cms_VT: 11

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
11	MOUNTAIN VIEW CENTER GENESIS HEALTHCARE	475012	9 HAYWOOD AVENUE	RUTLAND	VT	5701	2019-02-14	658	D	0	1	ZRVE11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews the facility failed to assure that services provided by the facility, are provided according to professional standards regarding reconciling & following physician orders [REDACTED].#114). Findings include: Per record review Resident #114 was admitted to the facility on [DATE] with a Gastrostomy Tube ([DEVICE]). Signed physician's orders [REDACTED]. On 1/16/2019, a clarification order was written by the Registered Dietician (RD) for Glucerna 1.5 at 400 ml TID (three times a day) and signed by the Advanced Practice Registered Nurse (APRN). On 1/17/2019, another clarification order was written for Glucerna 1.5 at 400 ml TID PT (per tube). The APRN signed and dated the clarification order on 1/21/19. Resident #114's hand-written Enteral Protocol flow sheet (a form that the facility uses to document tube feeding administration) dated 1/16/19 reads Glucerna 400 ml 3 times a day. Flush tube with 200 ml of water 6x's a day total volume flush 1200 ml/24 hrs and total volume of nutrient + flush + 2400 ml/24 hrs. The hand-written Enteral Protocol flow sheet for the month of (MONTH) 2019 reads Glucerna 1.5 cal/ml (calorie per milliliter) 400 ml 4 times daily with the times documented as 0800, 1200, 1700 (only 3 times). There were 34 initialed opportunities to identify the incorrect documentation between 2/1/19- 2/12/19. On 2/12/19 at 3:30 PM during an interview with the Unit Manager, s/he confirmed that the monthly physician's orders [REDACTED]. The monthly orders are generated by the pharmacy. S/he also confirmed that the (MONTH) hand-written Enteral Protocol flow sheet indicated that the Glucerna was to be administered 4 times a day, and that the documentation on the flow sheet was only 3 times a day. S/he confirmed that this was a transcription error and that regardless of the order and directions, the nurses were giving the Glucerna three times a day. Ref: Lippincott Manual of Nursing Practice (9th Edition) Wolters, Kluwer Health/Lippincott,[NAME], & Wilkens.	2020-09-01