cms_VT: 33

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
33	BURLINGTON HEALTH & REHAB	475014	300 PEARL STREET	BURLINGTON	VT	5401	2019-05-01	623	D	1	0	IOQ211	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on record review and interviews, the facility failed prior to discharge to notify 1 of 4 sampled residents (Resident #1) in writing and in a language and manner they understand. The facility also failed to send a copy of any notice to a representative of the Office of the State Long-Term Care Ombudsman. Findings include: Per interview 4/29/19 at 2:20 PM, the Admissions Director stated that s/he did not provide a transfer/discharge notice with appeal rights and required contact information to Resident #1 on 4/24/19, nor did s/he mail the notice to Resident #1 or the representative. The facility alleged that this was a resident initiated AMA (against medical advice) discharge on 4/24/19. This was confirmed by the administrator and Director of Nursing (DNS) on 4/30/19 at 9:00 AM, based on the signature of Resident #1 on an AMA document, signed at 1:00 PM on 4/24/19, and verbal expression of desire to leave the facility during an Interdisciplinary Team (IDT) meeting just prior (per Social Services notes of 4/24/19 and interview on 4/29/19 at 12:30 PM). Per interview on 4/29/19 at 2:15 PM, the Recreation Assistant (who attended the IDT meeting of 4/24/19) reported that Resident #1 simply wanted to go downtown that day. Based on the behavior of Resident #1, returning to the facility twice on the afternoon of 4/24/19 and verbalizing that s/he made a mistake, this could also be viewed as a therapeutic leave on the part of the resident, and an unsafe decision related to potential cognitive changes caused by brewing bacterial urinary tract infection [MEDICAL CONDITIONS]. There is no evidence that Resident #1 initiated the AMA discharge process. Refer to F622.	2020-09-01