cms_VT: 57
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 57 | BURLINGTON HEALTH & REHAB | 475014 | 300 PEARL STREET | BURLINGTON | VT | 5401 | 2018-10-24 | 725 | E | 1 | 1 | 73OO11 | > Based on observation, record review and interview, the facility failed to ensure there was sufficient nursing staff to maintain the highest practicable physical, mental, and psychosocial well-being of each resident on at least two of four units reviewed. This is a repeat violation for the third consecutive re-certification survey. Sufficient nursing staff was also cited during the re-certification surveys on (MONTH) 14, (YEAR) and (MONTH) 26, (YEAR). Findings include: During the Resident Council group meeting held during survey, multiple residents (who wished to remain anonymous) complained of long wait times for staff to answer call bells. There were two residents who claimed to have had incontinence episodes due to an extended wait time for staff response to call bells. One resident complained that it was very difficult to find staff to assist if they had to use the bathroom during meal times. Other interviews were conducted with residents who are dependent on staff for basic activities of daily living. One resident stated that they had to wait 45 minutes to get assistance when they were in an uncomfortable position in bed and unable to reposition independently. Multiple residents reported long wait times to get into bed, especially those who needed a two person assist to transfer. Besides specific examples listed, a number of residents and family members (from four (4) family interviews) stated that there was not enough staff at the facility, including hearing frequent complaints from the Licensed Nursing Assistants that they were short staffed. Per review of the log of electronic call bell wait times for Units C & D (fourth and fifth floors), call light waits of 20 minutes or more were noted. Since these two units accounted for the majority of complaints of long waits, these were the units reviewed for the 24 hours of each day: On Unit C (4th floor): 10/20- Waits noted (minutes)- 27, 24, 35, 43, 68, 21, 26, 23, 58, 47; 10/21- Waits noted (minutes)- 23, 21, 23, 21, 43, 46, 25, 23, 38; 10/22 Waits noted (minutes)- 29, 20, 39, 31, 58, 22, 24, 23; 10/23 Waits noted (minutes)- 22, 21, 34, 24, 28; (note this is a partial day of survey) On Unit D (5th floor): 10/21-Waits noted (minutes)- 27, 37, 32, 25, 49, 56, 27, 30, 44, 50, 27, 32, 37, 36, 43, 37, 62, 27, 38, 32, 33, 38, 49, 66, 55, 34; 10/22 -Waits noted (minutes)- 28, 44, 40, 64, 23, 43, 40, 28, 58, 22, 26, 26, 27, 26, 52, 38, 47; Per observation on 10/22/18 at 10:30 AM Resident #309, who is recovering from a pelvic fracture, was seated in a bedside chair when the surveyor entered the room. The resident stated I had to get into my chair alone because I was hurting and no one came. The resident further stated, I know I'm supposed to wait for someone to come but I was on the commode and I was hurting too bad to wait anymore. At that point a Licensed Nursing Assistant (LNA) entered the room and observed Someone helped you out. I'm sorry I was so long. I was caring for another resident. The resident stated s/he had not been assisted but just couldn't wait and asked the LNA to put the slide board away, stating I didn't use it. The LNA did as asked and left the room. In reviewing the plan of care, the resident requires assistance to transfer and should use a slide board. The Registered Nurse (RN) on the unit stated that the resident should have had an assist to move to her/his chair. | 2020-09-01 |