Elderwood At Burlington: Medication Error Cited - VT
The anti-anxiety medication was administered from July 23 through August 11, when inspectors arrived to investigate....
Latest reports, citations, and penalties from CMS data
The anti-anxiety medication was administered from July 23 through August 11, when inspectors arrived to investigate....
MDS Coordinator #5 started the job on October 13, 2025....
The resident returned from the emergency room on August 31 with a packed wound and instructions for continued care....
Federal inspectors documented the incident following a complaint investigation completed in September 2025....
The deficiency was classified at **Scope/Severity Level D**, meaning it was isolated in nature and did not result in documented actual harm....
While this does not represent the most severe enforcement category, the underlying clinical concern remains significant....
The gaps stretched from September 2024 through March 2025, leaving staff scrambling to locate pills in medication carts....
Resident #111 began refusing medications on September 4, the day after admission to Cedar Ridge Center....
Federal inspectors watched the September morning medication round and discovered the nurse knew the label was incorrect....
Competency gaps can manifest in ways that are not immediately visible but carry cumulative risk over time....
The incident occurred on August 22 at White Sands Healthcare on North Lovington Highway....
When an assessment is inaccurate or incomplete, the entire care plan built upon that assessment can be flawed....
While no documented cases of actual harm were recorded during the inspection, the pattern designation is significant....
The deficiency was classified at **Scope/Severity Level D**, meaning it was isolated in nature and did not result in documented actual harm to residents....
The patient required all nutrition through a feeding tube....
The October 24 incident at Center at Lincoln occurred on what was supposed to be the resident's discharge day....
The wound care doctor was supposed to see the resident on September 9....
Hoyer lifts are mechanical devices used to transfer residents who cannot move on their own....
When the lift's hydraulics failed, she fell to the ground on her right side....
Under the facility's own written policy, all allegations of abuse are to be reported to the state within two hours of the facility becoming aware....