cms_RI: 86

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
86	OAK HILL HEALTH & REHABILITATION CENTER	415027	544 PLEASANT STREET	PAWTUCKET	RI	2860	2017-12-20	692	J	1	0	MUG111	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 address the needs of every resident, including but not limited to, the resident at risk or already experiencing impaired nutrition for 1 of 2 sample residents with significant weight loss (ID #2). Findings are as follows: Resident ID #2 was admitted on [DATE] with [DIAGNOSES REDACTED]. Record review for resident ID #2 revealed a physician's orders [REDACTED]. Review of the resident's record revealed a weight of 111.2 lbs (pounds) on 11/23/2017, a weight of 100.4 lbs on 12/12/2017, and a re-weight of 99.8 lbs on 12/13/2017. This indicates a 10.3% significant weight loss in 20 days. Further record review revealed that the resident's Power of Attorney (POA) signed a Medical Orders for Life Sustaining Treatment (MOLST) on 11/30/2017 identifying the resident as a Full Code, with indications of long-term artificial nutrition (feeding tube), if needed. Review of the dietary progress notes revealed a note by the Registered Dietitian on 12/13/2017 noting a 10.3% change in weight and a response will monitor and remain available PRN. During a surveyor interview with the 3rd floor Unit Manager on 12/13/2017 at 10:20 AM, she acknowledged that the resident should have been weighed twice a week. During a surveyor interview with the Registered Dietitian on 12/15/2017 at 1:45 PM, she acknowledged that the resident was not being weighed twice a week. Additionally, she revealed that she was aware of the resident's Full Code status; however, could not explain why new interventions were not added until brought to the attention of the facility on 12/14/2017.	2020-09-01