cms_HI: 94

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
94	MALUHIA	125009	1027 HALA DRIVE	HONOLULU	HI	96817	2019-07-12	842	D	0	1	55H911	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review (RR) the facility failed to maintain accurate medical records for one resident (R)85 of 47 sampled residents. Medical records were not updated to reflect the most current diagnoses. There was a discrepancy of active [DIAGNOSES REDACTED]. This deficient practice has the potential to affect all residents. Findings include: 1. R85 was admitted to facility 12/24/09 after acute care hospitalization . Transfer [DIAGNOSES REDACTED]. urinary tract infection, and status [REDACTED]. Hospital course included, [MEDICAL CONDITION]. This patient was treated on her outpatient medication, [MEDICATION NAME] (antipsychotic medication used to treat [MEDICAL CONDITION]). 2. A Pre-admission Screening /Resident Review Psychiatric Evaluation Part II Serious Mental Illness (SMI) Criteria (PASRR11) was completed on 06/23/16. The PASARR II revealed the facility marked Yes, to The patient is [AGE] years or older and has a possible [DIAGNOSES REDACTED]., but the PASARR II did not list [MEDICAL CONDITION] as a diagnosis.The [DIAGNOSES REDACTED]. 3. Minimum data set assessment ((MDS) dated [DATE] active [DIAGNOSES REDACTED]. 4. RR revealed one of the current active [DIAGNOSES REDACTED]. 5. During an interview 07/11/19 at 10:00 AM with the MDS Coordinator (RN 12), she confirmed that [MEDICAL CONDITION] was currently listed as an active [DIAGNOSES REDACTED]. 6. RR of psychiatric consults dated 05/23/19, 01/12/17, 06/23/16, and 09/18/14 revealed no documentation of [MEDICAL CONDITION], hallucinations or paranoia. 7. On 07/11/19 08:28 AM during an interview with the Director of Nursing (DON), the discrepancy of the [MEDICAL CONDITION] [DIAGNOSES REDACTED]. She stated when R85 first came to the facility, R85's records indicated [MEDICAL CONDITION] and she was on medication. All residents were rescreened in (YEAR) to identify those who needed the additional PASARR 11 pre-admission screening. R85 was identified as needing the screening, which was completed on 06/23/16. DON did not think R85 had [MEDICAL CONDITION]. On 07/12/19 DON reported that the psychiatrist had examined R85 that morning and made the recommendation to discontinue the [DIAGNOSES REDACTED]. 8. Psychiatry consult for R85 dated 07/11/19 included the following: Psychiatric [DIAGNOSES REDACTED]. There is no evidence of [MEDICAL CONDITION]- no delusions, hallucinations . No evidence of [MEDICAL CONDITION] - suggest removal from any problem list to avoid confusion. After receiving the psychiatrist's recommendation, the attending physician was contacted, and gave a verbal order that read, DC (discontinue) Dx (diagnosis) of [MEDICAL CONDITION] per psychiatrists recommendation. [MEDICAL CONDITION] was removed as an active [DIAGNOSES REDACTED].	2020-09-01