cms_VT: 13

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.

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
13 MOUNTAIN VIEW CENTER GENESIS HEALTHCARE 475012 9 HAYWOOD AVENUE RUTLAND VT 5701 2019-02-14 842 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 medical records were complete and accurately documented for 2 of 30 residents in the sample (Resident #92 and Resident #114). Findings include: 1. Resident #92 was admitted to the facility on [DATE] with an indwelling catheter. Signed physician's orders [REDACTED].(milliliters) of N.S. (normal saline) twice a day. Per review of a nursing progress note dated 6/12/18, new orders were received for, [MEDICATION NAME] 2% urojet (pre-filled syringe with numbing medication)-squirt the 5 (milliliter) ml into urethra (duct by which urine is moved out of the body from the bladder) prior to foley re insertion with cath changes; [MEDICATION NAME] solution (irrigation solution) 30 ml-flush foley BID (twice a day) and PRN (as needed) foley clogging to maintain foley patency; d/c (discontinue) saline flushes. Per review of Resident #92's Medication Administration Record (MAR) and Treatment Administration Record (TAR) for (MONTH) 2019, there was no evidence that these orders were being carried out to maintain Resident #92's catheter. Per interview on 2/12/19 at 3:31 PM with a staff nurse, s/he confirmed that there were no orders on the MAR and/or TAR for Resident #92's Foley catheter care. On 2/12/19 at 3:59 PM, during an interview with the Unit Manager, s/he also confirmed that there were no orders on the MAR and/or TAR for Resident #92's Foley catheter care. 2. 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 1/16/2019, a clarification order was written for Glucerna 1.5 at 400 ml TID (three times a day) and signed by the Advanced Practice Registered Nurse (APRN). On 1/17/2019, another clarification order was written for Glucerna 1.5 @ 400 ml TID PT (per tube). The APRN signed and dated the clarification order on 1/21/19. Per review of resident #114's Enteral Protocol flow sheet (a form that the facility uses to document tube feeding administration) for the month of (MONTH) 2019, there was a hand-written entry for Glucerna 1.5 cal/ml (calorie per milliliter) 400 ml 4 times daily with the times documented as 0800, 1200, 1700 (only 3 times). There were 34 initialed opportunities to identify the incorrect documentation between 2/1/19- 2/12/19. On 2/12/19 at 3:30 PM during an interview with the Unit Manager, s/he confirmed that the monthly physician's orders [REDACTED]. S/he also confirmed that the hand-written Enteral Protocol flow sheet indicated that the Glucerna was to be administered 4 times a day, and that the documentation on the Enteral Protocol flow sheet was 3 times a day. 2020-09-01