cms_VT: 38

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
38	BURLINGTON HEALTH & REHAB	475014	300 PEARL STREET	BURLINGTON	VT	5401	2019-05-01	660	J	1	0	IOQ211	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on record review, and confirmed by interviews, the facility failed to consider need for care and capacity, and to inform and consult the office of the State Long Term Care Ombudsman, regarding the desire of 1 of 4 residents sampled (Resident #1) to discharge. Findings include: Resident #1 was admitted for care on 6/27/18 after [MEDICAL CONDITION], caused by trauma and complicated by [MEDICAL CONDITION]. The facility developed a plan of care which included discharge planning for a desire to move to a facility closer to family on the New Hampshire border, and indicated the resident is dependent on staff for care, assistance with a urinary catheter, a pressure ulcer, adjustment concerns, and other issues. At the time of alleged discharge against medical advice (AMA), 4/24/19, the facility failed to consider the caregiver/support person availability, capacity, and capability to perform required care unassisted in the community. Resident #1 was also assessed and care planned as needing staff support for fecal incontinence, lower body [MEDICAL CONDITION] with inability to transfer without 1-2 person assistance, and hand tremors which impaired ability to dial a telephone. The facility thought the resident was leaving the building to go to a friend's to live, but took no steps to ensure care/services at that discharge location, nor confirm that as an option. Per interview with the Long Term Care ombudsman on 5/1/19 at 8:40 AM, the facility failed to contact the ombudsman and involve him/her in exploration of alternative options for placements, transfers or discharges. The facility made a hasty discharge arrangement 4/24/19, to transport the resident to a hotel and paid for one night, knowing that the family did not intend to care for him/her. This was confirmed by Administrator interview of 4/30/19 at 9 AM. Per hospital documents dated 4/25/19, the resident required Emergency Medical Services for transport to hospital from the hotel. [DIAGNOSES REDACTED]. The resident was admitted for UTI hospital care and homeless status. Per review of the comprehensive care plan regarding discharge planning, it is clear that a discharge to the community was not the plan. Per Occupational Therapy assessment dated [DATE], the resident required supervision outside of the building and per interview on 4/29/19 at 12:45 PM, the OT stated that the resident had poor judgement and safety awareness.	2020-09-01