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Ensuring care for Vermonters with OUD in skilled nursing facilities

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Ensuring care for Vermonters with OUD in skilled nursing facilities


BURLINGTON, Vt. (WCAX) – Skilled nursing facilities in Vermont are key for inpatient rehab and medical treatment for people with a wide range of needs. That includes care for patients following an accident, illness, or surgery. It can also include treatment for opioid use disorder.

But are those struggling with addiction being turned away for care?

U.S. Attorney for Vermont Nikolas Kerest says there have not been any reports of skilled nursing facilities turning away patients for substance use disorder but it is a topic of conversation in neighboring states.

“Facilities need to do an individualized assessment of each potential patient.” Vermont’s U.S. Attorney Nikolas Kerest sent out a reminder to each of Vermont’s 30 skilled nursing facilities as a precaution as the state’s opioid crisis continues to get worse.

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“They can’t have blanket policies against admitting people who use medication, medication-assisted treatment or substance use disorder,” said Kerest.

“We do admit those types of applicants.” Woodbridge Rehabilitation and Nursing in Berlin is one of the nursing facilities that have a dedicated unit for patients with substance use disorder.

William Kowaleski of Woodbridge says there are anywhere from three to ten of these specific patients in the facility at any time.

“Our providers, we have one physician and three nurse practitioners are all skilled in prescribing suboxone relief and support to people with OUD,” said Kowaleski.

Not every skilled nursing facility in the state has a dedicated unit like this but Kowaleski says the limiting factor for patients of any kind to be admitted is that the facility is almost always full. They get 50 or 60 referrals a month statewide with the ability to admit five or six a week. He says 2/3 of the population are long-term care patients.

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“We look at the code and also the skill set of our staff. We want to make sure that we have staff that have the skills to handle the applicants that we admit,” said Kowaleski.

“We know and are working hard on the problem that many folks are turned away for admission simply because the services to match the treatment plan are not available.” Helen Labaum of the Vermont Health Care Association says she too hasn’t heard of any skilled nursing facilities turning patients away because of substance use disorder but says it indirectly highlights the staffing and capacity challenge many facilities face.

Vermont is currently ranked last in the country for stability of the workforce and services in skilled nursing facilities, according to federal data. In a broader healthcare context, Vermont’s nursing turnover is 61% the second highest in the country.

“We’ve got a shortage of mental health workers, counselors, the folks who can provide those services that often go along with the medications prescribed that are the focus of this particular memo,” said Labaum.

Despite people Channel Three spoke with saying skilled nursing facilities are not turning away patients with Substance Use Disorder Vermont’s U.S. Attorney says if they do, there are violation fines up to around $111,000 that increase as the violations do.

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Vermont

Find out who’s on the Vermont rosters for the 2024 Lions Twin State Soccer Cup vs NH

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Find out who’s on the Vermont rosters for the 2024 Lions Twin State Soccer Cup vs NH


Vermont and New Hampshire resume their rivalry battle on Saturday, July 20 with the long-running Lions Twin State Soccer Cup on tap at Hanover High School.

The girls game is slated to kick off at 1 p.m.; followed by the boys contest at 4. The event, in its 49th year, pits recently graduated high school seniors from each state against each other.

Kim Prestridge of White River Valley is the Vermont girls head coach. Milton’s Cait Fogel, Arlington’s Brandon Smith and White River Valley’s Omar Calhum-Flowers will also serve on Prestridge’s staff.

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Shane Bufano, recently hired to take over the Champlain Valley program, will direct the Green Mountain boys squad, along with assistants Rob Cole (CVU) and Chris George (Middlebury) and retired South Burlington coach David Martin.

After New Hampshire swept both games last summer, the Granite State extended its lead in the all-time series — 21-14-5 on the girls side and 20-18-10 in the boys matchups.

