cms_HI: 6

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
6 HILO MEDICAL CENTER 125002 1190 WAIANUENUE AVENUE HILO HI 96720 2018-11-16 726 D 0 1 HKBQ11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, and policy review, the facility failed to properly date a Peripherally Inserted Central Catheter (PICC) line sterile transparent dressing (dressing) for R135. As a result of this deficient practice, the facility put R135 at risk for infection and/or other PICC line complications. Findings Include: During an observation of a PICC line for R135 on 11/13/18 at 12:30 PM, it was noted that the dressing was not dated. During staff interview with RN57 on 11/13/18 at 12:31 PM, RN57 acknowledged that the PICC line dressing was not dated and should have been. RN57 then stated that the PICC line would be immediately assessed and dressing would be changed and dated. A review of facility policy on Vascular Access Devices; PICCs, Appendix G; PICC, Site Care and Dressing Change stated Central PICC dressing change is a sterile procedure needing dressing kit. BioPatch and [MEDICATION NAME]. A sterile transparent dressing of appropriate size shall be used and changed every 7 days and PRN along with BioPatch and [MEDICATION NAME]. 2020-09-01