director revealed several specific responsibilities including developing and recommending policies and procedures to ensure that care is appropriately delivered to the patients and to assure a smooth operation; providing consultation to the administrator, administrator of nursing, and social services on the ability of the facility in providing for the psychosocial, medical, and physical needs of the patients; and contributing to assuring a safe and sanitary environment for patients and staff. 2017-01-01