cms_RI: 55

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
55	APPLE REHAB WATCH HILL	415015	79 WATCH HILL ROAD	WESTERLY	RI	2891	2018-10-09	880	F	0	1	XNYN11	Based on record review and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment relative to implementation of water system management control measures to mitigate the development of Legionella and other opportunistic waterborne pathogens. Findings are as follows: On 10/4/2018, review of the facility's water system management plan dated 7/31/2017 revealed the facility had identified control measures/monitoring procedures to implement for the mitigation of bacterial growth in the water system. These measures included but are not limited to the following: -Hot Water Storage: Water temperature inside the hot water storage tanks should be maintained at or above 140F and should be verified daily. The circulation pump installed on the water lines should be verified for operation as well. These practices should be documented and kept in the service records section of this plan . -Hot and Cold-water taps, shower heads, and tubs should be periodically flushed to help mitigate the potential for stagnation. Shower sprayers, Tubs, and Faucet taps should be disinfected with a EPA registered disinfectant on a scheduled cleaning program, to reduce the buildup of bacteria. Daily testing of the water temperatures delivered at taps and recorded should be conducted.Uncommonly used tubs/showers/faucets should be flushed for 3-5 minutes on hot and cold lines and disinfected monthly. This process should be documented and kept in the services records section of this program. -Eyewash stations should be checked weekly for visual inspection per manufacturer and ANSI requirements. Plumbed Eyewash stations should also be flushed monthly. Flushing of the station should be done for 3 minutes. These stations should also be disinfected regularly to reduce bacteria growth. This practice should be documented and kept in the service section of this plan. Review of the service section of the plan revealed multiple worksheets designed to monitor and document the above regimens but none were completed. During an interview with the Administrator on 10/4/2018 at approximately 2:00PM, he stated that the control measures identified in the plan had not been implemented by the facility and therefore could not produce evidence that any of the monitoring or mitigation procedures had been completed. You are hereby formally notified that where the above listed deficiencies also constitute non-compliance with applicable provisions of the 'Rules and Regulations for Licensing of Nursing Facilities' they are deficiencies under State Regulations and grounds for licensure sanctions.	2020-09-01