cms_GU: 96

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
96 GUAM MEMORIAL HOSPITAL AUTHORITY 655000 499 NORTH SABANA DRIVE BARRIGADA GU 96913 2010-09-17 246 D 0 1 7DPX11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and interview, the facility did not ensure that the resident had the right to reside and receive services with reasonable accommodation of individual needs and preferences for two of 10 sampled residents. Findings include: 1. Resident 3 was admitted to the facility on [DATE] with several [DIAGNOSES REDACTED]. Review of the medical record revealed that the resident was admitted from the hospital where she was treated for [REDACTED]. The minimum data set ((MDS) dated [DATE] described the resident as having short-term memory problem, with moderately impaired cognitive skills for decision-making, and was dependent on staff for all activities of daily living (ADL). Throughout the survey, Resident 3 was frequently heard calling out to staff for assistance to get out of bed or to the bathroom. On 9/15/10 at 1:30 p.m. for example, the resident was heard from the hallway calling out "nurse ...nurse" repeatedly. When asked what she wanted, the resident replied, "Help me up ...help me up. I want to go to the bathroom." At 3:30 p.m. on 9/15/10, Resident 3 was again observed calling out, "get me up ...I want to get up." At 10:35 a.m. on 9/16/10, the resident was heard, saying repeatedly, "I want to get up ...I want to get up." When asked what she wanted to do, the resident replied that she wanted to get out of bed. When asked if Resident 3 could get out of bed, a facility staff interviewed stated that she did not know. Review of the medical record revealed the lack of contraindication for Resident 3's requests to get out of bed. physician's orders [REDACTED]." Further review revealed the lack of indication that the facility had considered Resident 3's request and took steps to accommodate her preference. During the survey, Resident 3 was observed in bed and remained bed-bound in spite of her frequent calling out to get out of bed. 2. On 9/16/10 at 10:15 a.m., a resident's family member indicated that the telephone line was not working in the room that Resident 5 was transferred to. The resident stated that she wanted to talk to her granddaughter every afternoon when she returns from school. Accordingly, the nursing staff was made aware of the concern and have notified the maintenance department. However, they were told that maintenance will fix the telephone line later. Review of the medical record revealed that Resident 5 was transferred because she needed to be on contact isolation. On 9/16/10 at 4:30 p.m., the charge nurse stated that the telephone line in Resident 5's room was inoperable per maintenance staff. The charge nurse added however that the resident will be moved to another room soon, possibly back to her former room where she can have telephone access. The charge explained that the resident's physician had been notified and that based on a recent lab report contact isolation precaution could now be discontinued. The charge nurse revealed that the resident can go back to her former room where she can have access to the telephone. 2014-12-01