cms_VT: 91
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
91 | THE PINES AT RUTLAND CENTER FOR NURSING AND REHABI | 475018 | 99 ALLEN STREET | RUTLAND | VT | 5701 | 2018-07-18 | 600 | D | 1 | 0 | YLEU11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and staff/resident interviews, the facility failed to ensure that 1 applicable resident was free from non-consensual sexual contact, (Resident #2),. The findings include the following: Per medical record review, Resident #1 was admitted in 2013, with [DIAGNOSES REDACTED]. Progress notes identify that the resident has had times when sexual comments have been directed toward care givers, but none towards other residents prior to the 7/9/18 incident. Interviews conducted by the State Surveyor on 7/18/18, identified that the resident rarely left his/her room, has an unsteady gait and is usually spends the day partially dressed. In the month of (MONTH) (YEAR) documentation identifies (8) eight occurrences of sexual comments towards staff and on one occasion hit a nurse aide during personal care. The resident was found on 3 occasions in the hall with the lower half of his/her body naked. Staff redirected the resident to his/her room without incident. Medication adjustment was made at the end of the month. In (MONTH) there were (3) three documented instances when Resident #1 made inappropriate sexual comments to the nursing staff. In (MONTH) (1) one incident of non-consensual sexual contact towards Resident #2. Per review of intake form, facility internal investigation, Med Options Assessment and Advanced Practice Registered Nurse (APRN) assessment all dated 7/9/18, identify that at approximately 7 AM, Resident #1 entered Resident #2's room, partially dressed and proceeded to fondle his/her breast(s). The perpetrator pulled the victim's sheet and blanket down to his/her feet/ankles, uncovering the resident and proceeded to attempt to remove the attached brief. During this deliberate action, Resident #1 voiced various suggestive sexual comments. The victim was unable to utilize the call bell for it was attached to the blankets/sheets that had been removed by Resident #1. Therefore, Resident #2, began to yell for help. The victim attempted to protect her/himself by demanding the perpetrator to leave the room. The victim pulled at Resident #1's, eyeglasses and beard. Resident #1 left the room and the victim was able to use the call light to request assistance. Per internal investigation and interviews conducted by the State Surveyor on 7/18/18 with Resident #2, RN, LNA, Social Services (SS) and Administration all confirm the occurrence as documented. | 2020-09-01 |