cms_RI: 52

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
52 APPLE REHAB WATCH HILL 415015 79 WATCH HILL ROAD WESTERLY RI 2891 2018-10-09 658 D 0 1 XNYN11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on surveyor observation, record review, staff and resident interview, it has been determined that services provided by the facility failed to meet professional standards of quality relative to physician's orders [REDACTED].#12, 43 and 44. Findings are as follows: 1)Potter and Perry, Fundamentals of Nursing, Eighth Edition, page 305 states in part nurses follow health care providers' orders unless they believe the orders are in error or harm patients. Review of Resident ID#12's clinical record revealed an admission date of [DATE] and [DIAGNOSES REDACTED]. Further record review revealed a current physician's orders [REDACTED]. Review of the Medication Administration Record [REDACTED]. During a surveyor interview on 10/9/18 at approximately 11:00 AM with Staff A she was not able to provide evidence that daily weights were obtained per physician order. During an additional surveyor interview on 10/9/18 at approximately 1:45 PM with the Director of Nurses, she was acnowledged the weights were not obtained as ordered. 2) The Standards for Nursing Skills & Techniques, Perry/Potter, 6th edition, Chapter 21, page 719, Box 21-4: Review provider's MEDICATION ORDERS FOR [REDACTED]. Surveyor observation of resident ID # 43 on 10/3/2018 at approximately 11:15AM revealed he/she had oxygen in place via nasal canula running at 2 Liters per minute. Record review revealed resident ID # 43 had a physician's orders [REDACTED]. The order omitted the Liter flow. Surveyor observation of resident ID # 44 on 10/3/2018 at approximately 11:30AM revealed he/she had oxygen in place via nasal canula running at 2 Liters per minute. Record review revealed resident ID#44 had a physician order [REDACTED]. The order omitted the Liter flow. An interview was conducted with the Director of Nursing Services on 10/9/2018 at approximately 12:00PM. She acknowledged there should be a liter flow per the physician in the orders for oxygen. 2020-09-01