cms_GU: 91

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
91 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2010-09-17 278 B 0 1 7DPX11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to ensure that the assessment of one of 10 sample residents (Resident 1) accurately reflected the resident's status. Accurate assessment provides the basis for care and failure to obtain accurate assessments could result in inadvertent acts of omission or commission when planning the resident's care. Finding includes: Resident 1 is a [AGE] year old female admitted to the facility on [DATE]. Her admission [DIAGNOSES REDACTED]. Several in-room care observations were made for Resident 1 between survey dates of 9/15/10 and 9/17/10. On 9/15/10, she was observed to be responsive to both tactile and verbal communication with her family. During a skin observation on 9/16/10, her eyes were open and she appeared to acknowledge the verbal direction of her family member and the certified nursing assistant facilitating the skin observation. During the observation attempts were made to communicate with Resident 1, she never communicated clearly with her family or the staff. On 9/16/10, the MDS (minimum data s) dated 8/21/10 and the most recent weekly assessment was reviewed with LN4, a licensed nurse. The MDS identified communication patterns exhibited by Resident 1 during the assessment period were signs, gestures or sounds. The MDS also identified that she makes herself understood, that her speech was clear and that she was independent for cognitive skills for daily decision-making. A review of the facility admission form dated 8/15/10 reflected that the resident was disoriented to time and place and that she had a speech deficit. A review of the weekly assessment dated [DATE] identified the resident's speech as "Signs/Gestures used." LN 4 acknowledged the discrepancies in the assessments provided on the MDS, the admission sheet, and the most recent weekly assessment. 2014-12-01