cms_NH: 11

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
11 GREENBRIAR HEALTHCARE 305005 55 HARRIS ROAD NASHUA NH 3062 2018-03-05 745 D 0 1 6C1411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based upon record review and staff interview the facility failed to protect and promote the rights of 2 of 43 sampled residents (Resident identifiers are #18 and #49). Findings include: Resident #18, according to record review was admitted to the facility on [DATE] without having a [DIAGNOSES REDACTED]. Further record review revealed that on 7/18/16 this facility resident was newly diagnosed with [REDACTED]. The facility from 7/18/16 when the [MEDICAL CONDITION] disorder [MEDICAL CONDITION] type [DIAGNOSES REDACTED].#18. Staff L(Social Services Director) aknowledged during a 3/2/18 interview that the facility has not made a PASARR II referral for Resident #18 even though the [DIAGNOSES REDACTED]. Resident #49, according to a 3/5/18 interview with Staff L was an emergency admission who was admitted into the facility on [DATE]. Record review revealed that the Consent to Admission and Treatment form was signed by a Family Friend without any documentation being provided to the facility, according to a 3/5/18 interview with Staff L which showed that this individual had been given the legal authroization to sign for Resident #49 on their behalf. Also record review further revealed this family friend of Resident #49 signed consent forms without having any documentation showing that they had the authority to do so for administering antipsychotic, antidepressant, antianxiety and hypnotic medications to Resident #49. Resident #49's comprehensive care plan states that Resident #49 is able to make her own health care decisions at this time. A Social Service note of 9/26/17 stated that Resident #49 is able to make her own decisions. Interviews on 3/2/18 and 3/5/18 with respectively Staff L(Social Service Director) and Staff D (Unit Manager) revealed that Resident #49 was not competent to make her own health care decisions. This was confirmed by Resident #49's admission MDS assessment of 9/25/17 and her 12/18/17 quarterly MDS that coded Resident #49 as severely cognitively impaired. Also Resident #49's care plan indicated that Resident #49's Advance directives are not on file. A Social Service note of 9/26/17 stated that Social Services is attempting to locate DPOA paperwork. A Social Service note of 12/19/17 revealed that Social Services will follow up with Resident #49's son regarding pursuing guardianship. Social Service notes of 1/18/18 and 1/30/18 indicated that Resident #49's son was continuing to look for DPOA documentation. A Social Service note of 3/2/18 stated when communicating with Resident #49's son that the facility needs this paperwork the DPOA documentation and that if we can not locate it we will need to file for guardianship almost six months following Resident #49's admission to the facility. 2020-09-01