cms_NH: 21
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
21 | GREENBRIAR HEALTHCARE | 305005 | 55 HARRIS ROAD | NASHUA | NH | 3062 | 2018-10-16 | 658 | D | 1 | 0 | QTPI11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review, interview and facility policy review, it was determined that the facility failed to follow physician orders [REDACTED]. (Resident identifier is #2.) Findings include: Review on 10/16/18 of Resident #2's Order Summary Report revealed that Resident #2 had a physician order [REDACTED]. Review on 10/16/18 of Resident #2's nurses notes, dated 9/20/18, revealed that Resident #2 was .admitted to (Proper Noun) hospital for [MEDICAL CONDITION], without any further notes indicating the signs or symptoms that Resident #2 was experiencing. The last documented nurses note prior to that note was a nurse's note, dated 9/18/18. Review on 10/16/18 of the Facility Policy, titled Charting and Documentation, last revised 4/2018, revealed that All services provided to the resident, progress toward the care plan goals, or any changes in the resident's medical, physical, functional or psychosocial condition, shall be documented in the resident's medical record . Interview on 10/16/18 at approximately 2:00 p.m. with Staff A (Director of Nursing) confirmed that there was no documentation of daily skilled notes. | 2020-09-01 |