Deficiencies (last 3 years)
Deficiencies (over 3 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
77% better than Vermont average
Vermont average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Oct 9, 2024
Visit Reason
The document is an annual inspection report for Wake Robin-Linden Nursing Home conducted to assess compliance with health regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Plan of Correction
Deficiencies: 1
Date: Aug 2, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to performance reviews and in-service education for Licensed Nurse Assistants (LNAs).
Findings
The facility failed to complete annual performance reviews for all Licensed Nurse Assistants (5 of 5 reviewed) within the last 12 months, and consequently did not provide the required regular in-service education based on these reviews.
Deficiencies (1)
Facility failed to complete a performance review at least once every 12 months for every Licensed Nurse Assistant (LNA) and provide regular in-service education based on the outcome of these reviews for 5 of 5 LNAs in the sample.
Report Facts
Licensed Nurse Assistants reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Confirmed that the facility had not conducted the required performance reviews for the LNAs |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jun 22, 2022
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to have appropriate policies and documentation for initiating basic life support, including CPR, and to ensure consistent identification of resident allergies in medical records.
Complaint Details
The visit was complaint-related, focusing on the lack of documentation for Resident #2's code status and CPR orders, and inconsistent allergy documentation for Resident #6. The complaint was substantiated as the facility confirmed these deficiencies.
Findings
The facility failed to document a resident's (Resident #2) code status and resuscitation preferences, lacking a completed Clinician Orders for Life-Sustaining Treatment (COLST) form and an up-to-date Full code list. Additionally, the facility inconsistently identified allergies for Resident #6 across various medical records and care plans.
Deficiencies (2)
Failure to have appropriate policies directing staff when to initiate basic life support and lack of documentation of a resident's and their representative's choice for emergency basic life support (Resident #2).
Failure to ensure resident allergies were consistently identified throughout the resident's medical record (Resident #6).
Report Facts
Residents sampled: 12
Residents sampled: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) | Interviewed regarding Resident #2's code status and documentation | |
| Director of Nursing (DON) | Interviewed regarding resident code status documentation and Full code list | |
| Medical Director | Interviewed regarding Resident #2's lack of completed COLST form | |
| Director of Social Services | Interviewed regarding responsibility for entering code status into medical records |
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