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Deficiency Records for Nuuanu Hale
A list of the most recent deficiencies for Nuuanu Hale. 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 Nuuanu Hale. 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? |
|---|---|---|---|---|
| Provide family notifications of emergency plan. | Fire Safety | 2024-02-01 | 2024-03-18 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-02-01 | 2024-03-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-01 | 2024-03-18 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-02-01 | 2024-03-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-26 | 2024-03-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-26 | 2024-03-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-26 | 2024-03-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-26 | 2024-03-12 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-01-26 | 2024-03-11 | 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 | 2024-01-26 | 2024-03-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-26 | 2024-03-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-01-26 | 2024-03-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-26 | 2024-03-11 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-01-26 | 2024-03-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-26 | 2024-03-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-26 | 2024-03-11 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-01-26 | 2024-03-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-26 | 2024-03-11 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-01-26 | 2024-03-11 | 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 | 2024-01-26 | 2024-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-03-11 | N |
| Keep all essential equipment working safely. | Health | 2024-01-26 | 2024-03-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-26 | 2024-03-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-26 | 2024-03-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-26 | 2024-03-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-26 | 2024-03-11 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-07 | 2023-07-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-06 | 2023-04-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-06 | 2023-04-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-06 | 2023-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-06 | 2023-04-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-06 | 2023-03-31 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-02-06 | 2023-03-31 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-02-06 | 2023-03-31 | 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 | 2023-02-06 | 2023-03-31 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-02-06 | 2023-03-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-06 | 2023-03-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-06 | 2023-03-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-06 | 2023-03-31 | N |
| Provide activities to meet all resident's needs. | Health | 2023-02-06 | 2023-03-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-02-06 | 2023-03-31 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-02-06 | 2023-03-31 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-02-06 | 2023-03-31 | 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 | 2023-02-06 | 2023-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-06 | 2023-03-31 | N |
| Keep all essential equipment working safely. | Health | 2023-02-06 | 2023-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-06 | 2023-03-31 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-02-07 | 2023-03-31 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-12-22 | 2023-02-24 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-22 | 2023-02-24 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-12-22 | 2023-02-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-22 | 2023-02-24 | Y |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2021-09-28 | 2021-11-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-17 | 2021-10-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-08-17 | 2021-10-21 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-08-17 | 2021-10-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-08-17 | 2021-10-21 | 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 | 2021-08-17 | 2021-10-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-08-17 | 2021-10-21 | 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 | 2021-08-17 | 2021-10-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-08-17 | 2021-10-21 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2021-08-17 | 2021-10-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-17 | 2021-10-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-17 | 2021-10-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-08-17 | 2021-10-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-17 | 2021-10-21 | N |
| Provide activities to meet all resident's needs. | Health | 2021-08-17 | 2021-10-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-17 | 2021-10-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-17 | 2021-10-21 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-08-17 | 2021-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-17 | 2021-10-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-08-17 | 2021-10-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-17 | 2021-10-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-08-17 | 2021-10-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-17 | 2021-10-21 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-08-17 | 2021-10-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-08-17 | 2021-10-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-08-17 | 2021-10-21 | 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 | 2021-08-17 | 2021-10-21 | N |
| Provide or obtain dental services for each resident. | Health | 2021-08-17 | 2021-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-17 | 2021-10-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-17 | 2021-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-17 | 2021-10-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-08-17 | 2021-10-21 | N |
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