cms_HI: 92

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
92 MALUHIA 125009 1027 HALA DRIVE HONOLULU HI 96817 2019-07-12 726 F 0 1 55H911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to ensure the licensed nurses contained documentation that the core competencies were filed in each employees education record. The deficient practice compromised competent nursing care is being provided to all of the residents residing in the facility. Findings include: 1) During an investigation into the competency of one licensed nurse (LN) on 07/11/19 at 03:41 PM it was discovered that the employee competencies for the entire nursing staff were missing from their employee training records. During an interview with the Director of Nursing (DON) on 07/11/19 03:43 PM stated that the employee skills and competency checklists for one licensed nurse were not found. Upon further investigation by the Employee Education coordinator it was discovered that none of the nursing staff had the skills and competency checklists filed in their employee records. The DON added that any training completed by the employee is documented and filed in their personal records. We keep everyone's records in the files until the employee leaves work at the facility. Our legal person drafted an affidavit for the employee in question and was notarized and signed stating that she completed the competency checklist. I told the level asked the level six Registered Nurses have all Licensed Nurses complete the core competency training as soon as possible. Each licensed nurse who could not provide a copy of the core competency check list will complete a notarized affidavit stating the requirements were completed at the time of hire. In the interim, we have already started to re-certify our licensed staff in the competency's and it will take a while. 2) Cross-reference to findings at F695. On 07/12/19 at 10:24 AM, RN2 said if there was anything out of baseline, the licensed staff, need to do a progress note. Even if they did do the suctioning, (only that documentation) looks like just a routine event versus something else going on at that time. She said for RN1 as a per diem nurse, she worked on the unit about once or twice a month, but affirmed there should have been some documentation by RN1 about her assessments and provision of care provided to R20 on 07/09/19. RN2 also failed to document her observation and action of removing the napkin that had been placed over [MEDICAL CONDITION] site during a concurrent observation on 07/09/19 at 04:37 PM. This failure to document nursing assessments and actions was an indication of the lack of competency to follow standard nursing practices, and especially for a resident who requires and is dependent on staff to provide airway management and on-going care. 2020-09-01