cms_NH: 28

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
28	GREENBRIAR HEALTHCARE	305005	55 HARRIS ROAD	NASHUA	NH	3062	2019-10-28	690	D	0	1	TYS711	Based on record review, and interview, it was determined that the facility failed to provide care and services for 1 resident who is totally incontinent of urine in a final survey sample of 35 residents. (Resident identifier is #590.) Findings included: Interview on 10/24/19 at 8:11 a.m. Resident #590 stated the unit is short staffed. Resident #590 also states that prior to coming to this unit when they were on the skilled unit they were getting checked and changed every 3 hours. Resident #590 states now that they are on this unit they get changed 1-2 times per day. Review on 10/25/19 at 12:54 p.m. of Resident #590's medical record revealed LNA (Licensed Nursing Assistant) documentation showed that from 10/15/19-10/28/19 they are getting toileted only two times a day. Review on 10/25/19 of Resident #590's care plan states skin Actual Alteration in Skin Integrity Related to Rash/fungal infection in groin and abdominal fold . Care Plan states (Resident #590) has frequent bowel and bladder incontinence r/t Impaired Mobility/reconditioning. Review on 10/28/19 of the P[NAME] (Point of Care) Response History under Urinary continence for a 14 day look back period shows Resident #590 being incontinent daily. The times provided by the facility are as follows: 10/15/19 shows Resident #590 being changed only two times in a 24 hour period 10/16/19 shows Resident #590 being changed only two times in a 24 hour period 10/17/19 there is no documentation at all 10/18/19 shows Resident #590 being changed only three times in a 24 hour period 10/19/19 shows Resident #590 being changed only two times in a 24 hour period 10/20/19 shows Resident #590 being changed only two times in a 24 hour period 10/21/19 shows Resident #590 being changed only three times in a 24 hour period 10/22/19 shows Resident #590 being changed only one time in a 24 hour period 10/23/19 shows Resident #590 being changed only one time in a 24 hour period 10/24/19 shows Resident #590 being changed only two times in a 24 hour period 10/25/19 shows Resident #590 being changed four times in a 24 hour period 10/26/19 shows Resident #590 being changed only one time in a 24 hour period 10/27/19 shows Resident #590 being changed only one time in a 24 hour period 10/28/19 shows Resident #590 being changed only one time in a 24 hour period Interview on 10/28/19 with Staff D (Administrator), the findings were reviewed and Staff D confirmed them.	2020-09-01