cms_VT: 92

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
92	THE PINES AT RUTLAND CENTER FOR NURSING AND REHABI	475018	99 ALLEN STREET	RUTLAND	VT	5701	2018-07-18	657	D	1	0	YLEU11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY > Based on record review and staff interviews the facility failed to revise the Interdisciplinary Comprehensive Care Plan for 1 applicable resident reviewed, (Resident #1). The findings include the following: Per medical record review, Resident #1 was admitted in 2013 with [DIAGNOSES REDACTED]. Per Medication Management Assessment (Med Options) dated 5/20/18 and 5/29/18, completed by the Nurse Practitioner (NP), identifies target behaviors of changes in mood, Paranoia/Delusions and changes in appetite. The NP recommends a behavior health plan for [MEDICAL CONDITION] as follows: 1) Give him/her something to do with hands such as holding a blanket or stuffed animal, this will decrease the need for inappropriate touching; 2) Use diversion techniques such as turning on the TV/music (this will disrupt thinking); 3) If possibly create physical space; 4) Maintain eye contact and tell the resident the behavior will not be tolerated. Interdisciplinary Comprehensive Care Plan identifies that the resident has little or no activity involvement. Initiatives include that the resident prefers following television, hunting, baseball and fishing. The plan also identifies inappropriate sexual behavior with an initiative to identify inappropriate unacceptable behavior to the resident and to monitor behaviors to determine cause. The plan as identified by Med Options, is not specifically documented in the plan of care as recommended. The facility Administrator confirmed on 7/18/18, that the plan did address the resident's interests. The administrator also confirmed that the plan was not written exactly as the NP recommended, nor did the care plan identify the alarmed Stop sign or the barrier that was across the doorway. Per observation and interview on 7/18/18, with the nursing staff, Resident #1, has a barrier on the entrance of his/her private room that identifies Stop and is alarmed to alert staff of unwanted visitors that could have entered the room or that Resident #1 could have exited the room. Staff confirm that the resident spends most of his/her day in his/her room, is usually not fully dressed and on three (3) occasions in (MONTH) the resident was found in the hall with no pants on. S/He was redirected by the staff. None of this information is included on the Interdisciplinary Care Plan.	2020-09-01