cms_VT: 93

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
93 THE PINES AT RUTLAND CENTER FOR NURSING AND REHABI 475018 99 ALLEN STREET RUTLAND VT 5701 2018-07-18 658 E 1 0 YLEU11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** > Based on record review and confirmed by staff interview, the facility failed to ensure that services provided meet professional standards regarding documentation of behaviors identified on the Medication Administration Record [REDACTED]. The findings include the following: Per medical record review, Resident #1 was admitted in 2013, with [DIAGNOSES REDACTED]. Per review of the Medication Administration Records (MAR) for the months of May/June/July (YEAR), it directs the nurse to document behaviors, interventions utilized and outcomes every shift. The following behavior interventions; 1). 1:1. 2) Redirect behavior; 3) toilet; 4) provide snack and outcomes are to be documented as improved, worsened or no change. The MAR indicated [REDACTED]. Per review of the progress notes dated May/June/July (YEAR), documentation evidences the following: -May - (8) eight occurrences when the resident made sexual inappropriate comments to the nursing staff and on (1) one occasion hit the nurse aide during personal care; -June - (3) three occurrences when the resident made sexual inappropriate comments to the nursing staff; -July - (1) one incident of non-consensual sexual contact of a resident. Confirmation was made by the Registered Nurse on 7/18/18 at approximately 11 AM that the nurses document on the MAR indicated [REDACTED]. If behaviors are identified, the nurse will further document in the progress notes. However, the documentation in the progress notes does not follow the direction identified on the MAR indicated [REDACTED]. (Lippincott Manual of Nursing Practice (9th ed.) Wolters Kluwer Health/Lippincott[NAME] & Wilkins.) 2020-09-01