cms_NH: 27

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
27 GREENBRIAR HEALTHCARE 305005 55 HARRIS ROAD NASHUA NH 3062 2019-10-28 676 D 0 1 TYS711 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, it was determined that the facility failed to ensure that a resident received the appropriate monitoring to maintain or improve his or her ability to carry out the activities of daily living for 1 out of 2 residents reviewed for activities of daily living out of a final survey sample of 35 residents . (Resident identifier is #144.) Findings include: Review on 10/28/19 of Resident #144's medical record revealed that Resident #144 had an MBS (Modified [MEDICATION NAME] Swallow) done on 7/31/19 revealed the the following actions are recommended regarding the patient's feeding: .Treatment plan and further recommendations: . The following actions are recommended regarding the patient's feeding: Alternate Solids/Liquids, Positioned Upright, Small Bites/Sips, Upright at 90 degrees during PO (by mouth) and 30 minutes after meal. . Review on 10/28/19 of ST (Speech Therapist) notes revealed the following: Resident was seen by ST from 7/17/19-8/7/19. The following recommendations were noted on the ST progress and discharge summary: . Recommended strategies include alternating bites/sips, upright for all P.O., small bites/sips. . Discharge plans and instructions: . Monitor and report changes of vocal quality or swallow function. Review on 10/28/19 of Resident #144's care plans revealed that these interventions were not in Resident #144's care plan to be monitored. Interview on 10/28/19 at approximately 1:00 p.m. with Staff K (Licensed Practical Nurse) confirmed that the recommendations were not implemented in Resident #144's care plans. 2020-09-01