cms_GU: 94

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

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
94 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2010-09-17 166 E 0 1 7DPX11 Based on interviews and record review, the facility failed to ensure that prompt efforts were made to resolve grievances the residents may have. Findings include: 1. On 9/16/10 at 10:15 a.m., during the resident group meeting, two of ten residents complained of noise from screaming patients at night. Resident 8 revealed that he was told to to shut his door to reduce the noise level. He also stated that it takes a long time for the nurses to attend to the screaming residents at night resulting his inability to fall asleep. Another resident confirmed that the screaming residents affected her ability to sleep at night. 2. On 9/16/10 during the same resident group meeting, three residents complained about the nurses' slow response to patient calls, especially on the night shift. One patient indicated that the facility needed more staff to attend to patients' needs at night. Also the slow response to residents' calls for assistance occur during early morning when residents needed to use the restroom. A review of the resident council meeting minutes for May - July, 2010 revealed that the same issue of staff's slow response to call lights was identified in the minutes: For example: a. 5/28/10 - "Response time for help calls from nurses is too long. Sometimes more than 10 - 15 minutes which is dangerous if this is a life saving call." The corrective actions documented were: "to conduct test time it takes to answer call lights. All nursing staff instructed to ask patients what they need and inform the patients if they will be delayed in providing care." Another entry in the meeting minutes dated 5/28/10 noted, "There is this one CNA (certified nursing assistant) at the time my sister soiled herself and needed changing that came to the room, then told us she'll have to call the assigned CNA to help her change her. I stood at the door watching her and she walked down to the other end of the hallway but did not inform anyone that we needed help. Why did she even bother to come to our room and then do nothing?" The corrective action read: "Head Nurse counseled CNA. All nurses reminded to assist patients in timely fashion. If busy, the assigned CNA shall inform the patient of the delay and ask for assistance from the assigned RN." b. The resident council meeting minutes dated 7/30/10 revealed, "resident continued to comment about the nurses slow response time to patient calls and observing nurses always chit-chatting instead of attending to patients (90% of the attendees agreed with the comments of slow response time and constant chit-chatting going on)." The facility's corrective action was for the head nurse to further investigate this incident with staff. Another entry in the 7/30/10 minutes revealed that a resident called to the nurses and was told to wait. The resident noticed the nurses have mood problems, if "they don't like you, you don't get any service right away. (50% of the attendees agreed with this comment)." The corrective action was for the head nurse to educate staff to improve customer service in upcoming emergency staff meeting. Another entry in the 7/30/10 minutes stated, "The response time when I called to be position changed and diaper changed took four hours for a nurse to come." The corrective action was for the head nurse to investigate this incident and re-educate staff to use buddy system. Although the slow response to call lights remain to be a topic in the resident council meetings since 5/2010, the issue remained unresolved as evidenced by concerns raised by the residents during the group meeting on 9/16/10. 2014-12-01