cms_RI: 20

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
20 SAINT ELIZABETH HOME EAST GREENWICH 415010 1 SAINT ELIZABETH WAY EAST GREENWICH RI 2818 2018-08-09 692 G 0 1 GJE611 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to address the needs of every resident, including but not limited to, the resident at risk or already experiencing impaired nutrition for 1 of 2 sample residents with significant weight loss (ID #135). Findings are as follows: The facility's policy titled Recording Dietary Intake states in part dietary intake will be recorded and monitored under the following circumstances for a two week period: loss of three lbs. (pounds) if weight is under 100 lbs. or five lbs. if weight is over 100 lbs. and weight loss was not intended Keep a clip board in the Dining Room with sheets to record intake percentage during this time. All interventions put on Care Plan. Record review revealed resident ID #135 was admitted on [DATE] with [DIAGNOSES REDACTED]. Review of the resident's record revealed a weight of 106.4 lbs. (pounds) on 6/5/2018, a weight of 98.6 lbs. on 7/26/2018. This indicates a 7.33% significant weight loss in 52 days. On 8/8/2018 an additional weight was recorded as 94.0 lbs. Record review revealed a significant change Minimum Data Set ((MDS) dated [DATE] that indicates that the resident had a weight loss of 5% or greater in the last month or 10% or greater in the last 6 months. Further record review revealed a care plan stating, Monitor intake and record. Record review revealed no evidence that the resident's intake was monitored and recorded per the care plan or facility policy. Review of the dietary progress notes on 7/16/2018 states Offer alternatives and shakes as needed for increased intake. Further record review failed to reveal evidence that shakes were ever ordered per the dietitian's recommendation. Record review revealed an additional dietary note on 7/26/2018 indicating that a weight was obtained on 7/25 and dietitian will continue to follow. There was no evidence of any interventions put into place on 7/26/2018, after significant weight loss was determined. During a surveyor interview with Staff Nurse K on 8/9/2018 at 2:30 PM, she could not provide evidence that any interventions were put into place for the weight loss, including shakes per the dietitian's recommendations. During a surveyor phone interview with the Registered Dietitian on 08/10/2018 at 11:00 AM, she acknowledged the resident had weight loss, but she could not provide evidence that any interventions were put into place for the weight loss. She also acknowledged that the facility's policy was not followed regarding recording dietary intake. 2020-09-01