cms_HI: 61
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
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 61 |
HALE MAKUA - KAHULUI |
125007 |
472 KAULANA STREET |
KAHULUI |
HI |
96732 |
2017-10-26 |
431 |
D |
0 |
1 |
8L5Q11 |
Based on observations, staff interview and facility policy review, the facility failed to properly label and store medications. Findings include: During a review of medication storage on two of the six units in the facility on the morning of 10/25/17 at 10:43 [NAME]M. found multiple bottles of medications which were incorrectly labeled and/or stored: 1) Artificial Tears Solution which noted it was opened on 8/10/17. Staff #80 reported the facility's policy was to discard eye drops 60 days after it was opened (10/10/17). Additionally, the medication was discontinued on 9/1/17 but the bottle was still being stored in the medication cart. 2) Artificial Tears Solution which was opened on 10/6/17. The pharmacy label covered the bottle's expiration date and the label did not contain an expiration date. 3) Artificial Tears Solution with a label which noted the prescription was filled on 7/24/17. Staff #80 reported the bottle had been opened but the opened date was not written on the bottle. Staff #80 was unsure of when the bottle should be discarded. 4) Artificial Tears Solution which was opened on 9/12/17. The pharmacy label was blank as though the words were rubbed off - no name, medication name or prescription fill date could be visualized on the label. The manufacturer label noted the expiration date of 2/2020. 5) Artificial Tears Solution which was opened on 10/25/17 but the expiration date of the medication was covered by the pharmacy label. 6) Dorsolamine HCl Ophthalmic Solution with a pharmacy label which was blank as though the words were rubbed off. Additionally, the eye drops were opened on 8/16/17 indicating an expiration of 10/16/17, 60 days since opened. 7) Artificial Tears Solution which was opened on 9/17/17. The pharmacy label covered the bottle's expiration date. 8) Haloperidol 1mg tab which was individually wrapped and did not contain a label. The expiration date was 5/2017. 9) Tuberculin PPD Solution which was opened on 9/18/17 was found in the medication refrigerator. Staff #80 noted that PPD Solution should be discarded 30 days after opening (10/18/17). 10) Alcohol Wipes - 5 boxes containing 200 wipes in each did not have expiration dates on the boxes or the individual packets. Staff #80 stated the expiration may have been on the larger box they were shipped in. However that larger box had already been discarded. Staff #80 stated she wasn't sure if the alcohol wipes were effective since there wasn't an expiration date. On the morning of 10/26/17 at 8:20 [NAME]M., a review of the facility's policy titled, Medications and Medication Labels with revision date of 5/16 noted: 1. Each prescription medication will be labeled to include: h. Expiration or end-of-use date, if not dispensed in original manufacturer packaging; 4. The provider pharmacy permanently affixes label to the outside of prescription containers. Medication labels are not inserted into vials, bags or other containers. For medications designed for multiple administration (for example, inhalers or eye drops), a label is affixed to product to assure proper resident identification; and 5. Non-prescription medications not labeled by the pharmacy are kept in the manufacturer's original container. Nursing care center personnel may write the resident's name on the container or label as long as the required information is not covered, if applicable by state regulations. The facility failed to properly label and store medications. |
2020-09-01 |