cms_RI: 72

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
72 OAK HILL HEALTH & REHABILITATION CENTER 415027 544 PLEASANT STREET PAWTUCKET RI 2860 2018-10-11 554 D 1 0 SL3R11 **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 has failed to ensure that residents may self-administer medications after the interdisciplinary team (IDT) has determined which medications may be self-administered and that the medication is stored safely and securely for 1 of 2 residents (ID #7). Findings are as follows: The facility's policy, titled, Self-Administration of Medications, states in part, Residents have the right to self-administer medications if the interdisciplinary team has determined that it is clinically appropriate and safe for the resident to do so. 1. As part of their overall evaluation the staff and practitioner will assess each resident's mental and physical abilities to determine whether self-administering medications is clinically appropriate for the resident. 2. In addition to general evaluation of decision-making capacity, the nurse will perform a more specific skill assessment, including (but not limited to) the resident's: a. Ability to read and understand medication labels; b. Comprehension of the purpose and proper dosage and administration time for his or her medications; c. Ability to remove medications from a container and to ingest and swallow (or otherwise administer) the medication; and d. Ability to recognize risks and major consequences of his or her medications . 4. The staff and practitioner will ask residents who are identified as being able to self-administer medications whether they wish to do so and written consent must be obtained. 5. The staff and practitioner will document their findings and choices of residents who are able to self-administer medications . 13. The staff and practitioner will periodically (for example, during quarterly MDS (Minimum Data Set- an assessment of the resident) reviews) reevaluate a resident's ability to continue to self-administer medications. Record review for Resident ID #7 revealed a 10/9/2018 physician's orders [REDACTED]. Additionally, surveyor observation on 10/11/2018 at approximately 10:30 AM revealed this resident had 2 single-use units of the [MEDICATION NAME] Solution at the bedside. Surveyor interviews were conducted during the observations. The resident revealed s/he self-administers the [MEDICATION NAME] and the staff leave a few [MEDICATION NAME] units in her room for self-administration. The record lacked evidence that the IDT had determined that this practice is clinically appropriate for the resident or written consent from the resident was obtained. Also, there was no evidence the resident's attending physician gave permission to self-administer medications. During surveyor interviews with the Administrator on 10/11/2018 at 11:11 AM and 12:34 PM, she revealed that she was unaware the resident had medications in his/her room. Additionally, she was unable to provide evidence that the IDT had determined that this practice is clinically appropriate for the resident. 2020-09-01