cms_NH: 42

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
42	GREENBRIAR HEALTHCARE	305005	55 HARRIS ROAD	NASHUA	NH	3062	2018-12-19	656	D	0	1	P2R411	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview it was determined the facility failed to develop and implement a person-centered comprehensive care plan for 2 resident out of a final survey sample of 40 residents. (Resident identifiers are #149, and #226.) Findings include: Resident #226 Review on 12/19/18 of Resident #226's medical record revealed that Resident #226 has Dow[DIAGNOSES REDACTED], Alzheimer and Dementia and was remitted on 10/5/18. Review of Resident #226's the care plan on 10/5/18 reveals Resident #226 is an extensive assist with Activities of daily living. Review on 12/19/18 of Resident 226's nurses notes revealed that Resident #226 had a fall on 10/9/18, 10/14/18, and 10/20/18 and a behavior where Resident #226 sat oneself onto the floor on 10/10/18. All falls had no injuries. Interview on 12/19/18 at 11:27 a.m. with Staff F, (Building 2 Unit Manager) confirmed that Resident #226 did not have a fall care plan since Resident #226 readmission. It had been created in the previous admission and resolved and Staff F did not know why the fall care plan would have been resolved. Resident #149 Review on 12/17/18 of Resident #149's medical record has a note dated 7/23/18 at 16:54 from social service stating When speaking with (Resident #149) this afternoon (Resident #149) said that (Resident #149) wanted to commit suicide earlier in the day. (Resident #149) stated that (Resident #149) had a plan of hanging himself with a cord. After speaking with (Resident #149) about this (Resident #149) stated (Resident #149) no longer wanted to hurt (self) . On 7/24/18 at 14:13 nurses note states (Resident #149) sent out via ambulance to (hospital) for Evaluation for SI (Suicidal Ideation). (Resident #149) states (Resident #149) wants to hurt (self) and verbalizes a plan. (Resident #149) was seen by our psych services and have stated that (Resident #149) should be evaluated at the hospital . On 7/27/18 at 16:00 an Evaluation Summary was complete and within the note is states . (Resident #149) has a history of suicidal ideation . On 12/17/18 Resident #149 care plan was updated with a description area of (Resident #149) has mood problem r/t [MEDICAL CONDITION] disorder, [MEDICAL CONDITION]. (Resident #149) has a history of Suicidal ideation, but no recent verbalization. Observation on 12/13/18 at 11:00 a.m. revealed Resident #149's call bell was ringing. When entering the room Resident #149 gestured to say they were choking lightly spoke with a gurgled voice, and pointed to the suction machine at Resident #149's bed side. Review on 12/13/18 Resident #149's medical record revealed there was not a physicians order for the use of [REDACTED]. Once the above findings were shown to Staff [NAME] (Director of Nurses) a care plan was crated dated 12/17/18 with a Focus stating potential for alteration in respiratory status r/t Tube Feeding, increased secretions, need for oral suctioning PRN.	2020-09-01