cms_VT: 28
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 28 | BURLINGTON HEALTH & REHAB | 475014 | 300 PEARL STREET | BURLINGTON | VT | 5401 | 2019-02-13 | 725 | E | 1 | 0 | BMZU11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on observation, record review, staff, resident and family interviews, the facility failed to ensure there was sufficient nursing staff to provide nursing and related services assuring resident safety and maintaining the highest practicable physical, mental and psychosocial well-being of each resident. Consideration for the number of residents who reside in the home, the resident assessments, individual care plans, the acuity and [DIAGNOSES REDACTED]. This is a repeat deficiency having been cited during the last 3 recertification surveys on (MONTH) 26, (YEAR), (MONTH) 14, (YEAR) and (MONTH) 24, (YEAR) and again during a follow-up survey on (MONTH) 4, (YEAR). The findings include the following: 1. During a Resident Council group meeting that was held on 2/13/19, several residents (who wish to remain anonymous) reported they have not seen any improvement of wait times for staff to respond to call lights since the facility was cited for staffing in (MONTH) and (MONTH) (YEAR). They still report that Licensed Nursing Assistant staff (LNAs) report being short staffed. 2. During the 3 days of survey (2/11, 2/12, and 2/13/2019), multiple staff including Registered Nurses (RN), Licensed Practical Nurses (LPN) and LNAs, both facility employed, as well as agency staff voiced concerns about resident safety and putting their licenses on the line related to staff shortages. They report having to rush through resident care and that residents have to wait a long time for their call lights to be answered. In reviewing the staffing schedule for 2/13/19 on one of the rehab units there were 2 LPN's and 1 LNA scheduled from 2:45 PM to 7 PM for 17 residents. From 7 PM until 11:15 PM there is 1 LPN and 2 LNA's scheduled. Of the 17 residents, 1 is a Hoyer lift and 2 others are 2-person assists. 3. Per interview on 2/13/19 at 4:20 PM a resident on the rehab unit (who wishes to remain anonymous) reported that on the morning of our interview s/he was left on the toilet for 15 or 20 minutes and was very uncomfortable in that position. After using the call light and also yelling to staff, s/he self-transferred to their walker and then again self-transferred to a chair in their room. The resident stated, I know I'm supposed to wait for someone to help, but I just couldn't sit there any longer. In reviewing the resident's care plan and the most recent Minimum Data Set (MDS) the resident is a 2-person extensive assist. Family members of the resident were in the room during the interview and reported that staff is scare on the weekend. 4. Per interview with another resident on 2/13/19 at 4:45 PM on the rehab unit (who wishes to remain anonymous) reported that earlier in the week s/he put on their call light to use the toilet, s/he waited 45 minutes and by the time someone responded s/he had been incontinent. S/he reported that the week before s/he put on their call light because s/he wanted something for pain. By the time someone responded it was over 30 minutes and by then s/he was in excruciating pain. | 2020-09-01 |