cms_VT: 52

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
52	BURLINGTON HEALTH & REHAB	475014	300 PEARL STREET	BURLINGTON	VT	5401	2018-08-22	656	D	1	0	IWGT11	> Based on record review and staff interview the facility failed to assure the implementation of the comprehensive person-centered care plan for each resident, consistent with the resident rights 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 noted that Resident #2 had exposed his penis and had rested it upon Resident #2's arm. 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. In a review of the documentation of every 15 minute checks, care planned on 8/13/18, there are gaps in the checks as follows: No checks documented 5 PM-11 PM on 8/13/18; No checks documented 11:15 AM-11:15 PM on 8/14/18; Last documented check (from Midnight) on 8/15/18 is 7 AM; First documented check on 8/16/18 is at 3:15 PM; No checks documented for the 3-11 shift on 8/17/18 and 8/18/18; No checks documented on the 11-7 shift on 8/18/18; Last checks documented are on 8/19/18 on the 7-3 shift. There is another sheet dated 5/21/18 in this resident's binder but it does not have a name on it. Of note no resident's name appears on 5 of 10 pages of checks. In interview the Director of Nursing Services stated that no other documentation of 15 minute checks was available and staff wasn't always good about documenting the checks. In addition the DNS stated that 15 minute checks were discontinued on 8/21/18.	2020-09-01