cms_NH: 54

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
54 GREENBRIAR HEALTHCARE 305005 55 HARRIS ROAD NASHUA NH 3062 2018-12-19 806 E 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 provide food that was appealing, and to ensure that the food offered took into consideration resident allergies and preferences for 4 out of 6 nursing units. Findings include: Resident #196 Interview on 12/14/18 at approximately 8:40 a.m. with Resident #196 revealed that Resident #196 stated that the food was not good. They stated that they have a [MEDICAL CONDITION] and are bothered by gassy foods. They stated that they met with the dietitian and that the dietitian listened and wrote down what their preferences were, but that it did not seem as though that information had been communicated with the kitchen, as they frequently got served the foods that they could not tolerate. Review on 12/19/18 of Resident #196's Diet History/Food Preferences form, that was not dated, revealed that Resident #196 indicated that they did not want to be served spicy foods, fish, broccoli, cabbage, cauliflower, spinach, yellow squash or zucchini. Review on 12/19/18 of Resident #196's Diet Order and Communication form, dated 9/17/18, revealed that Resident #196 was allergic to mushrooms. Review on 12/19/18 of Resident #196's diet slips from the kitchen revealed that it read that Resident #196 was allergic to mushrooms. There was nothing documented on the diet slip about Resident #196's preference not to be served spicy foods, cabbage, spinach, yellow squash or zucchini. Interview on 12/19/18 at approximately 11:10 a.m. with Resident #196 and Staff P (Registered Dietitian) confirmed that Resident #196 had an allergy to mushrooms and that they did not want to be served spicy foods. Resident #196 stated that they were served clam chowder for supper on 12/18/18, that they were served mushrooms very frequently and that they are served brussel sprouts, broccoli and cauliflower. Resident #536 Interview on 12/14/18 at 1:45 p.m. revealed that Resident #536 was not eating lunch because Resident #536 got fish for a meal even though Resident #536 has a fish allergy. Observation on 12/14/19 at 1:50 p.m. of Resident #536's meal tray and meal ticket revealed a plate with a fish meal and a meal ticket for Resident #526 that had Allergies: FISH bolded in red printed across the top. Interview on 12/14/18 at 1:55 p.m. with Staff V (Licensed Nursing Assistant) confirmed there was fish on Resident #536's meal tray. Review on 12/18/18 of Resident #526's medical record revealed a list of Resident #536's allergies that listed fish as an allergy. Interview on 12/14/18 at 9:44 AM with Staff C (Administrator) stated that they are short staffed in the kitchen by 5 dietary aides and one cook. The Staff C states they are doing the best they can trying to hire staff for the department but it has been very difficult. Resident #92 Interview on 12/13/18 at 10:55 a.m. with Resident # 92 revealed their meal ticket, is the same meal ticket I get every meal since I've been here. But every time my meal tray comes up it is always something different then what the meal ticket says. Resident #152 Interview on 12/13/18 at 9:49 a.m. Resident #152's husband stated his wife has been waiting for her cereal for over a hour which was not on her food tray. Resident #152's meal ticket was observed on their tray, review of the meal ticket reveals 3/4 cup Cereal-cold. The husband stated this happens all the time, I'm just glad I'm here to make sure my wife gets what she needs. Resident #41 Interview on 12/14/18 at approximately 10:00 a.m. with Resident #164 revealed that items are missing from the food menu on a daily basis. At least 1 thing is missing off of the menu every day. The other day it was brussel sprouts, another day was potato chips. 2020-09-01