cms_RI: 1584

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
1584 EVERGREEN HOUSE HEALTH CENTER 415056 1 EVERGREEN DRIVE EAST PROVIDENCE RI 2914 2012-03-26 514 D 0 1 1QNJ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, it was determined the facility failed to maintain clinical records in accordance with accepted professional standards for 2 of 28 sample residents (ID# 16, and 21). Findings are as follows: 1. A review of resident ID # 21's clinical record revealed a 3/5/2012 physician's telephone order for finger sticks blood sugars three times per day with regular insulin sliding scale coverage as follows: ....250 - 300 give 2 units. The resident's March 2012 Sliding Scale Insulin Sheet revealed the sliding scale coverage as follows: 251 - 300 give 2 units. 2. Clinical record review of resident ID # 16 revealed a 3/19/2012 physician order [REDACTED]. 111-130 = 4 units 131-150 = 6 units 151-170 = 8 units 171-190 = 10 units 191-210 = 12 units 211-230 = 14 units 231-240 = 16 units Call physician if less than 60 or greater than 240. Review of the Sliding Scale Insulin Sheet indicated the following sliding scale: 111-130 = 2 units 131-150 = 4 units 151-170 = 6 units 171-190 = 8 units 191-210 = 10 units 211-230 = 12 units 231-245 = 14 units Call physician if less than 60 or greater than 240. In separate interviews on 3/23/2012 with the unit nurse at approximately 12:30 PM, and the Director of Nurses at approximately 1:30 PM, both indicated that they were unaware that the physician's telephone order was inaccurately documented onto the Sliding Scale Insulin Sheet for March 2012. "You are hereby formally notified that where the above listed deficiencies also constitute non-compliance with applicable provisions of the 'Rules for Licensing of Nursing Facilities' they are deficiencies under State Regulations and grounds for licensure sanctions." 2015-07-01