cms_HI: 19

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
19 KULA HOSPITAL 125003 100 KEOKEA PLACE KULA HI 96790 2017-04-21 157 D 0 1 1M3411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review and interviews, the facility failed to immediately notify the resident's representatives when there was a significant change in the resident's physical condition and health status for 1 of 23 residents (Resident #12) in the Stage 2 sample. Finding includes: During a confidential family interview on 04/11/2017 at 10:31 AM, a family member stated he/she is the person who would be notified of a change in condition involving Resident #12 (R #12). The family member stated there had been a recent change in R #12's health condition. The family member stated he/she had not been promptly notified by staff caring for R #12 of the laboratory tests and an electrocardiogram (EKG) that had been ordered. The family member further said the tests were ordered about a week ago on a Friday, and when he/she came to visit R #12 on Sunday, the resident was going through an exacerbation of her [MEDICAL CONDITIONS]. The family member stated the resident was also found to have swelling (edma) of her face and hands. During a follow-up confidential interview on 04/12/2017 at 9:02 AM, the family member said, I knew (the resident) was quite lethargic but not aware of the labs and EK[NAME] The family member also said there was a decline in the resident's condition and by that Sunday, 4/2/17, the on call physician was called to assess R #12. The family member stated although another family member is the primary contact (he/she) asked for me (this family member) to be contacted first due to a language barrier. The resident's clinical chart documents this family member to be the first person the facility is to call on the resident's contact list. The family member re-verified that no staff informed him/her of the labs and EKG and change in the resident's condition. On 04/13/2017 at 8:06 AM, an interview with Staff #58 was done. Staff #58 said R #12's [MEDICAL CONDITION] gets more complicated, but confirmed that when an EKG and labs are ordered, the family is to be notified. Staff #58 verified based on his chart review, there was no clinical documentation by Staff #100 to show that R #12's family member who is to be contacted first had been notified. Staff #58 said it was important that it be documented, but that it had not been done. The facility failed to immediately notify/contact the family member listed as the first person to contact regarding a change in the resident's condition and the ordered clinical tests. 2020-09-01