cms_VT: 1925

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
1925 STARR FARM NURSING CENTER 475030 98 STARR FARM RD BURLINGTON VT 5408 2012-10-03 201 D 1 0 IP1011 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to assure that a discharge for one resident (Resident #1) was necessary for the resident's welfare and that the resident's needs could not be met in the facility. Findings include: Per record review, Resident #1 (R#1) was admitted to the facility on [DATE] from home. The resident did have a history of drug-seeking over the counter medications at his/her local pharmacy(s) and of leaving the hospital twice during medical crises. In record review, a Recreation/Leisure Patterns assessment was conducted on 6/15/12, but there is no Activities Care Plan found in the record. Additionally no evidence was found in the Care Plan of development/revisions of specific strategies/activities to reduce exit-seeking behaviors. There are no interventions from the assessment found on the Behavior/Intervention Monthly Flow Records during the time the resident resided in the facility. The record did not provide evidence of interdisciplinary meetings being conducted to reassess the current strategies and to develop resident specific approaches/interventions to try to reduce/prevent exit seeking behaviors. Per staff interview on 10/3/12 at 3:10 PM both the Social Worker and Administrator describe the resident as aggressively seeking to exit the building as soon as one or two days after admission to the facility. In a review of Behavior/Intervention Monthly Flow Records and Nursing notes there are instances of the resident requesting rides from staff to go home or to the store for Tylenol and there are two documented occasions of active intent to elope. The first instance was at 12:30 P.M. on 6/21/12 when the facility received a call from a local cab company that Resident #1 had called at 12:20 P.M. asking for a cab to take her home. At 1:30 PM the same day, the notes state that the resident called 911 and was re-educated regarding the use of 911. There are no other calls to cab companies or 911 noted. The second attempt was on 7/2/12 when the resident, with his/her 1:1 aid following, left the facility. After attempts by multiple staff the resident agreed to return to the facility. On 6/26/12 a Social Work note states that a conversation was held with the Daughter/Legal Guardian to inform her that the resident was not appropriate to remain at the facility due to the exit seeking behaviors and to request permission to make referrals to local facilities with a locked unit. The nearest facility identified was in St. Albans which the guardian refused, stating it was too far north. A Nursing Home in Rutland offered a bed on 7/2/12 according to the record. The nurses note states that the daughter was notified of the resident's leaving the facility and that there was an MD order in place for the resident's discharge to the Rutland facility. In interview on 10/3/12 at 1:40 PM the Administrator confirmed that the Legal Guardian was not informed of appeal rights or given a written discharge notice. 2015-10-01