cms_HI: 4

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
4 HILO MEDICAL CENTER 125002 1190 WAIANUENUE AVENUE HILO HI 96720 2018-11-16 578 D 0 1 HKBQ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility failed to provide the resident with the provisions to formulate an advance directives for two residents (R)7 and R20 of 16 residents reviewed. This includes a written description of the facility's policies to implement advance directives and applicable State law. The residents record lacked documentation stating there was follow up to formulate the advanced directive. Findings include: 1. During the initial record review of R 7' s' electronic medical record (EMR) on 11/14/18 at 01:04 PM no advanced healthcare directives were found. 2. During the initial record review of R20's EMR, no advanced healthcare directives were found. During an interview with the Director of Nursing (DON) on 11/15/18 at 03:30 PM requested a copy of the advanced healthcare directives for both R7 and R20 and was provided only a copy of R20's physician's orders [REDACTED]. The policy on advanced directives/ POLST last revised 08/2018 was reviewed and stated .The POLST form is used by East Hawaii . Newly admitted residents may provide the facility with a previously completed copy of an Advanced Health Care Directives form (AD). The AD will be utilized for Legal Authorized Representative designation. H. If resident does not have an Advanced Health Care Directives and/ or POLST completed, staff will offer assistance in completing a POLST . During an interview with the Administrator on 11/16/18 at 9:47 who stated that the advanced healthcare directives used to be in place until a few years ago when we did away with them and started to formulate and require the POLST. While the POLST is a physician's orders [REDACTED]. 2020-09-01