cms_RI: 87

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
87	OAK HILL HEALTH & REHABILITATION CENTER	415027	544 PLEASANT STREET	PAWTUCKET	RI	2860	2017-12-20	693	D	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 ensure that residents who are fed by a feeding tube receive the appropriate treatment and services to prevent complications for 2 of 2 sample residents reviewed receiving nutrition via feedin[DEVICE], ID #'s 46 and 78. Findings are as follows: 1. Resident ID # 46 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Record review revealed the following physician's orders [REDACTED]. Review of the facility's policy, provided by the Director of Nursing Service (DON), titled, Administering Medications through an Enteral Tube (feeding tube), states, in part, .when correct tube placement and acceptable GRV (gastric residual volume) have been verified flush tubing .administer medication by gravity flow . Surveyor observation on 12/14/2017 at 6:30 AM revealed Staff Nurse A during medication pass. Staff A proceeded to administer the medication without checking tube placement by checking for gastric residual volume. An interview was conducted with Staff A following the onservation. He was unable to explain why he did not check feeding tube placement. 2. Review of Resident ID#78's clinical record revealed [DIAGNOSES REDACTED]. Further review of the record revealed a physician's orders [REDACTED]. Additionally, the resident has a current care plan dated 10/16/2017 indicating that the resident has potential for fluid deficit related to feeding tube with an intervention to provide tube feed and flushes as ordered. Review of the facility's policy, provided by the Director of Nursing Service (DNS), titled, Administering Medications through an Enteral Tube (feeding tube), states, in part, .when correct tube placement and acceptable GRV (gastric residual volume) have been verified flush tubing with 15-30 ml warm sterile water (or prescribed amount) .dilute the crushed or split medication with 15-30 ml sterile or purified water (or prescribed amount) .administer medication by gravity flow . Surveyor observation of Staff Nurse C, during medication administration pass on 12/14/2017 at 9:00 AM revealed, after tube placement was verified, the nurse did not flush the feeding tube with water prior to medication administration. During a surveyor interview on 12/14/2017 at 9:41 AM with Staff Nurse C, she revealed that she did not flush the feeding tube with water prior to medication administration.	2020-09-01