cms_VT: 82
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
82 | HELEN PORTER HEALTHCARE & REHAB | 475017 | 30 PORTER DRIVE | MIDDLEBURY | VT | 5753 | 2017-07-17 | 323 | D | 1 | 0 | BGUQ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on staff interviews and record review, the facility failed to provide adequate supervision to prevent an altercation for 1 of 4 residents, Resident #1. Findings include: Per record review on 7/17/17, Resident #1 has a [DIAGNOSES REDACTED]. Per record review, or per nursing notes, On 6/26/17 s/he was in the outer dining area waiting for lunch and was yelling out and banging on the table wanting his/her food. Per interview with the unit clerk at 11:58 AM on 7/17/17, s/he said that the behavior was not usual. The unit clerk further stated that s/he was in the process of getting the tickets ready for lunch when another resident, Resident #2, who was in an inner dining area got up from his/her table and came toward Resident #1 and called him/her a derogatory name. When staff heard this they intervened and stepped between the two residents. Resident #2 was directed back to his/her seat and within a few minutes, Resident #1 started to bang on the table and calling out again. When the unit clerk turned from the tray line with Resident #1's lunch tray, s/he saw Resident #2 hit Resident #1 with the flat palm of their hand. The unit clerk stated that these two residents have had a history of [REDACTED].#2 required a room change. Interview with the Licensed Nursing Assistant (LNA) at 12:21 PM , that prior to this incident the two residents had been bumping heads. S/he further stated that Resident #1 was sitting at the table and calling out, and Resident #2 tried to confront him/her and was calling him/her names, the unit clerk directed Resident #2 back to their own table, but did not ask anyone to keep an eye on him/her and confirmed that no one was watching either resident when Resident #2 got up and went after Resident #1 and hit him/her. Interview with the unit manager at 1:15 PM, s/he confirmed that there had been an altercation between the two residents prior to the incident that occurred on 6/26/17 and after the staff intervened to prevent an altercation, there was no follow supervision of either residents. S/he also stated that staff was aware that there was a history between the two residents and should have because of the yelling out behavior that Resident #1 exhibits, and the other incidents that have occurred with Resident #1, staff should have been alert and supervised resident #1. | 2020-09-01 |