cms_VT: 2456
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2456 | PINE HEIGHTS AT BRATTLEBORO CENTER FOR NURSING & R | 475023 | 187 OAK GROVE AVENUE | BRATTLEBORO | VT | 5301 | 2010-10-25 | 204 | D | L2QS11 | Based on resident, family and staff interview, and record review, the facility failed to provide sufficient preparation and orientation to 1 resident in the applicable sample to ensure a safe and orderly discharge from the facility. (Resident #1) Findings include: 1. Per resident, family and staff interview, and record review, the facility failed to make appropriate discharge referrals for Resident #1 to ensure that timely outpatient follow up in the home setting was received. Per record review Resident #1 was discharged to home from the facility on 9/2/10 and was to receive skilled nursing services and physical therapy (PT) from the Visiting Nurse Association and Hospice of Vermont and New Hampshire (VNA). Per interview with Resident #1 and his/her spouse on 10/25/10 at 12:35 PM, the VNA did not make a home visit until 9/8/10 because "There was a mix up about the referral." The resident stated that even though the VNA did not make a home visit until 9/8/10, the prescribed medications and medical equipment were sent home at the time of discharge and were used by the resident as directed by the prescribing physician. The resident also stated that PT did evaluate the resident for services in the home on 9/8/10 after the referral was sent to the VNA, but that the resident no longer qualified for PT services. Per interview with facility Social Service (SS) staff on 10/25/10 at 12:50 PM, SS submitted a referral to another home health agency, not the VNA, in error. The error was not reported until a community case manager had contact with the resident on 9/8/10 and reported the error to SS at the facility. Social Service staff confirmed on 10/25/10 at 12:50 PM that because of the error made, the resident did not receive skilled nursing service or PT until 9/8/10, six days after discharge from the facility, and that the resident should have been seen within 24 to 48 hours after discharge. | 2014-02-01 |