cms_VT: 4

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
4	VERNON GREEN NURSING HOME	475008	61 GREENWAY DRIVE	VERNON	VT	5354	2018-08-29	880	F	0	1	S5OH11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Findings include: Per observation on 08/29/18 at 9:22 AM, accompanied by the Licensed Practical Nurse (LPN), an open vial of [MEDICATION NAME] Purified Protein Derivative (TPPD used for testing for (TB) [MEDICAL CONDITION]) was found in the A wing refrigerator and there was no date to indicate when the vial was opened. The LPN stated that the vial was only used for newly hired staff. Upon inquiring about the TPPD used for newly admitted residents the LPN stated that they don't test the residents for TB. Interview with the Assistant Director of Nurses, s/he stated that the TB testing has not been done on residents since s/he was hired nine years ago. The Director of Nurses (DON) confirmed on 8/29/18 at 10:42 AM that the facility does not test residents for TB upon admission. The DON further stated that if a resident is admitted from another facility or from home, there is not always information available to determine if TB testing had been previously done. Reference: CDC recommendations and guidelines Morbidity and Mortality Weekly Report Centers for Disease Control and Prevention 1600 Clifton Rd, MailStop E-90, Atlanta, GA , U.S.A July 13, 1990 / 39(RR-10);7-20 Skin tests should be administered to all new residents and employees as soon as their residency or employment begins unless they have documentation of a previous positive reaction. A two-step procedure is advisable for the initial testing of residents and employees in order to establish a reliable baseline (11-13).	2020-09-01