cms_HI: 26

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.

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
26 KULA HOSPITAL 125003 100 KEOKEA PLACE KULA HI 96790 2017-04-21 353 F 0 1 1M3411 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record reviews, interviews, and facility policy reviews, the facility failed to provide sufficient nursing staff based on the staff's inability to provide the necessary care and services based on the resident assessments to ensure each resident is able to reach their highest practicable physical, mental and psychosocial well-being. Findings include: During the interview with the NHA and DON on 04/13/2017 at 10:22 AM, the NHA agreed they have had a staffing problem such that per the DON, the need for coverage was so great, due to the transition and sick calls. The DON also said they were often short 38% of their staff. The NHA said by not having a quality nurse position filled for about 1.5 years, they have seen doubling up of responsibilities with their remaining staff, which has led to a lack of identification of opportunities (for improvement) and they have become more reactive than proactive. The NHA also said it included the communication piece as well. The DON further stated with a 13 week turnover interval for the [MEDICATION NAME] (out of state travel nurses and nurses aides), there was less consistency in the delivery of care to their residents. She stated the real issues thus were not being addressed. The cumulative findings in the areas of Resident Rights, Resident Behavior and Facility Practice, Quality of Care, Quality of Life and Pharmacy Services demonstrates widespread concerns, including harm and substandard quality of care, which are interdisciplinary and includes nursing and administrative services. This deficiency is directly related to the lack of an effective quality assurance and assessment program, to which it is cross-referenced at F520. It is also evidenced and cross-referenced to the survey findings at F157, F221, F279, F280, F281, F323, F334, F371, F425, F431, F441 and F490. 2020-09-01