cms_HI: 45

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
45	GARDEN ISLE HEALTHCARE AND REHABILITATION CENTER	125004	3-3420 KUHIO HIGHWAY, SUITE 300	LIHUE	HI	96766	2019-07-12	880	D	0	1	QXJ511	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews and policy and protocol (P&P) review, the facility failed to ensure that staff used infection prevention and control program (IPCP) standard precautions in wound dressing change for 1 of 2 residents observed for dressing change. The deficient practice put resident (R)25 at risk for an infection. Findings Include: On 07/11/19 at 10:00 AM observed licensed nurse (LN) 1 prepare for dressing change to R25's [DEVICE]. LN1 gathered the dressing change supplies from the treatment cart and dropped the normal saline (NS) ampoule onto the floor, which was picked up and placed into the plastic basket with the other clean dressing supplies. In R25's room observed LN1, who placed the plastic basket of supplies onto R25's overbed table with paper towels underneath, and then helped to reposition R25 with clean gloves on. LN1 changed gloves without sanitizing hands, and then removed the soiled dressing from the PEG site. LN1 was also observed to use the NS ampoule that was dropped on the floor in the dressing change. After leaving R25's room informed LN1 of observations as written above. LN1 stated that she should have discarded the dropped NS [MEDICATION NAME], and changed her gloves after removing the soiled dressing but forgot. On 07/12/19 at 08:07 AM interviewed the DON on the facility's IPCP and she stated that staff are inserviced right there and then, when seen with improper hand hygiene and/or glove changes. The last hand hygiene inservice was held on 04/23/19. The facility's policy and protocol for dry, clean dressing was revied and it was noted that it was last updated on 09/14/17, and states, Steps in the Procedure; . 4. Have biohazard or plastic bag readily available . 6. Wash and dry your hands thoroughly; 7. Put on clean gloves and remove and discard dressing; 8. Wash and dry your hands thoroughly; 9. Open dry, clean dressing(s). 12. Wash and dry your hand thoroughly; 13. Put on clean gloves.	2020-09-01