cms_VT: 76

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
76 HELEN PORTER HEALTHCARE & REHAB 475017 30 PORTER DRIVE MIDDLEBURY VT 5753 2018-02-28 880 D 0 1 TV7Z11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to provide a safe, sanitary, and comfortable environment to prevent the development and transmission of communicable diseases and infections for 1 resident in the applicable sample (Resident# 148). Findings include: Per observation on 2/27/18 at 9:47 AM of a disconnection of an intravenous (IV) tubing from a peripherally inserted central catheter (PICC-a line to help access the blood stream), a Registered Nurse (RN) donned gloves; touched his/her pocket, and then with the same gloved hands disconnected the IV tubing from the connector of the PICC line. With the same gloved hands, s/he proceeded to scrub the connector with alcohol for approximately 2-3 seconds; and then attached a saline (salt water) syringe to flush the line. Per interview with the RN at that time s/he confirmed that s/he touched multiple surfaces prior to disconnecting the IV tubing from the PICC line and stated that s/he should have removed his/her gloves, sanitized his/her hands and donned new gloves prior to disconnecting and flushing the PICC line. When asked how long s/he was to scrub the connector end of the IV extension of the PICC line, s/he stated approximately 10 seconds. Per review of the policy titled Flushing Peripheral Catheter and Midline it read, 5) Cleanse needleless connector end of IV extension set with alcohol or [MEDICATION NAME] pad x 20-30 seconds. Allow to air dry. Per observation on 2/27/18 at 10:10 AM of a PICC line dressing change, a RN donned gloves, touched the resident's pillow, touched the resident's arm, removed the old dressing, disposed of the old dressing, and then removed his/her gloves. Without sanitizing his/her hands, the RN opened up the package that contained the sterile dressing, donned sterile gloves, proceeded to clean the exit site of the PICC line, and then applied a new dressing to the site. Per interview with the RN at that time s/he stated that s/he had washed his/her hands prior to the procedure and did not need to wash/sanitize after removing the gloves as long as s/he did not touch anything that was contaminated. Per interview on 2/28/18 at 8:59 AM with the Infection Prevention RN, s/he stated that when gloves were removed for any reason staff needed to wash and/or sanitize their hands prior to donning a new pair. Per review of the policy titled Central Line Dressing Change Procedure it read, 1) Perform hand hygiene; 2) Gather supplies; 3) Explain procedure to patient; 4) Place patient in comfortable position; 5) Perform hand hygiene; 6) Set up sterile field with supplies; 7) Put mask on patient and operator; 8) Perform hand hygiene; 9) Put on non-sterile gloves; .13) Remove gloves and discard; 14) Perform hand hygiene; 15) Put on sterile gloves. 2020-09-01