cms_RI: 42

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
42	APPLE REHAB WATCH HILL	415015	79 WATCH HILL ROAD	WESTERLY	RI	2891	2019-10-04	658	E	1	1	II8Y11	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 provide services that meet professional standards of quality relative to physician's orders [REDACTED].#s 7, 17, and 19) reviewed for weight orders and 1 of 2 residents reviewed for blood sugar monitoring (ID #19). Findings are as follows: Mosby's 4th Edition, Fundamentals of Nursing, page 314 states, The physician is responsible for directing medical treatment. Nurses are obligated to follow physician's orders [REDACTED]. 1. Record review for Resident ID #7 revealed a current physician's orders [REDACTED]. Review of the record from 9/1/2019 to 9/30/2019 revealed that the resident was not weighed on 2 of 13 opportunities (9/13/2019 and 9/23/2019) as ordered by the physician. 2. Record review for Resident ID #17 revealed a current physician's orders [REDACTED]. Review of the record from 7/1/2019 to 9/30/2019 revealed the following: -7/1/2019 to 7/31/2019, the resident was not weighed on 4 of 14 opportunities (7/3/2019, 7/17/2019, 7/19/2019, and 7/22/2019) -8/1/2019 to 8/31/2019, the resident was not weighed on 4 of 13 opportunities (8/5/2019, 8/12/2019, 8/14/2019, and 8/19/2019) -9/1/2019 to 9/30/2019, the resident was not weighed on 3 of 13 opportunities (9/4/2019, 9/13/2019, and 9/30/2019) 3. Record review for Resident ID #19 revealed a 5/16/2019 physician's orders [REDACTED]. Review of the record from 9/1/2019 to 10/4/2019 revealed that the resident was not weighed on 3 of 5 opportunities (9/8/2019, 9/15/2019, and 9/22/2019) as ordered by the physician. 4. Additional record review for Resident ID #19 revealed a 3/27/2019 physician's orders [REDACTED]. Review of the record from 9/1/2019 to 10/4/2019 revealed that the resident's blood sugar was not monitored on 2 of 5 opportunities (9/11/2019 and 9/18/2019) as ordered by the physician. During surveyor interviews with the Director of Nursing Services on 10/4/2019 at 8:30 AM, 10:30 AM, and 11:30 AM, she was unable to provide evidence that the above-mentioned physicians' orders were followed.	2020-09-01