cms_HI: 51

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
51	GARDEN ISLE HEALTHCARE AND REHABILITATION CENTER	125004	3-3420 KUHIO HIGHWAY, SUITE 300	LIHUE	HI	96766	2016-10-28	278	D	0	1	U50511	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on EMR review and staff interview the facility failed to ensure that the assessment for urinary continence was accurately reflected for 1 of 31 residents (Resident #99) sampled on the Stage 2 Sample Resident List. Findings include: On 10/27/2016 at 3:08 PM the EMR review for Resident #99 found that the resident's minimum data set (MDS) 3.0 on admission date of [DATE], coded urinary continence as frequently incontinent (code 2). By the 90 day quarterly review assessment on 09/06/2016, Resident #99 was coded for always incontinent (code 3) for urinary continence. On 10/28/2016 at 8:23 AM conducted an EMR review on Resident #99 for decline in urinary continence. The progress notes dated 06/03/16 documented that Resident #99 was alert, pleasantly confused, able to follow simple instructions, denied pain and discomfort, incontinent of bladder. The evening shift on 06/03/2016 also documented that Resident #99 was incontinent of bladder. On 10/28/2016 at 9:19 AM interviewed the MDS-Co-ordinator and they accessed the EMR documentation on 06/03/2016 where the RN wrote that the resident is incontinent. The MDS-Co-ordinator looked at the CNA flowsheet and found that Resident #99 was continent only first couple of shifts but incontinent thereafter. Discussed discrepancy of nurses progress notes and CNA flowsheet documentation. The MDS-Co-ordinator stated that the CNA's will be receiving training in coding and probably coding error for urinary continence, as coded frequently (2), and should have been always incontinent (3) from admission.	2020-09-01