cms_NH: 29
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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| 29 |
GREENBRIAR HEALTHCARE |
305005 |
55 HARRIS ROAD |
NASHUA |
NH |
3062 |
2019-10-28 |
692 |
D |
0 |
1 |
TYS711 |
Based on interview, record review and facility policy review, it was determined that the facility failed to ensure that weight loss is monitored and weights are obtained for 2 residents in a final survey sample of 35 residents. (Resident identifiers are #135 and #172.) Findings include: Review of the facility policy, titled Weight Measurement, dated 5/23/18, revealed that .Weights will be obtained weekly X 4 (weekly for 4 weeks) after admission. Subsequent weights will be monthly, unless physician's orders or the resident's condition warrants more frequent as determined by Interdisciplinary Team .All residents with significant weight changes will be reweighed to assure accuracy of the weight. Verify re-weigh for accuracy and documentation purposes .Residents with significant unintended weight changes will be added to weekly weights X 4 weeks or until weight stabilizes . Resident #135 Review on 10/24/19 of Resident #135's weights and vitals summary revealed that Resident #135 had a weight of 116.8 pounds on 9/6/19, the date that they were admitted to the facility. The next weight documented was on 9/12/19 which was 113 pounds, which represented a 3.2% weight loss. There were no other weights documented after 9/12/19. Review on 10/25/19 of Resident #135's active physician orders revealed that there was no order to discontinue weights. Review on 10/25/19 of Resident #135's nutrition assessment, dated 9/22/19, revealed that there was no documented evidence that Resident #135 was not being weighed. Interview on 10/28/19 at approximately 11:20 a.m. with Staff J (Licensed Practical Nurse) confirmed that the last weight obtained for Resident #135 was the weight obtained on 9/12/19. Staff J also confirmed that they should have been obtained because there was no physician's order to discontinue them. Resident #172 Review on 10/25/19 of Resident #172's weights and vitals summary revealed that Resident #172 had a weight loss from 222 pounds on 8/9/19 to 178.5 pounds on 9/6/19, which represented a 19.5% weight loss. There was a reweigh obtained on 9/6/19 which was 178 pounds. The next weight obtained for Resident #172 was on 10/10/19. Review of Resident #172's nutrition assessment, dated 10/10/19 revealed that Resident #172 had a significant loss of 17.6% in the last 6 months. Interview on 10/28/19 at approximately 11:15 a.m. with Staff J confirmed that Resident #172 had a significant weight loss and that Resident #172 should have had other weights obtained between 9/6/19 and 10/10/19. |
2020-09-01 |