cms_HI: 76

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.

Data source: Big Local News · About: big-local-datasette

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rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
76 HALE MAKUA - KAHULUI 125007 472 KAULANA STREET KAHULUI HI 96732 2018-11-30 584 E 0 1 6SFF11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and policy review, the facility failed to have an adequate process in place to ensure mosquito nets installed in several of the resident's rooms in the East and West neighborhoods were adequately maintained, and equipment removed when not in use. As a result of this deficiency, there were several rooms on the east and west neighborhoods that did not have a clean, homelike environment. Findings Include: 1. On 11/27/2018 at 10:47 AM observed several resident rooms in the West Neighborhood had mosquito nets installed. The nets were tied in a knot to keep them from hanging on the floor and pulled to the side of the room. Several other rooms (Rm), Rm 5, Rm 7A, Rm 8B, Rm10A, Rm 10B, Rm 11A, and Rm 14A had a rope/string hanging above the center of the resident's bed. The hanging ropes made the rooms look unappealing and not homelike. Several of the mosquito nets were in poor condition and needed to be replaced or cleaned. Rm 12A was discolored and gray, Rm 13B had multiple holes and Rm 8B had dead insects in the net. During an interview with Registered Nurse (RN)126 on 11/29/2018 at 3:30PM, looked at the mosquito net in Rm 12A and stated that it needed to be taken down or washed. We used the nets when residents were getting bit a lot, but we are not currently using many. That was quite a while ago. If a family requests one, we will put one up. We fill out a work order and maintenance put it up. RN126 stated, I'm not sure who cleans them, housekeeping or maintenance. During an interview on 11/30/2018 at 10:00 AM with the Maintenance and Equipment Coordinator who explained Maintenance does PM (preventive maintenance) on the mosquito nets every six months and we change them out. We don't wash them, we throw them away and put a new one up. It's nursing's responsibility to do a work order to replace it. 2. During a resident interview on 11/28/18 at 08:33 AM observed a small rope hanging over the middle of R183's bed (four to six feet). R183 stated its creepy isn't it? but I think it is for a mosquito net. The doors are left open wide all of the time and sometimes we have mosquitos here. During an observation of a few of the rooms on the East neighborhood on 11/28/18 at 09:09 AM observed mosquito nets attached to the middle of the ceiling and hanging to the side of the bed tied in a knot in several of the rooms on the East neighborhood. During an interview with the Nursing Supervisor on the East neighborhood on 11/19/18 at 03:00 PM, who stated the mosquito nets are put up for residents when they or their families request. Maintenance puts the nets up and takes them down. She wasn't aware of the ropes/ strings that hang down over the bed and asked to be shown where they are. Accompanied her to room [ROOM NUMBER] B where the string was found hanging down from the ceiling over the residents bed. She responded by saying that must be kept in place in case the resident requests a mosquito net. Every month maintenance staff put put up, take down or clean the nets. Infection control mosquito nets policy section 4 reviewed To ensure that resident remain protected from mosquitos and any infections caused from mosquito bites. 1. Residents can request mosquito nets to be placed over the bed at any time . Maintenance conducts bi-annual checks under their preventative main. If mosquito nets are found inept, they are discarded . Replaced bi-annually and as needed via work order. During an interview with the Assistant Administrator on 11/29/18 at 03:40 PM who stated the nets are taken down and thrown away when they become dirty or worn. 2020-09-01