cms_NH: 49

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
49 GREENBRIAR HEALTHCARE 305005 55 HARRIS ROAD NASHUA NH 3062 2018-12-19 756 D 0 1 P2R411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review and interview, it was determined that the facility failed to receive and follow pharmacist report of irregularities to the attending physician for 1 resident in a final survey sample of 40 residents. (Resident identifier is #19.) Findings include: Resident #19 Review on 12/18/18 of Resident # 19's record had three pharmacist reviews checked off stating see recommendations. Review of the medication tab section of the record revealed that these recommendations were not within the chart with dates of service, 10/18/18, 11/14/18 and 12/10/18 Review on 12/18/18 of Resident #19 Consultation Report for 10/18/18, 11/14/18 and 12/10/18, reveled they were forwarded to the facility by the pharmacist. Review on 12/18/18 of an evaluation that was within the record dated 8/27/18 states Rationale for Recommendation: Evidence for the efficacy and safety of combined use of 2 or more antidepressant medications is limited. The risk for drug interactions, adverse events, noncompliance, and mediation errors are increased. The medication are: [MEDICATION NAME] and [MEDICATION NAME]. Review on 9/13/18 of the medical recorded revealed that the APRN wrote D/C [MEDICATION NAME] (sic-[MEDICATION NAME]), D/C [MEDICATION NAME], and [MEDICATION NAME] decreased to QHS. Both [MEDICATION NAME] and [MEDICATION NAME] are PRN medication and [MEDICATION NAME] was decreased from TID (three times a day) to QD (One time a day). Review on 12/18/18 of the The first Consulation Report dated 10/18/18 which was not in the cart was sent to the facility on [DATE] which states under comment REPEATED RECOMMENDATION from 8/27/18: Please respond promptly to assure facility compliance with Federal regulations Once the facility recived the report called the physican on 12/18/18 and wrote TORB (Telephone order read back) already addressed 9/13/18. Review on 12/18/18 of the second Consultation Report dated 11/14/18 that was sent to the facility on [DATE] with a Recommendation: Please attempt a gradual dose reduction of [MEDICATION NAME], with the end goal of discontinuation, while monitoring for re-emergence of target behaviors and /or withdrawal symptoms. This recommendation was not addressed since facility did not have the report. Review on 12/18/18 of the third Consultation Report dated 12/10/18 that was not within the chart and was sent to the facility on [DATE] with a Comment (Resident #19) has received an antidepressant [MEDICATION NAME] 60 mg po BID . with Recommendation stating Please consider a gradual dose reduction (GDR) attempt . This was addressed on 12/18/18 through interview with Staff F (Unit Manger) once facility was told of the missing documentation and had it forward to the facility from pharmacy. 2020-09-01