cms_HI: 44

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
44	GARDEN ISLE HEALTHCARE AND REHABILITATION CENTER	125004	3-3420 KUHIO HIGHWAY, SUITE 300	LIHUE	HI	96766	2019-07-12	842	E	0	1	QXJ511	Based on record review, staff interview, and review of a list of approved abbreviations provided by the facility, the facility failed to use approved abbreviations and/or acronyms when charting in the progress notes, for four of the nine residents reviewed. With this deficient practice, there was a risk of misinterpreting the un-approved abbreviations and thus causing adverse outcomes for any, or all the residents. Findings Include: 1. During review of the clinical notes for Resident (R) 11, the following abbreviations/ acronyms were used, in various places, in the clinical notes: OOP, SO. According to the Accepted Abbreviations - Medical Terminology list (provided by the facility), these abbreviations/acronyms were not approved to be used for charting. 2. During review of the clinical notes for Resident (R) 27, the following abbreviations/ acronyms were used, in various places, in the clinical notes: OOP, ATB. According to the Accepted Abbreviations - Medical Terminology list (provided by the facility), these abbreviations/acronyms were not approved to be used for charting. 3. During review of the clinical notes for Resident (R) 61, the following abbreviations/ acronyms were used, in various places, in the clinical notes: OTA, ABT, CDI. According to the Accepted Abbreviations - Medical Terminology list (provided by the facility), these abbreviations/acronyms were not approved to be used for charting. 4. During review of the clinical notes for Resident (R) 12, the following abbreviations/ acronyms were used, in various places, in the clinical notes: P[NAME], ASE, ABT. According to the Accepted Abbreviations - Medical Terminology list (provided by the facility), these abbreviations/acronyms were not approved to be used for charting. On 07/11/19 at 02:24 PM, an inquiry regarding facility approved abbreviations with the Chief Nursing Officer (CNO) was made. CNO provided the list of facility approved abbreviations titled Garden Isle Healthcare, Accepted Abbreviations - Medical Terminology which is currently in use and being followed by the facility.	2020-09-01