cms_VT: 12

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
12	MOUNTAIN VIEW CENTER GENESIS HEALTHCARE	475012	9 HAYWOOD AVENUE	RUTLAND	VT	5701	2019-02-14	755	D	0	1	ZRVE11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure that the pharmacy transcribed the correct Physician's order on the Physician's order form for 1 of 30 residents in the sample (Resident # 114). Findings include: Per record review resident #114 was admitted to the facility on [DATE] with a Gastrostomy Tube ([DEVICE]). Signed Physicians orders from 1/15/19 read Glucerna (a high calorie nutrition) 1.2, special Instructions: H2O 160 ml (milliliters) flush with boluses, bolus amount (ml): 400, number of boluses/day: 3. On 1/16/19 the registered Dietician (RD) wrote a clarification order for Glucerna 1.5 at 400 ml TID (three times a day) the Advanced Practice Registered Nurse (APRN) also signed the clarification on 1/16/19. On 1/17/19, another clarification order was written for Glucerna 1.5 @ 400 ml TID PT (per tube). The APRN signed and dated the clarification on 1/21/19. Per the record the monthly Physician's orders, with a start date of (MONTH) 1, 2019, the order stated Glucerna 1.5 cal/ml liquid give bolus 400 ml four times a day (with an ordered date of 1/17/19) signed and dated on [DATE] by the Provider. These orders were also checked and signed by a nurse on 1/28/19. The monthly order forms are generated by the pharmacy. Per interview on 2/13/19 at 3:30 PM the Registered Nurse confirmed that the printed monthly physicians order from the Pharmacy for (MONTH) states four times per day and that it was signed by the Provider on 2/7/19. S/he also confirmed that the nurses who administer the Glucerna should have identified the Pharmacy's inaccurate transcription. Per interview with the Registered Dietician, (RD) on 2/13/19 at 12:44 PM s/he reported that s/he is familiar with Resident #114 from previous admissions. When Resident #114 was admitted on [DATE] both the RDs recommendation and Physician's order for Glucerna was TID and that the order should not have been changed on the (MONTH) Physician's order form. During an interview on 2/14/19 at 10:30 AM with the Pharmacy's medical supplies/billing staff s/he stated that verbal confirmation of the order had been obtained on 1/17/19 when a staff nurse on the Dogwood Unit called the Pharmacy to re-order. S/he stated that the order relayed at that time was for administration four times a day. S/he confirmed that there was no evidence of an actual Physician's order stating 4 times a day on file.	2020-09-01