cms_RI: 1249

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

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
1249	GREENWOOD CENTER	415008	1139 MAIN AVENUE	WARWICK	RI	2886	2014-01-10	323	E	0	1	R18L11	Based on record review and staff and resident interviews, it was determined the facility failed to ensure that the environment remained free of accident hazards for 1 of 3 sample residents who smoke (ID# 13). Findings are as follows: Clinical record review of resident ID #13 revealed a 6/13/2013 Admission Nursing Assessment indicating the resident smoked a half a pack of cigarettes per day. The two subsequent Quarterly Nursing Assessments (September and December 2013) indicate the resident continues to smoke. There was no evidence of a safe smoking evaluation. When interviewed on 1/6/2014 at 2:45 PM, the unit charge nurse revealed the resident was a smoker who smoked outside of the building in the facility's parking lot with his/her friend or son. The nurse also indicated knowing the resident smoked in the designated smoking area outdoors. When asked where the resident kept his/her cigarettes and lighting materials, the nurse stated that the resident's friend or son would bring the cigarettes to him/her. The facility did not monitor or ensure the resident's smoking supplies, were maintained in a safe area. The charge nurse was unable to produce evidence of a safe smoking evaluation. When interviewed on 1/6/2013 at 3:00 PM the Director of Nursing Service (DNS) revealed the resident was informed upon admission that the facility did not allow smoking in the building or on the grounds. The DNS also stated that she was unaware the resident was smoking and therefore a safe smoking evaluation was not performed. When interviewed on 1/8/2013 at 1:00 PM the resident, who is alert and oriented, stated that in good weather s/he walks on the grounds and smokes as well as smokes in the designated outside smoking area. S/he also smokes with his/her friend or his/her son in their cars which are parked in the facility parking lot. Additionally, the resident stated that s/he keeps cigarettes and a lighter in his/her jacket pocket. Surveyor review of the facility's policy titled OPS137 Smoking revealed in section 2.3: The admitting nurse will perform a Smoking Evaluation on each patient who chooses to smoke. Section 2.6.2 states: Patients will not be allowed to maintain their own lighter fluid or matches. The facility failed to ensure the resident's safety relative to smoking and possessing a lighter.	2017-01-01