cms_RI: 29

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
29	GRACE BARKER NURSING CENTER	415014	54 BARKER AVENUE	WARREN	RI	2885	2020-02-27	658	D	1	1	5Z7X11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on surveyor observation, record review and Staff interview, it has been determined that the facility failed to provide services that meet accepted standards of professional practice relative to physician orders [REDACTED].#s 22, 36, 53). Findings are as follows: Mosby's 4th Edition, Fundamentals of Nursing, states in part that, The physician is responsible for directing medical treatment. Nurses are obligated to follow physician's orders [REDACTED]. 1.Review of Resident ID # 22's medical record revealed that s/he had an order dated 2/17/2020 which reads; No shoes or TEDS due to condition of Right Great Toe. Multiple observations of resident ID #22 on 2/26/2020 and 2/27/2020 revealed that s/he had both TEDS (stockings use to stop blood clot) stockings and shoes on. During an interview on 2/27/2020 at 1:35 PM with Certified Nursing Assistant, Staff A, revealed she was not aware of the above order. 2. Review of Resident ID #53's bowel movement (BM) log revealed that the resident had not had a BM since 2/22/2020. Further review of the Medication Administration Record (MAR) revealed the following orders for bowel regimen dated 12/19/2019. - Prune Juice 90 Milliliter (ML) by mouth if no BM in 2 days as needed. - Milk of Magnesia (medication use to treat constipation) 400 Milligram (MG)/5 ML once a day PRN (as needed): administered on day 2 if no BM. - [MEDICATION NAME] 10 MG (medication use to treat constipation) suppository once a day as PRN: Give for constipation on day 3 on 11-7. - Fleet Enema (Sodium [MEDICATION NAME]) 19-7gram/118ML once a day PRN (medication used to treat constipation): day 3 after 10-12 shifts since last BM. Record review revealed the resident did not receive any of the above bowel medications until it was brought to the facility attention by the surveyor on 2/27/2020. During a surveyor interview and review of the MAR and BM output on 2/27/2020 at 8:58 AM with Registered Nurse, Staff C, she could not provide evidence that the bowel medications were administered as ordered above. 3. Review of Resident ID #36 revealed a physician order [REDACTED]. Surveyor observation revealed the resident receiving oxgen without protective foam on the oxygen tubing on the following dates: - 2/24/2020 at approximately 9:00 AM and 12:30 PM - 2/25/2020 at approximately 12:30 PM and 1:07 PM - 2/26/2020 at approximately 8:05 AM During surveyor interview and observation on 2/26/2020 at approximately 9:30 AM with Registered Nurse, Staff C, revealed the resident is receiving oxygen via nasal cannula with no protective foam on the oxygen tubing. Registered Nurse, Staff D further revealed that the resident had red area behind her ears from the oxygen tubing in the past and acknowledged that the physician order [REDACTED]. During surveyor interviews on 2/26/2020 at 9:45 AM and 2/27/2020 at 9:15 AM with the DNS for Resident ID #s 22, 36, 53, she acknowledged that the physician orders [REDACTED].	2020-09-01