cms_NH: 45

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
45 GREENBRIAR HEALTHCARE 305005 55 HARRIS ROAD NASHUA NH 3062 2018-12-19 695 D 0 1 P2R411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, medical record review and interview it was determined that the facility failed to ensure that a resident who needs respiratory care, is provided such care, consistent with professional standards of practice, with a comprehensive person-centered care plan, to meet resident's goals for 1 resident out of a final survey sample of 40 residents. (Resident identifier is #149.) Findings include: 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 she/he was choking, lightly spoke with a gurgled voice, and pointed to the suction machine at Resident #149's bed side. Review on 12/13/18 of the medical record there failed to be a physicians order for the use of [REDACTED]. Interview on 12/14/18 at approximately 2:30 p.m. with Staff [NAME] (Director of Nurses) revealed there were only two residents are needing suction and that Resident #149 was not one of those residents. Interview on 12/18/18 at 09:19 a.m. with Staff I (Nurse) on the phone revealed that Staff I provides suction to Resident #149 every morning and sometime in the afternoon pending on how much secretions form in Resident #149 throat. Staff I also stated when suctioning Resident #149's Staff I always removes clear/yellow discharge. Staff I stated Resident #149 needs the services but also feels it's a comfort measure that provides Resident #149 relief. Review on 12/18/18 at 11:52 a.m. of Resident #149 medical record revealed that new order were written for Resident #149, the orders written are: 1) Oral suctioning of increased secretion using [MEDICATION NAME]--every shift for maintain airway 2) (speech) Eval &(treat)/swallowing Also on 12/17/18 a care plan was written with a Focus stating potential for alteration in respiratory status (related to) Tube Feeding, increased secretions, need for oral suctioning PRN. 2020-09-01