cms_HI: 43

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
43 GARDEN ISLE HEALTHCARE AND REHABILITATION CENTER 125004 3-3420 KUHIO HIGHWAY, SUITE 300 LIHUE HI 96766 2019-07-12 689 D 0 1 QXJ511 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, staff interview, and record review, the facility failed to utilize a bedside blue mat, as indicated on the care plan for Resident (R) 2. With this deficient practice, the facility put R2 at risk for increased accident hazards. Findings Include: Resident 2 was admitted to the facility on [DATE] with a [DIAGNOSES REDACTED]. Review of the latest minimum data set ((MDS) dated [DATE] revealed that R2 had a brief interview of mental status (BIMS) score of 3 indicating the resident had severe cognitive impairment. The resident was assessed to require extensive assistance, dependent with all activities of daily living (ADL's). A review of the MDS Coordinator's note showed that R2 was at risk for falls, due to depression and taking [MEDICAL CONDITION] medication. On 07/09/19 at 01:36 PM, R2 was observed in his room, sleeping on his bed. At the same time, a blue bedside mat observed not in use and leaning up against two chairs. On 07/10/19 at 07:20 AM, R2 was observed in his room, sleeping on his bed. At the same time, the blue bedside mat was again not in use and leaning up against two chairs. On 07/10/19 at 10:30 AM, R2 was observed in his room, lying in his bed. This time; however, the blue bedside mat was now in use, placed on the floor next to R2's bed. On 07/10/19 at 01:25 PM, Licensed Nurse (LN) 3, was interviewed about the bedside mat usage. LN3 stated that whenever R2 is lying or sleeping in bed, the blue bedside mat should be used and placed on the floor next to the bed and the care plan should say that as well. On 07/10/19 at 01:25 PM A review of R2's care plan stated the following: Problem: resident is at risk for falls due to confusion and resident is very forgetful, requires assist with ADL's. Interventions: bedside blue mat initiated on 04/23/18. 2020-09-01