cms_HI: 35

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
35 KULA HOSPITAL 125003 100 KEOKEA PLACE KULA HI 96790 2019-05-31 842 D 0 1 IFL211 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to have accurate information in the medical record of one of 18 sampled residents. The medical record for R61 had conflicting information on the Advanced Healthcare Directive (AD) and the Provider Orders for Life-Sustaining Treatment (POLST). An AD is a legal document used to provide guidance about what types of treatments you may want in case of a future unknown emergency. A POLST form is a medical order for the specific treatments you want during a medical emergency. A POLST form does not replace an advance directive, but they work together. Findings Include: A review of R61's Advanced Care Planning documents revealed the POLST and AD had conflicting information. The POLST (Section C, artificially administered nutrition) signed by Surrogate dated 01/31/13 includes an order for [REDACTED]. During an interview with Social Worker (SW1) on 05/29/19 at 01:44 PM, inquired what the process was to obtain advance directives on admission. She stated, most of our residents come from acute care and they do them there and send with the resident. If they do come from the community, the SW will ask on admission if they have one, and give them information in the admission packet. When asked who was responsible for viewing the content of the advanced care planning documents to ensure they matched, and she said, I'm not sure. 2020-09-01