cms_RI: 21

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
21	SAINT ELIZABETH HOME EAST GREENWICH	415010	1 SAINT ELIZABETH WAY	EAST GREENWICH	RI	2818	2018-08-09	758	E	0	1	GJE611	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, it has been determined the facility failed to ensure a resident's drug regimen is free from unnecessary [MEDICAL CONDITION] drugs for 1 of 3 sampled residents (ID#13) who received as needed [MEDICAL CONDITION] medication orders extended beyond 14 days without a physician or prescribing practitioner's intended duration for the order. Findings are as follows: Record review for Resident ID #13 revealed a physician's orders [REDACTED]. Review of the Medication Administration Record [REDACTED] - 6/4/2018, 9:59 PM - 6/20/2018, 10:17 AM - 6/24/2018, 10:27 PM - 6/25/2018, 8:13 PM - 6/28/2018, 10:29 PM - 7/2/2018, 9:10 PM - 7/4/2018, 7:06 PM - 7/5/2018, 7:29 PM - 7/7/2018, 9:13 PM - 7/9/2018, 6:17 PM - 7/19/2018, 9:13 PM - 8/3/2018, 3:12 PM Review of a pharmacy consultation report dated 11/24/2017 revealed that Resident ID#13 has an as needed order for an anxiolytic which has been in place for greater than 14 days without a stop date: [MEDICATION NAME]. The pharmacy recommendation states, If the medication cannot be discontinued at this time, current regulations require that the prescriber document the intended duration of therapy, and the rationale for the extended time period. The report is signed and dated by a prescribing practitioner on 12/11/2017. Additionally, handwriting on the bottom states, Pt (patient) is on Hospice-will not change any meds. During a surveyor interview with The Cove Unit Manager on 8/09/2018 at 2:52 PM, she was unable to provide evidence of the intended duration for the [MEDICATION NAME] order.	2020-09-01