cms_HI: 9
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
9 | HILO MEDICAL CENTER | 125002 | 1190 WAIANUENUE AVENUE | HILO | HI | 96720 | 2018-11-16 | 842 | D | 0 | 1 | HKBQ11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interview, and policy review, the facility failed to accurately document the dates on a Physician Orders for Life-Sustaining Treatment (POLST) form for Resident (R) 23. As a result of this deficient practice, the POLST form would be invalid, and R23 may not have received the care as indicated on the prepared POLST form. Findings Include: During record review for R23, it was noted that the POLST form did not contain the two dates that was required on the form. These two dates were: 1. Date form prepared, and 2. Date of Physician Signature. The POLST form also stated Any section not completed implies full treatment for [REDACTED]. During staff interview with RN52 on 11/16/18 at 09:39 AM, RN52 acknowledged that the POLST form was not complete and missing the required dates. RN52 then stated that the issue would be followed up and presented to the physician. A review of the facility policy on Medical Record Documentation stated Each documentation entry or documents with multiple sections completed by multiple individuals in the medical record shall be immediately dated, timed and signed by the authorized personnel . | 2020-09-01 |