cms_NH: 38

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
38 GREENBRIAR HEALTHCARE 305005 55 HARRIS ROAD NASHUA NH 3062 2018-12-19 561 B 0 1 P2R411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, it was determined that the facility failed to put procedures in place for self administration of medications for 1 resident in a final survey sample of 40 residents. (Resident identifier is #196.) Findings include: Observation on 12/13/18 at approximately 1:00 p.m. of Resident #196's bedside table revealed an opened bottle of nasal spray and an opened bottle of [MEDICATION NAME] oral rinse on top of the bedside table that was right next to Resident #196's bed. Observation on 12/14/18 at approximately 8:50 a.m. of Resident #196's bedside table again revealed an opened bottle of nasal spray and an opened bottle of [MEDICATION NAME] oral rinse on top of the bedside table. Interview on 12/14/18 at approximately 8:50 a.m. with Resident #196 revealed that Resident #196 stated that they self administer the spray and the rinse whenever they need them. Resident #196 also revealed that they did not notify any staff members of when they had used them. Review on 12/17/18 of Resident #196's current Physician Orders revealed that there were no physician orders for the nasal spray or the [MEDICATION NAME] oral rinse. Review on 12/17/18 of Resident #196's current care plan revealed that there was no care plan for Resident #196's self administration of medications. Review on 12/17/18 of Resident #196's list of assessments revealed that there was no assessment done for Resident #196's ability to self administer medications. Interview on 12/18/18 at approximately 8:30 a.m. with Staff J (Unit Manager) revealed that they were unaware that Resident #196 was self administering any medications. Staff J also confirmed that there should have been physician orders and a self medication assessment done. 2020-09-01