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Deficiency Records for Hale Malamalama

A list of the most recent deficiencies for Hale Malamalama. 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 Hale Malamalama. 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?
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-09-15 2023-12-06 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 2023-09-15 2023-12-06 N
Provide and implement an infection prevention and control program. Health 2023-09-15 2023-12-06 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-09-15 2023-10-31 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-09-15 2023-10-31 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 2023-09-15 2023-10-31 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 2023-09-15 2023-10-31 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2023-09-15 2023-10-31 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-09-15 2023-10-31 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 2023-09-15 2023-10-31 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-09-15 2023-10-31 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-09-15 2023-10-31 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-15 2023-10-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-15 2023-10-31 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-09-15 2023-10-31 N
Observe each nurse aide's job performance and give regular training. Health 2023-09-15 2023-10-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-15 2023-10-31 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-09-15 2023-10-31 N
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2023-09-15 2023-10-31 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-09-15 2023-10-31 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-09-15 2023-10-31 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-09-15 2023-10-31 N
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2023-09-15 2023-10-31 Y
List the names and contact information of those in the facility. Fire Safety 2023-09-15 2023-10-31 N
Conduct testing and exercise requirements. Fire Safety 2023-09-15 2023-10-31 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-09-20 2023-10-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-09-20 2023-10-25 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-10-14 2022-11-25 N
Install an approved automatic sprinkler system. Fire Safety 2022-10-14 2022-11-25 N
Provide and implement an infection prevention and control program. Health 2022-10-06 2022-11-01 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-10-14 2022-11-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-14 2022-11-01 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-10-06 2022-10-28 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 2022-10-06 2022-10-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-06 2022-10-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-06 2022-10-28 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 2022-10-06 2022-10-28 N
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Health 2022-10-06 2022-10-28 N
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. Health 2022-10-06 2022-10-28 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-10-06 2022-10-28 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-06-04 2021-08-05 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 2021-06-04 2021-08-05 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-06-04 2021-08-05 N
Ensure each resident receives an accurate assessment. Health 2021-06-04 2021-08-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-06-04 2021-08-05 N
Provide activities to meet all resident's needs. Health 2021-06-04 2021-08-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-06-04 2021-08-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-06-04 2021-08-05 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 2021-06-04 2021-08-05 N
Provide enough food/fluids to maintain a resident's health. Health 2021-06-04 2021-08-05 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 2021-06-04 2021-08-05 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 2021-06-04 2021-08-05 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2021-06-04 2021-08-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-04 2021-08-05 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-06-04 2021-08-05 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2021-06-04 2021-08-05 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-06-04 2021-08-05 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2021-06-04 2021-08-05 N
Provide and implement an infection prevention and control program. Health 2021-06-04 2021-08-05 N
Keep all essential equipment working safely. Health 2021-06-04 2021-08-05 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-06-04 2021-08-05 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-06-04 2021-08-05 N

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