cms_RI: 8

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
8	ROYAL OF WESTERLY NURSING CENTER	415004	79 BEACH STREET	WESTERLY	RI	2891	2019-08-08	692	E	1	1	02UK11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on surveyor record review and staff interview, it has been determined that the facility failed to ensure that a resident is offered sufficient fluid intake to maintain proper hydration for 1 of 3 sample residents reviewed for a fluid restriction (ID# 49). Findings are as follows: The facility's policy titled, Fluid Restriction Policy and Procedure, states in part, .5. Nursing will allocate the fluid allotment over the 24-hour period and by shift. Record review revealed that Resident ID #49 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Record review revealed the following physician's orders [REDACTED]. - 3/15/2019 to 6/14/2019: 1000 ml / day fluid restriction . - 6/14/2019 to 7/8/2019: 1000 ml / day fluid restriction . -7/8/2019 to 7/18/2019: 1000 ml / day fluid restriction .No liquids except for water between meals . - 7/18/2019 to current: 1000 ml / day fluid restriction . No liquids except for water between meals . Review of the Medication Administration Record [REDACTED]. Review of the Vitals Reports from 5/1/2019 to 8/7/2019 revealed that the resident's fluid intake is not consistently monitored. There was no fluid intake documented on 48 out of the 92 days the resident was residing at the facility. Additionally, the days that fluid intake was documented ranged from 0 ml to 1030 ml in total and did not include documentation from each shift. During a surveyor interview on 8/8/2019 at 10:12 AM with Nursing Assistant, Staff B, she revealed that she does not document when she gives the resident fluids. During a surveyor interview on 8/8/2019 at 10:16 AM with the nurse, Staff D, she acknowledged that the total daily fluid intake was not being tracked. During a surveyor interviews with the Director of Nursing Services on 8/8/2019 at 10:33 AM and 11:54 AM, she acknowledged that the resident's fluid intake is not being documented consistently and that they do not have the resident's prescribed fluid restriction allocated by shift. Additionally, she could not provide evidence that the resident's fluid restriction was being followed as ordered by the physician.	2020-09-01