cms_RI: 13

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
13	ELDERWOOD AT RIVERSIDE	415007	100 WAMPANOAG TRAIL	RIVERSIDE	RI	2915	2019-11-01	757	E	1	1	DE9111	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on record review and staff interview, it has been determined that the facility failed to ensure each resident's drug regimen is free of unnecessary drugs relative to blood pressure medications administered without adequate monitoring for 1 of 5 sample residents reviewed for unnecessary medication (ID# 16). The facility's policy titled, Medication Administration Methods states in part, 4. Medication administration must be documented on the Medication Administration Record/ EMAR immediately before going on to the next resident, documentation will include: .d) The nurse will take the pulse or blood pressure when a medication requires such. He/she will then record the results on the Medication Administration Record/ EMAR prior to medication administration . Findings are as follows: Clinical record review revealed a physician's orders [REDACTED]. Hold for systolic blood pressure (SBP) less than 110. Clinical record review revealed a physician's orders [REDACTED]. Give 1 tablet by mouth in the morning for Hypertension Hold for SBP less than 110 and heart rate (HR) of less than 60. Record review of the EMAR from 7/19/2019-10/31/2019 failed to reveal evidence of blood pressures being taken prior to medication administration on the following dates: 7/26, 7/27, 7/28, 7/29, 7/30, 7/31, 8/10, 8/11, 8/16, 8/17, 8/18, 8/23, 8/24, 8/25, 8/26, 9/18, 9/19, 9/20, 9/21, 9/22, 9/23, 9/25, 9/26, 9/27, 9/28, 9/29, 9/30, 10/16, 10/18, 10/19, 10/20, 10/21, 10/24, 10/25, 10/26, 10/27, 10/28 and 10/29/2019. During surveyor interview on 11/01/2019 at 2:14 PM with the Director of Nursing, she was unable to provide evidence that the blood pressures were taken prior to administering the above medications.	2020-09-01