cms_HI: 786
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
786 | KA PUNAWAI OLA | 125051 | 91-575 FARRINGTON HIGHWAY | KAPOLEI | HI | 96707 | 2018-03-23 | 657 | D | 0 | 1 | 1OJF11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record review, and staff interview the facility failed to revise the residents care plan to include the respiratory care treatment the resident was receiving. Resident (R) 241. one of 19 sampled residents. Findings include: On 03/21/18 at 09:21 AM R 241 was observed to be sitting at the bedside, hunched forward, having shortness of breath (SOB) and wearing a nasal cannula (NC) for oxygen use. Review of the medical record revealed that R 241 was diagnosed with [REDACTED]. Review of the physician orders [REDACTED]. Review of the nursing progress notes dated 3/21/18 revealed that R 241 gets SOB and expiratory wheezing when she transfers from bed to chair and for toileting. S7 concurred that R 241 has a very difficult time when moving around without getting SOB or wheezing. Review of R 241 care plan did not include respiratory care treatment. On 03/23/18 at 10:22 AM an interview was conducted with S7. Nursing staff are administering the O2 and nebulizer treatments since there is no Respiratory Therapist available. The charge nurse (CN) updates the residents care plan and the nursing staff document the treatment and evaluation on the residents' Medication Administration Record [REDACTED] | 2020-09-01 |