cms_VT: 56
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
56 | BURLINGTON HEALTH & REHAB | 475014 | 300 PEARL STREET | BURLINGTON | VT | 5401 | 2018-10-24 | 690 | D | 0 | 1 | 73OO11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to ensure that a resident with an indwelling catheter had complete physician orders [REDACTED].#25). Findings include: Per record review, Resident #25 was admitted to the facility at the end of (MONTH) (YEAR) with an indwelling Foley Catheter in place. Per review of the monthly physician orders [REDACTED]. There were also no orders to indicate how frequently to change the catheter. The doctor ordered a twice daily flush of the catheter by nursing to keep it patent and to clear sediment. Per review of the plan of care for this resident, there was no mention of the twice daily flushes, the size of the catheter, or how frequently to change it. The nurse on floor stated that they were the last one to change the catheter, and that they used the catheter and balloon size indicated by hospital notes, and confirmed that there were no orders from the primary care physician for these specifics in the resident's record. Per interview on 10/24/18 at 9:35 AM, the Unit Manager confirmed that the primary care physician had not written specific orders for the parameters of the Foley catheter since the resident was admitted , and that the plan of care had not been revised to reflect current treatment regarding the catheter. | 2020-09-01 |