cms_HI: 42

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
42 GARDEN ISLE HEALTHCARE AND REHABILITATION CENTER 125004 3-3420 KUHIO HIGHWAY, SUITE 300 LIHUE HI 96766 2019-07-12 550 D 0 1 QXJ511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interviews with staff members, the facility failed to ensure a resident is provided care with respect and dignity to promote and enhance her quality of life during skin assessments resulting in the resident feeling embarrassed. Findings include: Resident (R)78 was admitted to the facility on [DATE] from an acute facility. R78 was discharged to the hospital on [DATE] and readmitted to the facility on [DATE]. On 07/09/19 at 10:50 AM an interview was conducted with R78. R78 reported that she is uncomfortable with the skin assessment, it made her feel like a criminal. The resident clarified, she asked to undress and lay in bed for the skin assessment. R78 further reported another staff member was also present. Queried whether the staff member draped her body during the assessment, R78 replied, no. R78 also shared that she doesn't understand why another staff member has to be present and was not asked whether it was okay to have another staff member present during the assessment. R78 also stated that she doesn't understand why the skin assessment has to be done weekly. On 07/12/19 at 08:15 AM an interview was conducted with Licensed Nurse (LN)2. Inquired how are skin assessments performed. LN2 reported residents usually come from the acute hospital and are dressed in a hospital gown. LN2 reported residents are not asked to undress and are informed the nurse will check their bottom and for women, look under their breast. LN2 further explained the resident's hospital gown is removed only to expose areas that are being assessed. The LN confirmed there are two nurses present during the skin check to assist with turning and one person to write and one person to measure. A record review was done on 07/10/19 at 01:19 PM. A review of the admission Minimum Data Set (MDS) with assessment reference date of 06/21/19 found R78 yielded a score of 15 (cognitively intact) when the Brief Interview for Mental Status was administered. R78 was also noted to require limited assistance with one person physical assist for bed mobility (how resident moves to and from lying position, turns side to side, and positions body while in bed or alternate sleep furniture). 2020-09-01