cms_RI: 53

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.

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
53 APPLE REHAB WATCH HILL 415015 79 WATCH HILL ROAD WESTERLY RI 2891 2018-10-09 761 F 0 1 XNYN11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on surveyor observations and staff interview, it has been determined that the facility failed to ensure that expired medications were discarded per the manufacturer's instructions and failed to label medications in accordance with currently accepted professional principles for 1 of 1 medication storage room and 2 of 2 medications carts. Findings are as follows: Facility policy entitled General Dose Preparation and Medication Administration states in part . facility should enter the date opened on the label of medications with shortened expiration dates (e.g., insulin's, irrigation solutions etc.) .facility staff may record the expiration date based on date opened on the label of medications with shortened expiration dates .prior to the administration of medication, facility staff should check the expiration date on the medication . 1. Surveyor observation of the refrigerator in the medication storage room, in the presence of the Corporate Registered Nurse on 10/04/2018 at approximately 10:35 AM, revealed 2 of 3, multidose vials of [MEDICATION NAME] Purified Protein ([MEDICATION NAME]), opened and dated 8/20/2018. Manufacturer's instructions written on the box state, once entered vial should be discarded after 30 days. Additional observation of the refrigerator revealed 1 of 3 bottles of [MEDICATION NAME] Liquid not dated when opened. Manufacturer's instructions written on the box state, discard opened bottle after 90 days. 2. Surveyor observation of the medication storage cart side 2, in the presence of the Corporate Registered Nurse on 10/4/2018 at approximately 10:50 AM, revealed the following: Calcium 500 MG with D3 400 IU with an expiration date of 8/2018 Calcium [MEDICATION NAME] 500 mg with an expiration date of 9/2018 [MEDICATION NAME] 0.125 mg with an expiration date of 9/2018 One vial of [MEDICATION NAME] opened and not dated Two vials of Humalog insulin opened and not dated One vial of [MEDICATION NAME]opened and not dated One vial of [MEDICATION NAME] 70/30 insulin opened and not dated Manufacturer's instructions on the insulin boxes state Throw away open vials 28 days after first use, even if there is insulin left in the vial. Three bottles of Latanoprost 0.005% eye drops opened and not dated Manufacturer's instructions on the box state opened bottles may be stored at room temperature 77 degrees Fahrenheit for up to 6 weeks. 3. Surveyor observation of the medication storage cart side 1, in the presence of the Corporate Registered Nurse on 10/4/2018 at approximately 11:30 AM, revealed the following: One bottle of [MEDICATION NAME] 0.5% eye drops opened and not dated Manufacturer's instructions on the box state discard after 90 days of opening During an interview with the Corporate Registered Nurse on 10/4/2018 at approximately 12:45 PM she acknowledged the expired medications should be removed from the medication cart and all medication with shortened expiration dates should be dated when opened. 2020-09-01