cms_VT: 51
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
51 | BURLINGTON HEALTH & REHAB | 475014 | 300 PEARL STREET | BURLINGTON | VT | 5401 | 2018-08-22 | 600 | D | 1 | 0 | IWGT11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > The facility failed to assure the resident's right to be free from sexual abuse for one resident, Resident # 1. Findings include: Per record review, on 8/10/18 Resident #1 was seated in a wheelchair by the nurses station. Resident #2 was noted to approach the resident, with a pillow in hand, and stand by the resident. Staff observed and noted that Resident #2 had exposed his penis and had rested it upon Resident #2's arm. Resident #2 was described as stroking his penis as it lay on Resident #1's arm. Both residents have cognitive impairment. The residents were separated and Resident #2 was returned to his room. Resident #2 had documentation in the electronic medical record (EMR), which reflected two previous incidents of exposing himself in public areas and incidents of urinating in public areas. Resident #2 was first care planned for Inappropriate Sexual Behaviors on 2/12/2018. The facility plan to prevent any further incidents included every 15 minute checks and for Resident #2 not to be within arms reach of other residents. The facility failed to provide the supervision to implement the care plan regarding not being within arms reach of other residents. In interview, the Director of Nursing Services stated that Resident #2 had a history of [REDACTED]. Using the reasonable person concept per CMS guidelines, having this type of non-consensual sexual contact occur would cause mental anguish to a reasonable person. | 2020-09-01 |