cms_NH: 62

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
62 HAVENWOOD-HERITAGE HEIGHTS 305016 33 CHRISTIAN AVENUE CONCORD NH 3301 2017-09-22 441 D 0 1 NEVL11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and policy review, it was determined that the facility failed to prevent the potential for cross contamination during blood glucose monitoring on 1 of 2 units and that the professional standard of practice for hand hygiene was implemented to reduce the spread of infection and prevent cross contamination for 3 of 3 residents observed during medication pass observation. (Resident identifiers are #16, #17 and #18) Findings include Resident #16 Observation on 9/22/17 at approximately 7:30 a.m. of the medication pass on Lighthouse Lane B revealed Staff F, MNA (Medication Nursing Assistant) administering medications to Resident #16. The medications administered to Resident #16 were Tylenol tablets and Artificial Tears eye drops. Staff F administered the Tylenol and then donned gloves to administer the eye drops. Staff F removed the gloves after administering the eye drops and did not wash hands or apply hand sanitizer when done. Staff F walked over to the medication cart to start pouring medications for the next resident, Resident #17. Resident #17 Observation on 9/22/17 at approximately 7:40 a.m. of the medication pass on Lighthouse Lane B revealed Staff F, who had just finished administering medications to Resident #16, go over to the medication cart and started pouring medications for Resident #17. Staff F did not wash hands or apply hand sanitizer before pouring the medications for Resident #17. Staff F brought the medications, which included several tablets as well as Refresh eye drops, to Resident #17. Staff F administered the tablets and then donned gloves to administer the eye drops. Staff F removed the gloves after administering the eye drops and did not wash hands or apply hand sanitizer when done. Staff F walked over to the medication cart to start pouring medications for the next resident, Resident #18. Resident #18 Observation on 9/22/17 at approximately 7:50 a.m. of the medication pass on Lighthouse Lane B revealed Staff F, who had just finished administering medications to Resident #17, go over to the medication cart and started pouring medications for Resident #18. Staff F did not wash hands or apply hand sanitizer before pouring the medications for Resident #18. Staff F brought the medications, which included several tablets as well as Nasal Spray and [MEDICATION NAME] inhaler, to Resident #18. Staff F administered the tablets and then donned gloves to administer the Nasal Spray and the inhaler. Staff F removed the gloves after administering the eye drops and did not wash hands or apply hand sanitizer when done. Review on 9/22/17 of the Facility Policy, Titled Administration of Medications. Date 9/5/02 revealed Procedure: Action .Wash hands using proper hand washing technique. Don gloves when appropriate. Rationale .Decreases transfer of microorganisms when there is any chance of exposure to resident body secretions. Lessens transfer of microorganisms . Interview on 9/22/17 at approximately 2:00 p.m. with Staff B (Director of Nursing) confirmed that hand hygiene was supposed to be done between residents during medication administration. Observation on 9/22/17 at approximately 8:00 a.m. of the glucometer on[NAME]Lane medication cart revealed a brown/red dried substance on the back of the Glucometer. Interview on 9/22/17 at approximately 8:00 a.m. with Staff C (Medication Nurse Assistant) and Staff D (Licensed Practical Nurse) revealed that the glucometer was ready for use. Staff D confirmed that there was a brown/red dried substance adhered on the back of the meter. 2020-09-01