cms_NH: 96

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
96	ROCHESTER MANOR	305024	40 WHITEHALL ROAD	ROCHESTER	NH	3867	2018-10-16	641	B	1	0	4FNO11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on observation, record review, and interview, it was determined that the facility failed to accurately reflect the resident's status using the Resident Assessment Instrument (RAI) for 2 residents reviewed with wander alarms in a survey sample of 6 residents. (Resident identifiers are #4 and #5.) Findings include: Resident #4 Record review on 10/16/18 at approximately 11:30 a.m. revealed Resident #4 had a physician order [REDACTED]. Review on 10/16/18 of Resident #4's Minimum Data Set (MDS) Annual assessment on 8/17/18 and Quarterly assessments on 5/18/18, 3/6/18, and 12/14/17 revealed in Section P (Restraints and Alarms) that wander/elopement alarms were not used. Interview on 10/16/18 at approximately 11:45 a.m. with Staff B (Director of Nursing) confirmed the above findings and revealed that the MDS should have reflected that wander/elopement alarms were used daily. Observation on 10/16/18 at approximately 1:00 p.m. revealed that Resident #4 had a wander alarm on their right ankle. Review of the medical record of Resident #5 on 10/16/18 at approximately 10:45 am revealed an order dated 9/14/18 for placement of a Wander-Guard wander/elopment device (a device used to protect residents from elopment/leaving the building unattended) on the ankle of Resident #5 due to poor safety awareness. Interview with Staff B, (DON) on 10/16/18 at approximately 11:00 am revealed that the Wander-Guard security device was placed on Resident #5's ankle on 9/14/18. Further record review on 10/16/18 at 11:15 am revealed that the last quarterly MDS (Minimum Data Set)comprehensive assessment was performed on 9/18/18. The MDS dated [DATE] under Section P (Restraints and Alarms); Item E: (Wandering/elopment Alarm): stated that there was no wandering/elopment alarm in use for Resident #5. An interview on 10/16/18 with Staff B at approximately 11:30 am revealed that the MDS assessment was not coded correctly and should have reflected that Resident #5 was wearing the Wander-Guard wander/elopment device.	2020-09-01