cms_NH: 58

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
58	HAVENWOOD-HERITAGE HEIGHTS	305016	33 CHRISTIAN AVENUE	CONCORD	NH	3301	2019-05-23	926	D	0	1	XFUZ11	Based on observation, interview, record review and policy review, it was determined that the facility failed to follow facility smoking policy for 1 out of 1 resident who smoked. (Resident identifier is #11.) Findings include: Review on 5/22/19 of facility's policy titled, Resident Smoking while in the Health Service Center, dated 10/07/16, revealed .complete a smoking evaluation .review status of resident's smoking privileges at least quarterly and more often as needed .update the resident's care plan to indicate the current status of smoking privileges/restrictions Review on 5/22/19 of facility's smoking evaluation, revision date 10/7/16, revealed .for resident who wishes to smoke, perform evaluation on admission, quarterly, at a significant change, or if there has been an incident of unsafe smoking observed or reported Interview on 5/21/19 at 11:42 a.m. with Resident #11 revealed that Resident #11 smoked once a day at the parking lot with staff supervision. Resident #11 stated that they kept their cigarettes in their bedside drawer and that the nurses kept their lighter. Observation on 5/21/19 at 11:42 am in Resident #11's room revealed that Resident #11 had a box of cigarette in their bedside table. Review on 5/23/19 of Resident #11's current smoking care plan revealed that Resident #11 wanted to continue to smoke and that Resident #11 will not smoke without someone present, Resident #11 will smoke 1 cigarette per outing, and Resident #11's friend will accompany resident outside of sliding glass doors, down the ramp, and outside the fence to smoke. Review on 5/23/19 of Resident #11's chart and EHR (Electronic Health Record) revealed that Resident #11's smoking evaluation was completed on 10/7/16. Further review of Resident #11's chart and EHR revealed no other smoking evaluation after 10/7/16. Interview on 5/23/19 at 8:45 a.m. with Staff B (Registered Nurse) confirmed that Resident #11 was the only resident who smoked. Staff B revealed that there was no smoking evaluation done. Staff B stated that they do not do smoking evaluation. Staff B was unable to provide more information regarding smoking evaluation. Interview on 5/23/19 at 8:45 a.m. with Staff D (Unit Coordinator) revealed that Resident #11 was supervised when smoking and that Resident #11 utilized a smoking apron. Interview on 5/23/19 at 9:00 a.m. with Staff A (Unit Manager) revealed that there was no smoking evaluation done after 10/7/16. Staff A stated that they did not know about the smoking policy and smoking evaluations. Staff B also stated that the care plan was not updated as Resident #11 needed a smoking apron and that Resident #11's lighter would be kept at the nurse's medication cart when not used by Resident #11.	2020-09-01