cms_HI: 1

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

This data as json, copyable

rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
1	HILO MEDICAL CENTER	125002	1190 WAIANUENUE AVENUE	HILO	HI	96720	2017-10-20	280	D	0	1	5D9Q11	Based on observations, staff interviews and electronic medical record (EMR) reviews, the facility failed to ensure that 1 of 16 residents (R #10) was consulted on personal preferences. Findings include: On 10/18/2017 at 2:19 PM R#10 was observed sleeping in bed. Staff #2 explained that staff were alert to resident's coughing as signal that assistance is needed and R#10 didn't want to use the soft call-light because often inadvertently triggered the call light by his/her head movements. Reviewed the resident's Care Plan (CP) which states Potential for Decrease in ADL, that interventions dated 8/24/15 included: I am to use a soft touch call light to call for assistance which is to be placed by my pillow near to my face. I will turn my head/face to touch the call bell. Discussed with Staff #2, that intervention of soft call-light still on ADL CP and there was no intervention that staff should listen for the resident's coughing as signal for assistance. Staff #2 went to ask R#10 if he/she wanted a soft call-light and R#10 responded, yes by nodding his/her head. The resident's sister came to visit at that time and Staff #2 explained to her that R#10 now wanted to use the soft call-light. Staff #2 called for the soft call-light to be re-installed. The facility did not explore care alternatives through a thorough care planning process in which the resident could participate.	2020-09-01