cms_VT: 24

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
24 BURLINGTON HEALTH & REHAB 475014 300 PEARL STREET BURLINGTON VT 5401 2020-01-29 656 D 1 0 GCF111 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and confirmed by staff interview the facility failed to ensure that the Resident Centered Comprehensive Care Plan was implemented for 1 of 3 sampled residents, (Resident #1). This citation is a repeat that was cited on 10/24/18. The findings include the following: Per record review Resident #1 was admitted to the facility in (MONTH) 2019 with [DIAGNOSES REDACTED]. The resident began receiving Hospice Services (health care that focuses on the terminally ill resident) in (MONTH) 2019. Per record review a significant change Minimum Data Set (MDS) assessment was conducted on 10/04/19 (State mandated assessment). The assessment identified that the resident was an extensive assist with 2 staff members for care. The Resident centered-care plan initiated on 06/01/19 identifies that the resident requires assistance for Activities of Daily Living (ADL's) with 2 staff for bed mobility. The resident is incontinent of urine and requires incontinence care every 2-3 hours and s/he is identified to be resistive to care, can become combative at times. According to the Resident Assessment Instrument manual, bed mobility is defined as how the resident moves from lying position, turns side to side and positions body while in bed. Per interview with Employee #1 on 01/29/20 at approximately 1 PM, confirmation was made that during the overnight shift on 01/04/20 through 01/05/20, Resident #1 was provided incontinent care at 6 AM only. Employee #1 confirms that the resident doesn't drink much during the evening shift, therefore s/he is only incontinent once during the night shift. The employee stated (all resident care plans are the same. Residents are checked and changed with one staff member during the overnight shift). Resident #1's care plan was provided to the employee evidencing the need for 2 staff members for bed mobility. The employee confirmed s/he was unaware of that need or that the resident was to be checked every 2-3 hours. Confirmation was made by the Director of Nurses on 01/29/20 at approximately 3 PM that staff are expected to know the needs of the residents as identified on the care plan. Staff did not utilize two staff members for bed mobility nor did the staff provide incontinence care every 2-3 hours as directed. 2020-09-01