cms_HI: 31
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
31 | KULA HOSPITAL | 125003 | 100 KEOKEA PLACE | KULA | HI | 96790 | 2017-04-21 | 490 | F | 0 | 1 | 1M3411 | Based on record review, interviews and review of the facility's policies and procedures, the facility failed to ensure it is administered in a manner that enables it to use its resources effectively and efficiently in order for the residents to attain or maintain the highest practicable physical, mental, and psychosocial well-being. Finding includes: There is non-compliance with this regulation based on the deficient findings/outcomes in the areas of Resident Assessment, Quality of Care with substandard quality of care and harm for R #77, Quality of Life, Nursing Services and Pharmacy services. This is evidenced and cross-referenced at F157, F221, F279, F280, F281, F323, F334, F353, F371, F425, F431, F441 and F520. Inclusive are the survey observations, interviews, record reviews, and reviews of the facility's policies and procedures. Per interview with the NHA on the morning of 4/21/17, he acknowledged the preliminary survey findings and stated that aside from the transition period the long term care unit is going through, he attributes the lack of an effective QAPI (quality assurance and performance improvement) program to have been a factor that may have prevented the facility to have identified these care related issues found by the State Agency. The NHA also stated they have taken steps to remedy how quality improvement measures and policy making will be addressed by their governing body in the future. | 2020-09-01 |