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Deficiency Records for Leahi Hospital

A list of the most recent deficiencies for Leahi Hospital. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Leahi Hospital. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-08-05 2024-10-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-08-05 2024-09-18 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-08-01 2024-09-15 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2024-08-01 2024-09-15 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-08-01 2024-09-15 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-09-14 2023-10-27 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-09-14 2023-10-27 N
Post nurse staffing information every day. Health 2023-09-14 2023-10-27 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2023-09-14 2023-10-27 N
Provide and implement an infection prevention and control program. Health 2023-09-14 2023-10-27 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-14 2023-10-27 Y
Respond appropriately to all alleged violations. Health 2023-09-14 2023-10-27 Y
Give the resident's representative the ability to exercise the resident's rights. Health 2022-09-30 2022-11-10 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-09-30 2022-11-10 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-09-30 2022-11-10 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-09-30 2022-11-10 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2022-09-30 2022-11-10 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-09-30 2022-11-10 N
Respond appropriately to all alleged violations. Health 2022-09-30 2022-11-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-30 2022-11-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-30 2022-11-10 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-09-30 2022-11-10 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2022-09-30 2022-11-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-30 2022-11-10 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-09-30 2022-11-10 N
Provide and implement an infection prevention and control program. Health 2022-09-30 2022-11-10 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2022-09-30 2022-11-10 Y
Have proper medical gas storage and administration areas. Fire Safety 2022-09-30 2022-10-05 N

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