cms_HI: 69
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 69 | HALE MAKUA - KAHULUI | 125007 | 472 KAULANA STREET | KAHULUI | HI | 96732 | 2019-11-26 | 689 | D | 0 | 1 | 6SOG11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations and staff interviews, the facility failed to identify potential accident hazards for the following: on two units the housekeeping and supply closets were not secured and supplies on delivery cart were not secured. As a result of this deficient practice, the facility put the safety and well-being of the residents at risk for accident hazards. Findings include: 1) During an observation of the Gardenia Neighborhood Nursing Unit on 11/21/19 at 08:42 AM, a housekeeping closet door was not secured. The closet contained various cleaning solutions including OxyFect H Peroxide disinfectant cleaner and Clorox germicidal bleach. Resident (R)182 was seen propelling self with his/her wheelchair near the unsecured closet and there was no staff in the immediate vicinity. R182 was admitted to the facility on [DATE]. A review of R182's Minimum Data Set (MDS), comprehensive assessment, with an assessment reference date (ARD) of 11/03/19 showed the Brief Interview for Mental Status (BIMS) score was 9 (nine) which indicates that R182 has moderately impaired cognition. During staff interview with the Housekeeper (HSKPR)1 on 11/21/2019 at 10:40 AM, HSKPR1 stated that the housekeeping closet door should be secured at all times. HSKPR1 also revealed that the door has to be pushed a little harder in order for it to close completely. 2) During an observation of the North Neighborhood Nursing Unit on 11/21/19 at 11:00 AM, a central supply closet was not secured. The closet contained various supplies including Sani-cloth germicidal disposable wipes, [MEDICATION NAME] shampoo gel, Purell hand sanitizer foam, and Attend briefs. Resident (R)32 was seen propelling self with his/her wheelchair near the unsecured closet and there was no staff in the immediate vicinity. R32 was admitted to the facility on [DATE], a review of the MDS, quarterly assessment, with an ARD of 03/09/17 showed the BIMS score was 3 (three) which indicates that R32 has severely impaired cognition. During staff interview with Certified Nurse Assistant (CNA)1 on 11/21/19 at 11:10 AM, CNA1 acknowledged that the central supply closet door should have been secured. 3) On 11/25/19 at 12:20 PM, observed a flatbed cart, filled with boxes of supplies, unattended in the hallway of 1 of 4 units. Observed Resident (R)171, self-propel his/her wheelchair up to the unattended cart and used his/her wheelchair to stand. Once standing, R171 reached into an uncovered plastic bin, which contained various items including a box of (100 count) lancets. R171 proceeded to feel around in the uncovered plastic bin and attempted remove items. Staff observed R171 reaching into the uncovered bin, however, did not attempt to relocate or secure the supplies on the cart. R171 was left unattended at the supply cart. R171 was observed to leave the area and return to his/her room. A review of R171's medical record, care plan, and progress notes documents a history of hoarding items and aggression towards other residents in the facility. A review of the Minimum Data Set, comprehensive assessment, with the Assessment Reference Date of 10/03/19, R171 scored an 11 (eleven) on the Brief Interview for Mental Status, indicating R171 has moderately impaired cognition. | 2020-09-01 |