cms_RI: 31

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
31	GRACE BARKER NURSING CENTER	415014	54 BARKER AVENUE	WARREN	RI	2885	2020-02-27	692	D	1	1	5Z7X11	> Based on surveyor observation, staff interview and record review it has been determined that the facility failed to ensure that residents received necessary care to maintain acceptable parameters of nutritional status relative to body weight, unless the resident's clinical condition demonstrates that this is not possible, for 1 of 6 residents who require assistance with eating (ID #12). Findings are as follows: Record review for ID #12 revealed that s/he requires assistance with eating. The resident has a 2/20/2020 physicians order for 1-1 supervision for all meals due to difficulty feeding him/her-self and previous weight loss. Surveyor observed the resident on 2/24/2020 at 1:06 PM in bed in his/her room. The lunch meal tray had been delivered and placed on the bedside table and the resident was attempting to reach the food without success. The surveyor continued observation for approximately 45 minutes. No staff entered the room to check on the resident or to provide assistance. When staff removed the tray from the resident's room at approximately 1:52 PM, the food remained untouched. The surveyor observed the resident again on 2/26/2020 at 7:35 AM. The breakfast meal tray had been delivered and placed on the resident's bedside table. There was no staff present. The resident was attempting to eat scrambled eggs with his/her hands while in bed. At approximately 7:40 AM, staff entered the room and asked the resident how s/he was doing and then left the room at approximately 7:41 AM. The surveyor continue observation from 7:35 AM until 8:30 AM with no staff observed assisting the resident. Additional surveyor review of the resident's clinical record revealed that the Speech Language Pathologist (SLP) conducted a screen (a brief visual evaluation) on 2/19/2020, as requested by nursing. The SLP recommended a full speech therapy evaluation due to the resident's prior weight loss and cognitive decline. A care plan for: Imbalanced Nutrition: weight loss related to insufficient dietary intake was created on 2/20/2020. Surveyor review of the resident's Nurse Aide (NA) Care Card revealed instruction for staff assistance for eating as recommended and 1-1 supervision for all meals. During an interview on 02/26/2020 at 08:30 AM Certified Nursing Assistant, Staff D, who has provided care for this resident, she revealed she does not stay in the room with the resident during meals.	2020-09-01