cms_HI: 54

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
54 GARDEN ISLE HEALTHCARE AND REHABILITATION CENTER 125004 3-3420 KUHIO HIGHWAY, SUITE 300 LIHUE HI 96766 2016-10-28 441 D 0 1 U50511 Based on observation and staff interview, the facility failed to establish and maintain an infection control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of disease and infection. Findings include: Observation of a medication pass for Resident #130 was done on 10/27/2016 at 6:45 AM with licensed nurse #4 (LN #4). LN #4 said they were going to test the resident's blood sugar and took out a glucometer from their clothing pocket, saying we share it and placed the glucometer directly onto the resident's blanket. After the testing was done, LN #4 sanitized their hands, grabbed the glucometer and returned it to the cart. The glucometer had not been sanitized yet, but was placed atop the clean medication cart. LN #4 sanitized their hands again, then pulled a Sani cloth wipe and proceeded to wipe the glucometer and placed it back onto the same spot atop the medication cart. Per interview with LN #4, they acknowledged there was a breach in infection control as they had kept the glucometer in their pocket, laid it on the resident's bed and returned it to the clean medication cart without having sanitized it before placing it down. LN #4 said they were kinda new to all this but understood the cross-contamination observed. On 10/27/2016 at 10:32 AM, during an interview with the Resident Care Manager (RCM #1), they verified it was not their practice for licensed staff to leave the glucometer in their clothing pocket. RCM #1 validated it is an infection control issue as to how LN #4 performed it, and they should have used a separate small plastic container to hold the glucometer/supplies for blood sugar checks. RCM #1 also acknowledged the potential for transmission of disease with the way the glucometer was placed on the resident's bed to the clean cart without being wiped down first. 2020-09-01