cms_VT: 50

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
50	BURLINGTON HEALTH & REHAB	475014	300 PEARL STREET	BURLINGTON	VT	5401	2017-08-14	514	C	1	0	DTTL11	> Based on observation, staff interview and record review the facility failed to ensure that 1 of 5 sampled residents' medical records met acceptable professional standards and practices. For Resident #1 the findings include the following: Per medical record review, Resident #1 had a straight Catheterization on 5/15/17 at approximately 1:47 AM by the Licensed Practical Nurse (LPN). After two unsuccessful attempts a final attempt was conducted by the resident. The LPN confirms that 300-400 cc's of urine was obtained. Per review of the Treatment Administration Record, the LPN initialed the treatment as completed at that time. Per review of the progress notes, there is no documentation that evidences that the Catheterization took 3 attempts before Resident #1's bladder was relieved. Per interview with the LPN on 8/14/17 at approximately 11:45 AM, confirmation was made that h/she does not recall writing a progress note, nor can the LPN offer any explanation as to why the note was not written The Director of Nurses confirmed at the time of the telephone interview that there is no evidence in the Electronic Medical Record that a progress note was written. Per review of the facility policy titled Intermittent Catheter Insertion documentation identifies staff to document the reason for use of intermittent catheter; date and time; color, odor, amount, and description of urine; and patient's response.	2020-09-01