cms_HI: 67
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
67 | HALE MAKUA - KAHULUI | 125007 | 472 KAULANA STREET | KAHULUI | HI | 96732 | 2019-11-26 | 658 | D | 0 | 1 | 6SOG11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations and interviews with facility staff, the facility failed to meet professional standards of quality. Observation of two medication carts found each cart with one pill splitter with residual pill powder from unknown medications. As a result of this deficiency, residents were placed at risk of experiencing a potential adverse outcome, due to resident's allergies [REDACTED]. Findings include: On 11/22/18 at 09:20 AM, observed medication pass on one of four units. Each medication cart contained a medication pill splitter. Observed medication powder residue on the inside compartment (the area pill is secured, blade for splitting the medication, and the internal compartments) for both medication pill splitters stored on the medication carts. Licensed Practical Nurse (LPN)13 and Registered Nurse (RN)17 both confirmed the pill splitter was used to split various medications for multiple residents. RN17 and LPN13 confirmed the residual pill powder on the pill splitter poses a potential risk to residents and should have been cleaned. LPN13 and RN17 could not confirm the standard professional method used to properly clean the pill splitter to avoid a potentially harmful situation for a resident. An interview on 11/23/19 with the Director of Nursing (DON) confirmed the pill splitter should be cleaned with soap and water after each use. | 2020-09-01 |