cms_VT: 89

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
89	THE PINES AT RUTLAND CENTER FOR NURSING AND REHABI	475018	99 ALLEN STREET	RUTLAND	VT	5701	2018-06-28	658	E	0	1	WX2411	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and record review the facility failed to assure that services provided met professional standards regarding following physician's orders [REDACTED].#20 and Resident #27). Findings include: 1. Per record review for Resident #20, there were two physicians' orders dated 1/7/18 that state to, document occurrence, intervention, and outcome. Target behavior: sad, weepy, isolates self, withdrawn every shift for monitoring of behavior interventions; and document occurrence, intervention, and outcome. Target behavior: restlessness, increased concern, agitation every shift for monitoring of behavioral interventions. Per review of Resident #20's progress notes and care plan, the resident had a potential to yell out and demand care and services related to [MEDICAL CONDITION] (decline in thinking skills caused by a reduced blood flow to the brain). Per review of the nursing progress notes, on 5/8/18, the resident was combative, refusing medications, yelling out, and swinging fists as staff. On 6/22/18, the resident was yelling out, cussing at staff and swinging fist at staff. On 6/28/18, the resident was yelling at another resident and staff requiring one to one staff interventions. There was no evidence of behavior monitoring in the medical record. Per observation on 6/25/2018, Resident #20 was isolated, withdrawn, and restless with increased concern and agitation. Per interview on 6/27/18 at approximately 10:00 AM, with the Unit Manager, s/he stated that any behavior monitoring was documented in the medical record and further confirmed that there was no behavior monitoring done for Resident #20. Per interview 6/27/2018 at approximately 10:15 AM with the Assistant Director of Nursing, s/he also confirmed that there was no behavior monitoring done for Resident #20. 2. Per observation on 6/26/18 at 8:30 am of a medication administration for Resident #27, the Licensed Practical Nurse (LPN), did not check placement of Resident #27's gastro-intestinal tube (tube in the stomach used to feed and/or give medications) prior to administering Resident #27's 9 AM medications. Per record review, Resident #27 had a physician's orders [REDACTED]. Per interview on 6/26/2018 at 9:30 AM with the LPN, s/he confirmed that s/he did not check placement of the gastro-intestinal tube prior to administering the medications. S/he stated that the gastro-intestinal tube was checked earlier in the shift as this was usual practice. Per interview on 6/26/2018 with the Unit Manager and the DNS, they stated that the usual practice was to check the gastro-intestinal tube once a day per the recommendation of the Wound Ostomy and Continence Nurse (W[NAME]N). References: American Nurses Association (2015). Nursing: Scope and Standards of Practice (3rd ed.). Silver Spring, MD: ANA (pg. 61). Lippincott Manual of Nursing Practice (9th ed.). Wolters Kluwer Health/Lippincott[NAME] & Wilkins, (pg 17).	2020-09-01