cms_VT: 86

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
86	THE PINES AT RUTLAND CENTER FOR NURSING AND REHABI	475018	99 ALLEN STREET	RUTLAND	VT	5701	2018-06-28	580	D	0	1	WX2411	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on family and staff interviews and record review, the facility failed to notify the resident's representative immediately at the time of a significant change in condition; and of a room change, for 2 residents in the applicable sample (Resident #92 and Resident #372). Findings include: 1. Per record review for Resident #92, progress notes identify the following: -6/12/18 at approximately 23:15 (11:15 PM), the resident complained of not being able to swallow and the resident's tongue was slightly swollen. Supervisor notified; -6/13/18 at approximately 02:20 (2:20 AM), the resident still complaining of not being able to swallow well and tongue more swollen. Hospice Nurse notified and will come into the facility to assess the resident; -6/13/18 at approximately 03:00 AM, Hospice Nurse assessed the resident and concluded the resident was having a reaction to the antibiotic, that began on 6/12/18. Nurse Practitioner (NP), contacted and orders received for treatment; -6/13/18 at approximately 03:45 AM, medications administered; -6/13/18 at approximately 04:30 AM, Hospice Nurse left the facility, but provided nursing staff with instructions if condition changes; -6/13/18 at approximately 07:00 AM, resident still complaining of trouble swallowing and tongue remains swollen; -6/13/18 at approximately 07:34 AM medication administered for [MEDICATION NAME] ( a severe, potentially life-threatening allergic reaction); -6/13/18 at approximately 08:00 AM NP on site, assessed resident and injectable medications administered; -6/13/18 at approximately 11:34 AM progress notes identify family communication. Per family interview on 6/25/18 at 12:00 PM, on 6/27/18, and on 6/28/18 at approximately 12:30 PM, the notification of Resident # 92's allergic reaction/[MEDICATION NAME] did not occur until 6/13/18 at approximately 7:20 AM. Per interview on 6/27/18 with an Administrator from Hospice, s/he confirmed that the hospice nurse was on site on 6/13/18; and did not notify the family of the resident's condition at the time of his/her assessment/visit. 2. Per record review Resident #372 was transferred from room [ROOM NUMBER] to room [ROOM NUMBER] on 6/26/18. There was no evidence in the medical record that the resident and/or resident's representative was notified of the room change prior to the room change taking place. Per interview on 6/27/18 at 8:24 AM with the social worker, s/he confirmed that the resident and/or resident's representative was not notified of the room change.	2020-09-01