cms_HI: 27
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 27 |
KULA HOSPITAL |
125003 |
100 KEOKEA PLACE |
KULA |
HI |
96790 |
2017-04-21 |
371 |
E |
0 |
1 |
1M3411 |
Based on observations, staff interviews and facility policy review, the facility failed to maintain a walk in refrigerator and walk in freezer to ensure proper food storage. Findings include: An initial tour of the kitchen on the morning of 4/10/17 at approximately 9:30 [NAME]M. found a walk-in refrigerator and the walk in freezer both of which didn't latch when the door was left to shut on it's own. When shutting the door, the door did not completely shut until a staff member pressed it against the door frame. The top edge of the refrigerator door appeared uneven, sloping downward from left to right. At the top of the door, the space between the left side of the walk in refrigerator door and the refrigerator door frame had a gap of approximately 2 inches and narrowed toward the bottom to approximately 0.75 inches. The temperatures for the walk in refrigerator were maintained at or below 41 degrees. However, the possibility for the temperature to rise above 41 degrees was high based on the necessity for the the staff to push the door shut. In addition to the walk in refrigerator, the walk in freezer also did not latch when the the door was left to shut on it's own. A sign was taped to the freezer door to remind staff to push the door shut. When shutting the freezer door, the door did not completely shut until a staff member pressed it against the door frame. The edge of the freezer door appeared uneven, sloping downward from left to right. At the top of the door, the space between the left side of the walk in freezer door and the freezer door frame had a gap of approximately 2 inches and narrowed toward the bottom to approximately 1 inch. A gray strip around the freezer door was loose at the corner. The Maintenance staff re-glued the gray strip until it was permanently fixed. Additionally, the floor was wet under the door to the walk in freezer. Staff #12 reported that she thought the wetness was from condensation. The temperatures for the walk in freezer were maintained at or below 0 degrees. However, the possibility for the temperature to rise above 0 degrees was high based on the necessity for the staff to push the door shut. A review of the walk in refrigerator and walk in freezer temperature logs on the morning of 4/13/17 revealed the temperature levels for (MONTH) and (MONTH) (YEAR) were maintained within acceptable ranges. The foods in the freezer were frozen solid without any thaw. An interview of Staff #12 on the morning of 4/12/17 revealed the facility was aware that the walk in refrigerator and walk in freezer doors were not working properly. Staff #12 further noted the kitchen staff taped a sign to the walk in freezer door indicating the door was malfunctioning for an unspecified amount of time. As of survey date, 4/13/17, the facility had not contracted a vendor to assess the doors of the walk in refrigerator and walk in freezer. A review of the facility's policy titled, Food Storage and Preparation with revision date of 10/2015 revealed, (11) Preventive refrigerator, freezer, and ice machine maintenance to be provided routinely and as needed by contacting food service supervisor. The facility failed to maintain the doors for one of the walk in refrigerators and the walk in freezer. |
2020-09-01 |