cms_VT: 34
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
34 | BURLINGTON HEALTH & REHAB | 475014 | 300 PEARL STREET | BURLINGTON | VT | 5401 | 2019-05-01 | 625 | D | 1 | 0 | IOQ211 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and staff interview, the facility failed to provide a written notice of the duration of the bed hold for 1 of 4 residents sampled (Resident #1) prior to therapeutic leave, or discharge. Findings include: Per the Admission Director, 4/24/19 2:20 PM, no bed hold notice was issued to Resident #1 or the representative prior to or reasonably thereafter on 4/24/19. Per the Administrator and Director of Nursing during interview on 4/30/19 at 9:00 AM, Resident #1 was considered discharged against medical advice when transported from the facility to a hotel on 4/24/19. Based on the behavior of Resident #1, returning to the facility twice on the afternoon of 4/24/19 and verbalizing that s/he made a mistake, this could also be viewed as a therapeutic leave on the part of the resident, and an unsafe decision related to potential cognitive changes caused by brewing bacterial urinary tract infection [MEDICAL CONDITIONS]. Refer to F622. | 2020-09-01 |