cms_NH: 74

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
74 DOVER CENTER FOR HEALTH & REHABILITATION 305018 307 PLAZA DRIVE DOVER NH 3820 2018-12-07 580 D 1 1 9HC411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on interview and record review, it was determined that the facility failed to notify resident representatives when a resident made an allegation of abuse and when a resident pulled out a urinary catheter, prior to insertion of another catheter, for 2 residents in a standard survey sample of 22 residents. (Resident identifiers are #41 and #55.) Findings include: Resident #41 Review on 12/4/18 of the Facility Report to the Long Term Care Ombudsman, dated 11/13/18, revealed that Resident #41 reported to therapy staff on 11/13/18 that they were assaulted by the male night staff. Resident #41 reported that .a man came in my room and was touching me inappropriately .Resident reported that he was not alone . The report revealed that staff member, Staff B (Licensed Practical Nurse) .was assisting with rounds on this resident Staff B reported that they had Staff D (Licensed Nursing Assistant) .assisting (pronoun for Staff B) with rounds on this resident. They changed resident (sic) brief at this time . Further review of the Facility Report revealed that there was no documentation indicating that Resident #41's guardian was notified of the allegation. Review on 12/6/18 of Resident #41's current care plan revealed that Resident #41 has a guardian from the Office of Public Guardian. Review on 12/6/18 of the Facility's investigation, and the nurses notes for Resident #41 revealed that there was no documented evidence that Resident #41's guardian was notified of the allegation of abuse made by Resident #41 or of the investigation that followed. Review on 12/7/18 of the Facility's policy, titled Abuse, revised on 3/18, revealed that the Facility's Reporting/Documentation Requirements were that .family or responsible party are to be notified immediately after the incident has occurred . Interview on 12/7/18 at approximately 8:30 a.m. with Staff [NAME] (Director of Nursing) confirmed that there was no documented evidence that Resident #41's guardian was notified of the allegation or the investigation, and that there should have been documented evidence. Resident #55 Review on 12/6/18 of Resident #55's nursing progress notes revealed a note, dated 9/11/18 at 2:11 a.m., that read Resident pulled out .foley catheter and stated, 'I don't want it.' Refused to allow insertion of new catheter. Dr notified. Review on 12/6/18 of Resident #55's Physician orders [REDACTED]. Review on 12/6/18 of Resident #55's Physician Order, dated 1/5/18, revealed an order that read Activate DPOA . Review on 12/6/18 of Resident #55's nursing progress notes revealed a note, dated 9/11/18 at 2:19 p.m., that read Foley catheter 16 French with 10 cc (cubic centimeter) balloon was placed via (by way of) sterile technique. Catheter is patent and draining yellow urine without issue . There was no documented evidence that Resident #55's DPOA was notified of Resident #55 pulling out their catheter or that there was a discussion about the plan of care for Resident #55. Interview on 12/7/18 at approximately 8:30 a.m. with Staff [NAME] confirmed that there was no documented evidence of notification of Resident #55's DPOA or discussion regarding plan of care, and that there should have been. 2020-09-01