cms_NH: 18
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 18 |
GREENBRIAR HEALTHCARE |
305005 |
55 HARRIS ROAD |
NASHUA |
NH |
3062 |
2018-03-05 |
926 |
E |
0 |
1 |
6C1411 |
Based on observation, interview, and record review, the facility failed to have smoking policies and procedures that reflect practices at the facility. Findings include: Observation on 2/28/10 at 8:25 a.m. revealed Resident #80 was outside in front of the main entrance smoking. Observation on 2/28/18 at 9:00 a.m. revealed Resident #80 was outside in front of the main entrance bundled up for weather with a bath blanket over legs in a manual wheelchair. Resident #80 had a cigarette that was put out wrapped in tissue paper. Interview with Staff G (5-2 unit manager) on 2/28/18 9:45 a.m. revealed that staff are aware that Resident #80 goes outside to smoke. Interview further revealed that Staff G did not know where Resident #80 gets cigarettes and if staff see lighters or cigarettes, they are supposed to take and hold them. Observation on 3/01/18 at 8:05 a.m. revealed Resident #80 outside the main entrance smoking. Observation also revealed three old cigarettes butts on the ground near the main entrance. Review of the facility's smoking policy (not titled or dated) revealed that the facility prohibits the use of tobacco and tobacco products on the facility's premises and there are no designated smoking times or locations. Interview on 3/02/18 at 9:07 a.m. with Staff C (Director of Nursing) revealed that they are a non-smoking facility and have always been a non-smoking facility. Interview also revealed that the Staff C did not know where Resident # 80 gets cigarettes. Interview confirmed the the above smoking policy. Interview with Staff C on 3/02/18 at 9:45 a.m. there was a smoking assessment done for Resident #80 that looked at the resident's cognitive ability/vision/and physical functioning. The assessment did not include any observations of smoking. Interview further revealed that they do not do a complete assessment to include observation or Interdisciplinary team determination, because they are a non-smoking facility. Review on 3/2/18 at 9:35 a.m. of Resident #80's current care plan showed the following smoking goal: (Resident name omitted) wishes to smoke and is assessed for supervision level: Independent. Interview with Resident #80 on 3/2/18 at 10:15 a.m. revealed the resident goes outside to smoke and the resident hides a lighter and the resident's cigarettes in the resident's room. Interview also revealed that Resident #80 was outside smoking and the wheelchair rolled off the curb and the resident fell out of their wheelchair on 2/26/18. Review on 3/2/18 at 1:33 p.m. of Resident #80's progress notes revealed the following entries: On 7/7/17 at 2:57 p.m.Pt (patient) wears oxygen during the day. Will frequently take it off and wheel herself outside to smoke . On 8/1/17 at 2:25 p.m. Pt (patient) wears oxygen during the day. Will frequently take it off and wheel herself outside to smoke . On 10/19/17 at 8:51 a.m. Last night around midnight, I received a phone call from a concerned individual that there's somebody in (sic) the sidewalk in front of the bld. in a wheelchair with blanket and pillow. I went outside immediately to check and found (Resident #80's name omitted) smoking in (sic) the sidewalk. I asked (pronoun) omitted to come back inside the building with me because it is not safe for (pronoun omitted) to be out there in the middle of the night. (Pronoun omitted) continued to smoke until (pronoun omitted) was done . I explained to (pronoun omitted) that (pronoun omitted) might get hit or (pronoun omitted) might fall navigating the wheelchair in the incline . |
2020-09-01 |