More: How Vermont fared vs. New Hampshire in annual Twin State showdowns

The rosters:

VERMONT GIRLS

BFA-St. Albans: Adelaide Hughes, defense; Tessa Sweeney, midfield. Burlington: Brooks DeShaw, midfield/forward; Rosalie Perkinson, defense. Burr and Burton: Maura Grazioso, midfield; Isabella Lam, forward. Champlain Valley: Stella Dooley, defense/midfield; Chloe Pecor, forward. Colchester: Isabel Benoure, defense. Essex: Hailey Routhier, defense; Avery Stockamore, midfield/forward. Leland & Gray: Maggie Parker, midfield. Montpelier: Estherline Carlson, forward. Mount Mansfield: Finley Barker, midfield; Kate Leach, defense. North Country: Maya Auger, goalie; Charli Kellaway, midfield. Randolph: Shiloh Lake, forward. Rice: Raven McCray-Fay, defense. South Burlington: Rachel Kelley, forward; Oakley Machanic, midfield. White River Valley: Amara Calhum-Flowers, midfield/forward; Tanner Drury, defense.

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VERMONT BOYS

Brattleboro: Ozzie VanHendrick, forward. Burlington: Max Ladner, midfield. Champlain Valley: Chandler Turner, forward; Luke Sampson, midfield. Colchester: Jacques Alfani, forward/midfield. Enosburg: Landon Paulson, forward. Essex: Henry Kinney, midfield/defense. Middlebury: Eddie Fallis, forward. Milton: Finn Kascha-Hare, midfield. Mount Mansfield: Evan Chicoine, defense; Liam Goslin, defense; Oscar Howard, forward. Montpelier: Brio Levitt, goalie. Rice: Luke Broussard, midfield. South Burlington: Hammad Ali, midfield/forward; Oliver Clifford, defense; Omar Daoudi, midfield/forward. Stowe: Aaron Lepikko, defense; Brock Roick, goalie. Twin Valley: Cody Magnant, forward. U-32: Bennett Clark, midfield. Vergennes: Oakley Francis, midfield.

Become a member of the Vermont Varsity Insider Facebook group at https://bit.ly/2MGSfvX.

Contact Alex Abrami at aabrami@freepressmedia.com. Follow him on Twitter: @aabrami5.





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PHOTOS: Hamilton Falls

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PHOTOS: Hamilton Falls


Langdon, N.H. residents Alex Andrews, 12, Dria Andrews, 10, Raeleigh Walker, 9, and Kristen MacKinnon, 5, look at some of the tadpoles swimming around at the bottom of Hamilton Falls in Jamaica on Tuesday, July 2, 2024. The Vermont Department of Forests, Parks, and Recreation (FPR) has embarked on an initiative to sustainably manage the growing popularity of Hamilton Falls Natural Area and will have a public meeting on July 18 at the Windham Meeting House.



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Woman charged with trying to smuggle $40K worth of turtles across Vermont lake to Quebec | CBC News

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Woman charged with trying to smuggle $40K worth of turtles across Vermont lake to Quebec | CBC News


A woman from China has been arrested at a Vermont lake bordering Quebec for trying to smuggle 29 eastern box turtles, a protected species, into Canada by kayak, according to border patrol agents.

Wan Yee Ng was arrested on the morning of June 28 at an Airbnb in Canaan, Vt., as she was about to get into an inflatable kayak with a duffle bag on Lake Wallace, according to an agent’s affidavit filed in U.S. federal court. United States Customs and Border Protection agents had been notified by Royal Canadian Mounted Police that two other people, including a man who was believed to be her husband, had started to paddle an inflatable watercraft from the Canadian side of the lake toward the United States, according to an agent’s affidavit.

The agents searched her heavy duffle bag and found 29 live eastern box turtles individually wrapped in socks, the affidavit states. Eastern box turtles are known to be sold on the Chinese black market for about $1,400 each, according to the affidavit.

Ng is charged with attempting to export the turtles from the U.S., in violation of the Endangered Species Act. A federal judge on Friday ordered that she remain detained. The federal public defender’s office, which is representing her, declined to comment.

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Border patrol agents first spotted Ng at the Airbnb rental in May when they noticed a vehicle with Ontario plates travelling on a Vermont road in Canaan in an area used by smugglers, they said. Lake Wallace has been used for human and narcotic smuggling, the affidavit states. The vehicle had entered the U.S. in Alburgh, Vt., agents said.

Ng was admitted to the United States in May on a visitor visa with an intended destination of Fort Lee, N.J., the affidavit states. Border patrol agents learned on June 18 that she had again entered the U.S. in Buffalo in a vehicle with a Quebec plate and was expected to arrive at the same Airbnb on Lake Wallace in Vermont on June 25, the affidavit states. They then started to surveil the property.



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