cms_VT: 1
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | BIRCHWOOD TERRACE REHAB & HEALTHCARE | 475003 | 43 STARR FARM RD | BURLINGTON | VT | 5408 | 2018-04-04 | 645 | E | 0 | 1 | 1DSP11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interviews and record reviews, the facility failed to assure that a PASARR (Pre-Admission Screening And Resident Review) was conducted for 8 applicable Residents (Residents #84, #54, #53, #5, #36, #10, #4, and #83) who were admitted with a 30 day exemption and have exceeded their expected 30 day stay. Findings include: 1. Per record review, Resident #84 had a PASARR dated 1/25/16, for which the exemption was marked for an anticipated stay of less than 30 days. There is no evidence of a complete PASARR was completed after the 30 days was exceeded. Resident # 84 has [DIAGNOSES REDACTED]. On 04/03/18 at 10:04 AM, the Social Services Director confirmed that the PASARR was not done after the initial 30 day period. 2. Per record review, Resident # 5 has a PASARR screening dated 10/12/05. Part A checked yes by the physician identifies that the resident is being admitted to the facility for less than 30 days. There is no evidence of further screening after the 30 days exemption. Resident #5 has [DIAGNOSES REDACTED]. On 04/03/18 at 10:04 AM, the Social Services Director confirmed that the PASARR screening has not been updated since the initial 30 day period. 3. Per record review, Resident # 10 has a PASARR screening dated 2/12/16. Part A checked yes by the physician identifies that the resident is being admitted to the facility for less than 30 days. There is no evidence of further screening after the 30 days exemption. Resident #10 has [DIAGNOSES REDACTED]. On 04/03/18 at 10:04 AM, the Social Services Director confirmed that the PASARR screening has not been updated since the initial 30 day period. 4. Per record review, Resident # 36 has a PASARR screening dated 2/7/17. Part A was checked yes. The screening was signed by the Social Worker and identifies that the resident is being admitted to the facility for less than 30 days. There is no evidence of further screening after the 30 days was exceeded. Resident #36 has [DIAGNOSES REDACTED]. On 04/03/18 at 10:04 AM, the Social Services Director confirmed that the PASARR screening has not been updated since the initial 30 day period. 5. Per record review, Resident # 53 has a PASARR screening dated 2/6/17. Part A checked yes. The screening was signed by the Social Worker and identifies that the resident is being admitted to the facility for less than 30 days. There is no evidence of further screening after the 30 days was exceeded. Resident #53 has [DIAGNOSES REDACTED]. On 04/03/18 at 10:04 AM, the Social Services Director confirmed that the PASARR screening has not been updated since the initial 30 day period. 6. Per record review, Resident # 54 has a PASARR screening dated 11/3/16. Part A checked yes. The screening was signed by the physician and the Social Worker identifying that the resident is being admitted to the facility for less than 30 days. There is no evidence of further screening after the 30 days was exceeded. Resident #54 has [DIAGNOSES REDACTED]. On 04/03/18 at 10:04 AM, the Social Services Director confirmed that the PASARR screening has not been updated since the initial 30 day period. 7. Per medical record review Resident #4 had a 30-day exemption PASARR from the hospital, dated 4/12/17. When it was determined that Resident #4 would remain in long term care, and after the 30 days had lapsed, the facility failed to complete a Level 1 PASARR screening for the change to long term care status. The Director of Social Services confirmed during an interview on 4/4/18 at 9:17 AM, that no PASARR screening was completed after the 30-day exemption document lapsed. 8. Per medical record review Resident #93 had a 30-day exemption PASSAR from the hospital, dated 3/15/16. When it was determined that Resident #4 would remain in long term care, and after the 30 days had lapsed, the facility failed to complete a Level 1 PASARR screening for the change to long term care status. The Director of Social Services confirmed during an interview on 04/03/18 at 10:05 AM, that no PASARR screening was completed after the 30-day exemption document lapsed. | 2020-09-01 |