cms_VT: 54

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
54 BURLINGTON HEALTH & REHAB 475014 300 PEARL STREET BURLINGTON VT 5401 2018-10-24 656 E 1 1 73OO11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, record review, and staff interview, the facility failed to develop a written comprehensive care plan for 5 of 27 residents in the applicable sample (Residents #4, 18, 62, 72, 101). Findings include: 1. Per observation during initial tour of the unit on the morning of 10/22/18, the room of Resident #101 is posted with a sign asking visitors to check with a nurse, and a cart containing personal protective equipment is stationed near the door. During record review and staff interview, it is confirmed that Resident #101 has an infectious disease [DIAGNOSES REDACTED]. The written comprehensive care plan for Resident #101 does not contain specific strategies to direct staff in providing care with infectious disease precautions. On 10/23/18 at 4:03 PM, the Director of Nursing confirmed that no care plan section was developed for infectious disease precautions for Resident #101. 2. Per record review for Resident # 62, staff failed to include daily weights in the care plan. There is a physician order [REDACTED]. Per review of the weight log in the electronic medical record (EMR), there were 13 missed weights between 9/29/18 - 10/22/18. Additionally, the order for daily weights is not reflected in the resident's plan of care. This was confirmed by the Unit Manager on 10/23/18 at 1:47 P.M. 3. Per record review and observation during survey, Resident #4 is in a wheelchair and totally dependent on staff for activities of daily living. According to the medical record, the resident developed a pressure ulcer on their heel on 6/17/18. Although treatment was initiated and continued until it healed, a plan of care was never developed to reflect the actual skin breakdown. Per interview on 10/24/18 at 11:59 AM, the Unit Manager confirmed that there was a care plan for Skin Integrity risk, however that there was not a care plan developed for actual skin breakdown after the resident developed a pressure ulcer. 4. Per record review, Resident #72 had a care plan in place for being at high risk of skin breakdown with interventions in place. The resident developed a Stage 2 pressure ulcer on the coccyx on 9/21/18. The care plan did not reflect the development of the pressure ulcer. Per interview on 10/24/18 at 11:15 [NAME]M., the Unit Manager confirmed that the care plan had not been revised to indicate that Resident #72 had developed a pressure ulcer. 5. Per record review, Resident #18 is on precautions for [MEDICAL CONDITIONS] and the personal protective equipment for staff is noted at the door of the room. There is no care plan present in the record for precautions and/or [MEDICAL CONDITION]. The facility Director of Nursing Services (DNS) confirmed on the afternoon of 10/23/18 that there was no care plan available for Infection Control/ Precautions available for this resident. 2020-09-01