cms_NH: 6

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
6 GREENBRIAR HEALTHCARE 305005 55 HARRIS ROAD NASHUA NH 3062 2018-03-05 677 D 0 1 6C1411 Based on medical record and interview it was determined that the facility failed to provide assistance with activities for daily living for 1 resident in a standard survey sample of 43 residents. (Resident identifier is #93.) Findings include: Resident #93 Review on 03/02/18 of Resident #93's medical record revealed that Resident #93 has dementia. Review of Resident #93's the care plan on 03/05/18 reveals Resident #93 is an extensive assist with a shower. Review of Resident #93's activities of daily living task for showers revealed that during the time frame of 2/3/18-3/5/18 he/she only received one shower since 2/3/18. He/She refused a shower on 2/17/18. Interview on 3/2/18 with Staff N, (Licensed Practical Nurse) revealed that he/she is to be re-approached on another day to receive a shower for the week that he missed. There is no documentation that showes that Resident #93 was reapproached and Resident #93 only received a bedbath. Resident Council notes. On 2/28/18 at approximately 11:00 a.m. during a Resident Council meeting with seven (7) residents in attendance it was stated that 2 nurses were known to residents to give showers; most (nurses) do not seem to have the time to do that. Additionally, one of the residents stated that some days they are told that no one is available to give showers on some shifts. As residents are only scheduled for 1 or 2 showers per week, if residents miss a scheduled shower, it could be several days before they receive another shower. It was further stated by Resident Council members that some call lights are being shut off by staff reaching behind curtains and canceling the call lights without acknowledging the residents affected. Interview on 3/1/18 at approximately 7:15 a.m. with Staff U, Licensed Nursing Assistant revealed, Staffing here really impacts the residents a lot here. 2nd shift showers are missed a lot because there is not enough staff. Interview on 3/1/18 at approximately 7:20 a.m. with Staff V, Licensed Nursing Assistant revealed, We are always short staffed, but the weekends are extremely short. I have had a lot of residents soil themselves because we are with others and can't get to them. 2020-09-01