Hawaii Should Inspect Care Homes As Carefully As It Does Restaurants
The Legislature voted to require unannounced care home inspections, but it delayed the potentially life-saving requirement until 2019.
When you鈥檙e looking for a restaurant, you likely jump online, where a plethora of reviews will inform you about a particular establishment鈥檚 service, decor and food quality.
If you鈥檙e really into research, you can even go to the and check out the last time a particular establishment underwent an unannounced inspection for sanitation violations.
We might not look up the inspection reports before every meal, but knowing that they鈥檙e there — knowing that our government is doing its job to inspect for violations and then making it easy for us to have access to that information — is heartening.
So it remains a mystery why we can鈥檛 get this same level of commitment, transparency and service when it comes to the Hawaii Department of Health鈥檚 inspections of state-licensed care facilities serving about聽12,000 elderly and disabled people.
There are two major obstacles here:
鈥 The ridiculous lag time the Legislature granted before mandating unannounced inspections. (In legislation last year, lawmakers pushed back the start date of unannounced inspections to July 1, 2019.)
鈥 The utter lack of detail and thorough reporting from DOH about the inspections it does do.
The latter point was highlighted last week when DOH released its annual report to the Legislature regarding the inspections it does for the roughly 1,700 care facilities it oversees. As Civil Beat’s Nathan Eagle reported Monday, it was all of four pages long — and that included a blank聽page and a cover page.
The lack of information would be laughable — seriously, who at DOH thought this was an adequate, professional report? — were it not for the foreboding last line, slipped in without any clarifying details.
鈥淥verall,鈥 it reads, 鈥渕ost inspections result in citations for noncompliance with regulations and all citations are required to be corrected by the facility before the facility receives their renewed license or certification.鈥
The fact that 鈥渕ost鈥 inspections, even announced ones, result in citations is 鈥渘ot good,鈥 according to state long-term care ombudsman John McDermott.
We鈥檇 like to expand on that sentiment: It鈥檚 flatly unacceptable.
Pretty much everyone (or rather, everyone not in the pocket of the care industry) agrees that unannounced inspections of care homes are long overdue. The unannounced visits help the Department of Health see a facility鈥檚 true colors — not just when it’s聽on its best behavior — and they are the most聽reliable way to uncover neglect and abuse.
Neither Rep. Della Au Belatti, who inserted聽the delay in requiring unannounced inspections, nor Keith Ridley, the DOH official responsible for the report, responded to Eagle’s requests for comments.
As Civil Beat has reported, Nona Mosman died in 2013 at a three-bed community care foster family home in Waipahu.The 88-year-old鈥檚 primary caregiver, Jennifer Polintan, was working another full-time job and leaving Mosman in the care of her father, who was unqualified to tend to her needs.
Mosman was supposed to be repositioned every two hours, but when a complaint against the care home was filed, prompting an unannounced visit, social workers found Mosman in soiled sheets with a softball-sized bed sore.
She died four days later of decubitus ulcers, which are caused by the pressure of lying in the same position for a prolonged period.
According to this latest report from DOH, only about 16 percent of inspections and visits last year were unannounced. Legislators finally did the right thing when they required unannounced inspections, but by needlessly delaying enforcement until 2019, they are putting some of our most vulnerable and defenseless citizens at risk.
As it stands, there is simply no way to know how many more people are in situations like Mosman.
For some reason, this has been an uphill battle since 2013 when legislation mandated posting care home inspections online 鈥 a mandate that has frequently gone unmet. There鈥檚 simply no reason this should be so hard. The online portal for food inspections, after all, was .
If we put that much effort into regulating our spam musubi (to ensure it is sold within ), then surely we can do more for our elderly and our disabled citizens.
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