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Deficiency Records for Kula Hospital
View the most recent health deficiencies and inspection results for Kula Hospital. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Kula Hospital. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-08 | 2025-02-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-19 | 2024-09-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-06 | 2024-07-21 | 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 | 2024-06-06 | 2024-07-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-06 | 2024-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-06 | 2024-07-21 | 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 | 2024-06-06 | 2024-07-21 | 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 | 2024-06-06 | 2024-07-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-06 | 2024-07-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-06 | 2024-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-06 | 2024-07-21 | N |
| Keep all essential equipment working safely. | Health | 2024-06-06 | 2024-07-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-06-06 | 2024-06-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-05 | 2023-07-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-05 | 2023-07-31 | 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 | 2023-06-05 | 2023-07-31 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-06-05 | 2023-07-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-05 | 2023-07-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-05 | 2023-07-31 | 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 (including nights and weekends) and emergencies. | Health | 2023-06-05 | 2023-07-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-05 | 2023-07-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-05 | 2023-07-31 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-05 | 2023-07-31 | Y |
| Post nurse staffing information every day. | Health | 2023-06-05 | 2023-07-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-05 | 2023-07-31 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2023-06-05 | 2023-06-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-30 | 2022-08-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-30 | 2022-08-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-30 | 2022-08-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-30 | 2022-08-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-30 | 2022-08-14 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-06-30 | 2022-08-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-08-14 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-30 | 2022-08-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-30 | 2022-08-04 | N |