cms_NH: 44

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
44	GREENBRIAR HEALTHCARE	305005	55 HARRIS ROAD	NASHUA	NH	3062	2018-12-19	692	E	0	1	P2R411	Based on interview, record review, and facility policy review, it was determined that the facility failed to monitor significant weight loss for 4 residents in a final survey sample of 40 residents. (Resident identifiers are #15, #105, #118, and #196.) Findings include: Review on 12/18/18 of the Facility Policy titled, Weight Measurement, dated 5/23/18 revealed that .All residents with significant weight changes will be rewighed 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 weight X (times) 4 weeks or until weight stabilizes . Resident #15 Interview on 12/13/18 at approximately 12:00 p.m. with Resident #15 revealed that Resident #15 stated that they had a weight loss. Review on 12/14/18 of Resident #15's weight documentation log revealed that Resident #15 had a weight loss from 105 pounds on 6/4/18 to 92 pounds on 11/5/18. This was a 12.3% loss in approximately 5 months. Resident #15's weight on 10/8/18 had been 98 pounds, which indicated a 6 pound or 6.1% weight loss in 1 month The review also revealed that after the weight that was documented on 11/5/18 indicating the 6 pound weight loss, there was not another documented weight until 12/9/18. The review also revealed that the Resident #15's weight was documented approximately once a month and that the last documented weight was the one taken on 12/9/18. Resident #118 Review on 12/14/18 of Resident #118's weight documentation log revealed that Resident #118 had an unintended weight loss from 200 pounds on 7/20/18 to 186 pounds on 8/6/18. This represented a 7% weight loss in 17 days. There was no documentation of a reweight to confirm this weight loss in one month and the next documented weight for Resident #118 was on 9/4/18, which was 187 pounds. Resident #118's weight on 12/5/18 was 171.5 pounds which represents a 14.2% loss in less than 5 months. There were no documented weights since the one obtained on 12/5/18. The review of weights documented for Resident #118, since their admission on 7/20/18, revealed that Resident #118's weight is documented approximately once a month and that the last documented weight was the one taken on 12/5/18. Resident #196 Interview on 12/14/18 at approximately 8:40 a.m. with Resident #196 revealed that Resident #196 stated that they had a weight loss. Review on 12/14/18 of Resident #196's weight documentation log revealed that Resident #196 had a weight loss from 141.5 pounds on 6/5/18 to 126 pounds on 9/1/18. This was a 10.9% weight loss in less than 3 months. After the documented weight on 9/1/18, another weight was not documented on Resident #196 until 10/1/18, which was 126.2 pounds. The next weight documented after the 10/1/18 weight on Resident #196 was not until 11/16/18, which was 128 pounds. Review on 12/18/18 of Resident #196's .Medical Nutrition Therapy Assessment . dated 11/15/18, revealed that the Dietitian documented that Resident #196 had a weight loss and when documenting the Most Recent Weight the dietitian indicated that the most recent weight was taken on 10/1/18. Resident #105 Interview on 12/14/18 at approximately 8:34 a.m. with Resident #105 revealed that Resident #105 stated that they had a weight loss. Review on 12/14/18 of Resident #105's weight documentation log revealed that Resident #105 had a documented weight on 8/6/18 of 138 pounds. The next weight documented for Resident #105 was on 9/4/18, which was 127 pounds. This was a 7.9% weight loss in approximately a month. There were no documented reweights to confirm this loss and the next documented weight for Resident #105 was on 10/26/18. Interview on 12/18/18 at approximately 9:05 a.m. with Staff J (Unit Manager) regarding the weights for each of the above referenced residents confirmed that when there was a significant weight change a reweight should have been obtained either that day or the next day.	2020-09-01