cms_HI: 17

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
17	HILO MEDICAL CENTER	125002	1190 WAIANUENUE AVENUE	HILO	HI	96720	2019-12-20	880	D	0	1	P3CE11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and staff interview, the facility failed to maintain a sanitary environment and failed to prevent the development and transmission of communicable diseases and infections as evidenced by the following: canister of [MEDICATION NAME] powder had a plastic measured cup (scoop cup) that was stored in the powder for multiple use; and a pad on the shower gurney had multiple tears and cracks, resulting in permeability of the plastic covering and allowing liquids/fluids to seep into the padding and resurface when weight is applied. Findings Include: 1) On 12/20/19 at 09:47 AM, during an observation of the medication cart on the North Wing, a 6-8 ounce canister of [MEDICATION NAME] powder was noted to have the scoop cup stored in the powder. Registered Nurse (RN) 23, who accompanied this observation, was asked about the scoop cup. RN23 stated that multiple hands would grab the scoop cup, but there was no procedure to ensure the cup was either sanitized or any procedure to prevent the spread of infections. RN23 further stated that the facility had most recently been using single use packets and wasn't sure when they switched to using the canister. 2) On 12/18/19 at 11:45 AM, observation of the shower room was done with Certified Nurse Aide (CNA)8. The observation found a shower gurney with a blue padding insert. The blue pad had cracks in the raised area under the head and around the drainage holes. Inquired how is the pad sanitized, CNA8 responded the pad is washed down after use and sprayed with a sanitizing solution. Initially CNA8 stated the residents are placed directly on the plastic padding; however, after discussion that the plastic covering was now permeable, the CNA reported a towel is placed on the padding.	2020-09-01