cms_HI: 98

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
98	MALUHIA	125009	1027 HALA DRIVE	HONOLULU	HI	96817	2018-08-28	700	D	0	1	QVE911	Based on observation, record review, staff interview and facility policy review the facility failed to assess two residents (Resident (R) 34, R53) selected from the 40 resident sample for risk of entrapment from bed rails prior to installation and failed to review the risks and benefits of bed rails with the resident or resident representative and obtain informed consent prior to installation of bed rails. This deficient practice has the potential to affect all residents at the facility who have bed rails and newly admitted residents. Findings Include: 1) On 08/21/18 at 08:30 AM observed R34's bed had bilateral upper quarter bed rails on the bed. On 08/27/18 at 03:20 PM record review (RR) of R34 hard copy medical chart and electronic medical record (EMR) did not find an assessment for risk of entrapment from bed rails and no informed consent to use bed rails. Inquired with head nurse (HN)2 on 2 Makai unit who confirmed that R34 did not have a risk assessment for bed rail use and no informed signed consent form to use bed rails. HN2 explained the facility had started a new process in (MONTH) (YEAR) that includes doing an assessment and also the bed rail consent form with each resident's next MDS assessment. 2) On 08/21/18 at 02:42 PM observed R53 had bilateral upper bilateral quarter side rails on her bed. On 08/27/18 at 04:14 PM RR found R53 is total dependence on staff for activities of daily living (ADLs) such as feeding, brushing teeth and bathing. R53 had upper bilateral quarter side rails (these were removed during survey) and is immobile in bed even though her care plan (CP) states that bed rails are used for bed mobility. Inquired with evening shift RN1 who confirmed that R53 could not use bed rails on her own. RN1 stated R53 can hold rolled wash cloths in her hands and can hold onto the bed rail if her hand is placed there by staff. RR of resident's hard medical chart found that R53 had a side rail evaluation dated 04/24/18 and it stated no side rail in use. RR noted R53 did not have a signed informed consent for bed rail use. Inquired with HN2 who confirmed that R53 and R34 do not have signed informed consents to use bed rails. Review of facility's Bed Safety policy, provided by HN2, stated Policy Interpretation and Implementation 5. If side rails are used, there shall be an interdisciplinary assessment of the resident, consultation with the Attending Physician, and input from the resident and/or legal representative. 6. The staff shall obtain consent for the use of side rails from the resident or the resident's legal representative prior to their use. 9. Before using side rails for any reason, the staff shall inform the resident and family about the benefits and potential hazards associated with side rails.	2020-09-01