cms_HI: 63

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
63 HALE MAKUA - KAHULUI 125007 472 KAULANA STREET KAHULUI HI 96732 2019-11-26 561 D 0 1 6SOG11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview with resident, the facility did not promote a resident's right to make choices regarding personal hygiene (shaving) for 1 (Resident 162) of 2 residents sampled. Findings include: On 11/20/19 at 11:30 AM an interview was conducted with Resident (R)162. During the interview, R162 was observed to be unshaven. The resident had short hair stubbles on cheeks, chin and over the lip. R162 was asked if facial hair is his preference. The resident responded, no, clarifying staff members shave him twice a week when he receives a shower. R162 further explained that he would prefer to shave himself as there are times when staff members cut him by the lip, chin and under his chin while shaving him. R162 also reported he receives a shower twice a week (Tuesday and Friday) but wouldn't mind showering more often. A record review found a quarterly Minimum Data Set (MDS) with an assessment reference date (ARD) of 10/28/19 documenting R162 is independent for cognitive skills for daily decision making regarding tasks of daily life. R162 is also noted to require extensive assist with one person physical assist for personal hygiene (how resident maintains personal hygiene, including shaving). R162 also requires one person physical assist for part of bathing. A review of the annual/comprehensive MDS with an ARD of 05/13/19 notes for the resident's preferences for customary routines and activities, R162 rated choosing between a tub bath, shower and sponge bath as very important. The care plan for activities of daily living notes R162 will participate with combing his hair, shaving and cleaning dentures daily. The intervention includes providing sufficient time for the resident to complete bathing, dressing and performing personal hygiene, as well as, providing adequate rest periods between activities (especially after receiving [MEDICAL TREATMENT] treatment). 2020-09-01