cms_VT: 23

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
23	BURLINGTON HEALTH & REHAB	475014	300 PEARL STREET	BURLINGTON	VT	5401	2020-01-29	610	D	1	0	GCF111	> Based on interview and record review the facility failed to complete a thorough investigation of injuries of an unknown source and report the result of the investigation to the State Licensing Agency for 1 applicable resident sampled, (Resident #1). The findings include the following: Per medical record review both nurses notes and interaction communication form completed by the Registered Nurse (RN) on 01/05/20 at 07:00 identify a change in condition with a large bruise noted over right eye, right scalp, forehead, in the morning. The RN evaluated the resident and identified the injuries as an unobserved event/injury. Per review of the RN documentation on the narrative event summary dated 01/05/20 at 7 AM, evidences (a small purple area on the right side of scalp, late Saturday evening, 01/04/20. Today it is noted with a bruise above the right eye and scattered across his/her forehead and the bruise on his/her scalp is a lot larger in size). Circumstances of the event documented on the same narrative summary form evidences (possibilities may include resident bumping his/her head against the Hoyer (mechanical lift), and possibly when Licenses Nurse Aides (LNA's) were turning him/her, they may have bumped his/her head against the wall.) Per review of the nurses' notes dated 01/05/20 at 1500, the Licensed Practical Nurse (LPN) documents, (continues with forehead bruising and starting to spread to eyes. Has a bump on the right side of his/her head). Confirmation was made by the Director of Nurses on 01/29/20 at approximately 3:30 PM that the investigation is not completed for the incident of unknown injuries that occurred to Resident #1 on 01/05/20. The summary of the event form identifies ongoing investigation and no report has been sent to the Licensing Agency as required. Per review of facility policy titled Abuse Prohibition that includes Injuries of Unknown Source identifies the following: 7.4 Report allegations involving injuries of unknown source within 24 hours if the event does not result in serious bodily injury; 7.8 The investigation will be thoroughly documented in the Risk Management System (RMS). Ensure that documentation of witnessed interviews are included; 9.2 Report findings of all completed investigations within five (5) working days to the agency.	2020-09-01