cms_HI: 77

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
77	HALE MAKUA - KAHULUI	125007	472 KAULANA STREET	KAHULUI	HI	96732	2018-11-30	656	D	0	1	6SFF11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to implement respiratory care into Resident (R)54 comprehensive person-centered care plan. The deficient practice resulted in the lack of measurable objectives and timeframe's to appropriately evaluate treatment plan for R45's oxygen (O2) therapy. Findings include: During an observation on 11/28/18 at 01:57 PM R54 was in bed on her right side with oxygen (O2) via nasal cannula. The O2 concentrator was set at two liters (L). R54 Respirations were noted to be steady and slightly labored. The minimum data set (MDS) assessment summary dated 11/02/18 was reviewed. R54 was ordered 02 for comfort, and denied any shortness of breath (SOB). R54 is anticipated to decline due to her non modifiable conditions and power of attorney (POA) has agreed to no hospitalization s at this time. Comprehensive care plan reviewed, no respiratory goals or interventions were noted on R54 care plan. During an interview with Registered Nurse (RN)173 on 11/29/18 at 05:01 PM who stated that R54 is declining, we discussed with the family about hospice and they declined. The MD was the Locum and made a note about offering hospice care. The family decided not to have R54 hospitalized . The family is supportive and comes here often. Physician (MD) orders reviewed with Nursing supervisor revealing no orders for O2. Per RN173 on 10/17/18 R54 was declining and thought to be actively dying. The oxygen was placed at that time for comfort. We did not pursue an order for [REDACTED].>	2020-09-01