cms_RI: 1587

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
1587 EVERGREEN HOUSE HEALTH CENTER 415056 1 EVERGREEN DRIVE EAST PROVIDENCE RI 2914 2012-03-26 428 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 ensure that monthly medication reviews by the consulting pharmacist include identification of irregularities for 2 of 28 sample residents; ID # 1 relative to the administration of an antidepressant medication and ID #16 relative to sliding scale insulin administration. Findings are as foll 1. Clinical record review of resident ID # 1 revealed a 1/25/2012 physician order [REDACTED]. Review of the resident's February 2012 Medication Administration Record [REDACTED]. 2. Clinical record review of resident ID # 16 revealed a physician order [REDACTED]. For BS less than 60 - call MD For BS less than 89 - hold insulin 90 - 110 = 2 units 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- 245 = 16 units For BS greater than 250 - call MD The resident was administered the wrong dose of Novolog Insulin per sliding scale on 1/3/2012 at 11:30 AM, 1/11/2012 at 9:00 PM, 1/13/2012 at 11:30 AM, 1/17/2012 at 11:30 AM, and 1/19/2012 at 9:00 PM. Review of the Pharmacy Medication Regimen Review for 2/23/2012 for these 2 residents failed to reveal evidence that the pharmacy consultant identifed that the antidepressant continued to be administered to ID # 1, as well as the sliding scale insulin errors for resident ID # 16. When interviewed on 3/23/2012 at 11:00 AM, the pharmacy consultant could not provide evidence that these irregulaties were reported to either the physician or the Director of Nursing. 2015-07-01