cms_HI: 55
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 55 | GARDEN ISLE HEALTHCARE AND REHABILITATION CENTER | 125004 | 3-3420 KUHIO HIGHWAY, SUITE 300 | LIHUE | HI | 96766 | 2016-10-28 | 514 | D | 0 | 1 | U50511 | Based on staff interviews and EMR reviews the facility failed to ensure that the clinical record for 1 of 31 residents (Resident #90) on the survey Stage 2 sample resident list, had enough record documentation for staff to conduct care programs and to manage the resident's progress in maintaining or improving behavioral and psychosocial status. Findings include: On 10/27/2016 at 8:20 AM, interviewed LN #3 and asked then to access the EMR to find any documentation regarding Resident #90's inappropriate sexual behavior, as the surveyor could not find any. The LN #3 accessed the resident's Behavior Monitoring Log on the EMR which documented, Behavior #1 masturbating in Makai lobby, and on 10/02/2016 the behavior log was marked with 1, and N/A in the Interventions column. The LN #3 went to the EMR Notes tab and could not find any corresponding progress notes on 10/01/2016. On 10/27/2016 at 8:50 AM interviewed RCM#3 to access the EMR. Asked RCM#3 to verify behavior log documentation on 10/02/16, and RCM #3 was not able to find any progress notes in the EMR to corroborate with the behavior monitoring log. The RCM #3 stated that the nurse on that date during evening shift would know what happened. Queried RCM #3 if the staff that observed Resident #90 kissing another resident made an incident report, and RCM #3 stated that there were no progress notes on the incident on 10/02/2016 but that social worker (SW) services may have the documentation. On 10/27/2016 at 9:56 AM interviewed social workers (SW), and both SWs stated that they investigated the incident of Resident #90 kissing a female resident after being informed by LN #4. According to both SWs, Resident #90 was interviewed and counseled about inappropriate behavior of kissing female resident in the TV lobby. When asked for documentation of SW interviewing and counseling of residents on the incident and inappropriate sexual behaviors, both SWs had none to provide. Both SWs stated that they developed a care plan (CP), to address Resident #90's inappropriate behaviors. On 10/27/2016 at 10:22 AM interviewed LN #4 who had witnessed the incident of Resident #90 kissing a female Res in the TV lobby. According to LN #4, they saw Resident #90 bend down and kiss the female resident more towards her lips than the cheek area and repeatedly. Also, LN #4 had observed Resident #90 masturbating in the TV lobby, and resident would be looking around to see if anyone around. LN #4 stated that she wasn't the only one that observed Resident #90 masturbating in the TV lobby because other nursing staff have also reported same observations. LN #4 stated that she reported observations to RCM #3 who reported the incident to the SWs. On 10/27/2016 at 10:36 AM, interviewed the DON regarding Resident #90's inappropriate sexual behaviors with no documentation of dates, incidents, interviews, and/or IDT meetings to address the behaviors. The DON verified that there were no documentation on Resident #90's inappropriate sexual behaviors as discussed by the SWs, nursing staff and themselves. On 10/27/2016 at 10:50 AM, interviewed RCM #3 and he stated that his role is that of a nursing supervisor. The RCM #3 stated that after nurses reported inappropriate sexual behaviors displayed by Resident #90, the incidents were reported to the team (DON & SWs). The issues were discussed but RCM #3 stated that he would have to go through Resident #90's EMR to find any documentation. On 10/28/16 reviewed the EMR for Resident #90 and noted that RCM #3 and social services made separate late entries on 10/27/2016 in progress notes to document above incidents of the residents inappropriate sexual behaviors. | 2020-09-01 |