cms_NH: 37

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

rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
37	GREENBRIAR HEALTHCARE	305005	55 HARRIS ROAD	NASHUA	NH	3062	2018-12-19	550	C	0	1	P2R411	Based on dining observations made on the West wing of building one during lunch on 12/13/18 and during lunch on 12/18/18 a confidential family interview and a staff interview, the facility failed to serve residents requiring assistance in a dignified manner. Findings include: On 12/13/18 in the West wing dining room of building one during lunch twenty-three residents had been brought into the room for this meal. Staff AA (RN) and Staff BB (LNA) each stood over residents instead of sitting while feeding them. Staff BB stood while helping to feed three residents (#81, #141 and an unidentified resident) at the same time going from resident to resident helping each with a few bites of food or a sip of a beverage before moving on to aid another of these three residents with their meal. Staff AA asssisted one resident with their meal standing the entire time while assisting them. Observation made on 12/18/18 during lunch two unidentified LNA's stood while they assisted one unidentified resident each with eating their meal. Interview with a family member on 12/14/18 confirmed that staff routinely stand in the West Wing dining room of building one while assisting residents with their meals. This family member stated that there's frequently not enough staff available to supervise, encourage or assist residents in theWest Wing dining room of building one which is why staff are standing while assisting residents to eat their meals. Observation on 12/13/18 in the West wing dining room of building one revealed that for the entire lunch Resident #40 remained asleep and at the waist slumped over the right arm of the chair they were sitting in without receiving the supervisory assistance and encouragement that Resident #40's care plan says they require during mealtimes. There was an over the bed table in front of Resident #40's chair with their uncovered lunch tray on the over the bed table. No staff member was observed during lunch attempting to assist Resident #40 with their meal. While Resident #40 slept in the chair their meal tray which had been delivered at approximately 12 noon was removed at 12:50 pm without any food on the tray having been consumned but Staff BB documented in Resident #40's medical record that Resident #40 had eaten more than 75% of this meal. Staff BB confirmed this during a 12/18/18 interview but said she'd made a documentation error. Observations of the twenty-three residents in the West Wing dining room of building one during lunch on 12/13/18 confirmed that several residents needed cueing, supervision and encouragement from staff to assist them in eating their meals but this wasn't observed to be happening. As a result multiple resident's uncovered meal trays remained untouched in front of them for long periods of time during lunch. Some residents barely picked at their food with one unidentified resident asking what should I eat without receiving a response or assistance from staff.	2020-09-01