cms_VT: 79

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
79 HELEN PORTER HEALTHCARE & REHAB 475017 30 PORTER DRIVE MIDDLEBURY VT 5753 2017-03-16 309 D 0 1 LMI011 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to ensure that residents receive the necessary care and services to attain or maintain the highest practicable physical, mental and psychosocial well-being and receive care and treatments in accordance with professional standards of practice for 1 applicable resident. (Resident #202) Per record review Resident #202 was admitted on [DATE] following a right [MEDICAL CONDITION] repair. The skin assessment from 3/1/17 at 23:26 (11:26 PM) noted that the Resident had an intact surgical incision on right hip, swelling to the right lower extremity just above the knee, and a small reddened area inside right buttocks that was not open and to which moisture barrier was applied. Upon further review of skin assessments for Resident #202, on 3/11/17 Resident #202 developed a blister on his/her right heel, with light serous (clear fluid) drainage; on 3/12/17 the blister on the right heel had light serous drainage; on 3/13/17 the blister on right the heel had light serosanguinous (fluid that is blood tinged) drainage, and at 21:59 PM the blister was open on the right heel with no drainage present. Per observation on 3/14/17 at 11:44 AM, the Resident's right heel had a beefy, red opened area, measuring 3 centimeters x 2.5 centimeters. Prior to the surveyor's observation on 3/14/17, there was no evidence of any measurements and/or staging of the wound in the medical record. Per interview on 3/15/17 at 1:35 PM with the DNS, s/he stated that s/he would classify a blister as a Stage 2 pressure ulcer and would expect a blister to be staged, measured and documented by the Registered Nurse who performed the skin assessment. Per interview on 3/15/17 at 2:44 PM with the Unit Manager s/he also confirmed that a blister would be a Stage 2 pressure ulcer and would expect the Registered Nurse performing the skin assessment to stage and measure the wound appropriately. Per review of the facility Skin Care Guidelines it states, Refer to the following protocols for alteration in tissue integrity related: prevention/treatment guidelines, pressure ulcers, friction and shear, incontinence/moisture, yeast/candidiasis, skin tears, non pressure skin injury (bruising). Prevention/Treatment Guidelines-Step 1: Recognition-Examine the patient's skin thoroughly to identify existing pressure ulcers. Step 2: Determine if the patient is at risk for pressure ulcers and manage pressure. Step 3: Characterize the pressure ulcer (staging) and assess the patient's overall physical and psychological health. 2020-09-01