cms_VT: 25

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
25 BURLINGTON HEALTH & REHAB 475014 300 PEARL STREET BURLINGTON VT 5401 2020-01-29 842 B 1 0 GCF111 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and confirmed by staff interview the nursing staff failed to ensure that 1 of 3 sampled resident's medical record had accurate documentation identifying the date and time of injuries of unknown origin and the timely notification to the appropriate resident represtentative of those injuries, (Resident #1). This citation is a repeat that was cited on 06/26/19. The findings include the following: 1. Resident #1's record inaccurately documented notification of an emergency contact. Per record review Resident #1 was admitted to the facility in (MONTH) 2019 with an identified Emergency Contact #1 Health Care Representative. The resident's Contact #2 who was recently admitted to another health care organization for long term care services and suffers with [MEDICAL CONDITION]. Per review of nurses notes, documentation identifies that on 01/05/20 at approximately 07:00, Resident #1 was identified with large bruise noted over right eye, right scalp, and forehead. Nurses' notes dated 01/05/20 at 7:15 AM identify the Contact #2 was notified of the findings. Per phone interview on 01/29/20 at approximately 3:45 PM, confirmation was made by the Registered Nurse (RN) that s/he did not notify Contact #2. S/he had documented that the call had been made. However, later realized that the task was not completed and asked the Unit Manger to inform the appropriate contact. There is no evidence in the medical record identifying that the injuries of unknown origin were communicated to Contact #1 or #2 as requested by the RN. 2. Resident #1's record contains conflicting or inaccurate dates regarding the first appearance of an injury of unknown origin. Per review of the Risk Management System (RMS) Event Summary Report completed by the RN on 01/05/20 at 7 AM, identifies that Resident #1 had an unobserved event/injury/bruise. The narrative description on the RMS report, describes a small purple area on the right side of scalp late Saturday evening, 01/04/20. On 01/05/20 the RN identifies a bruise above the resident's right eye, scattered across his/her forehead and the scalp bruise is a lot larger in size. Per review of the nurses notes, there is no evidence that identifies that the bruising on the right side of scalp was first identified on Saturday evening 01/04/20. Interview with Employee #1 on 01/29/20 at approximately 1 PM, confirms that he/she did not observe any bruising on the resident's head, right eye or forehead during personal care provided on 01/04-01/05/20 during the overnight shift. Per phone interview with the RN on 01/29/20 at approximately 3:15 PM confirmation was made that s/he evaluated the resident on 01/05/20 at 7 AM and identified the injuries as an unobserved event/injury. The above information was shared with the Director of Nurses on 01/29/20. 2020-09-01