cms_VT: 3

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
3	VERNON GREEN NURSING HOME	475008	61 GREENWAY DRIVE	VERNON	VT	5354	2017-08-09	248	B	0	1	D1TH11	Based on direct observation, medical record reviews, resident and staff interviews, the facility failed to provide, based on the comprehensive assessment and care plan and the preferences of each resident, an ongoing program to support residents in their choice of activities, both facility-sponsored group & individual activities and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community, for the 19 residents in the memory care unit. Findings include: Per direct observation between 8/7-9/2017, at different times of the days, residents are observed seated around the perimeter of the activity room of the memory care unit, some with heads down, others, with eyes closed, sleeping in their wheelchairs or gerichairs. On 8/7/17, eleven residents are observed to be in this situation the first morning of survey. The TV is turned on, but few residents are actually aware of this. Included in the observations are that lengthy games (30-45 minutes) or events, like having residents read to as a whole group, movies or interactive games do not elicit interest on the part of the residents. Large, group activities are scheduled for 3 times a day on the memory care unit. Staff are observed reporting their memories of trips and other stories and only 1 of 11 residents verbally responds, the others continue to be seated, with eyes closed. Interactive games, intended to engage residents, were observed and staff were interacting with each other and again, residents are seated with eyes closed and not aware. During an interview on 8/09/2017, a licensed nursing assistant (LNA) reports that the facility uses Music and Memory and that residents have their own iPods with their own music list. Consistent use of this was not observed. Residents who can, report they often do not attend activities, because the activities are too babyish. The above observations are confirmed by the unit staff several times during the 3 days of survey.	2020-09-01