Deficiency Records for Leahi Hospital
Updated as of March 01, 2018
This is not the most recent data for Leahi Hospital. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-08-15 | 2017-10-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-15 | 2017-10-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-08-21 | 2017-10-20 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-21 | 2017-10-20 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-21 | 2017-10-20 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-21 | 2017-10-20 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-08-21 | 2017-10-20 | N |
| Maintain comfortable and safe temperature levels. | Health | 2017-08-21 | 2017-10-20 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-08-21 | 2017-10-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-21 | 2017-10-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-21 | 2017-10-20 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-08-21 | 2017-10-20 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-21 | 2017-10-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-21 | 2017-10-20 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-21 | 2017-10-20 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-08-21 | 2017-10-20 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-08-21 | 2017-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-21 | 2017-10-20 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-08-21 | 2017-10-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-21 | 2017-10-20 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-08-21 | 2017-10-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-21 | 2017-10-20 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-21 | 2017-10-20 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-07-27 | 2016-11-01 | N |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2016-07-29 | 2016-11-01 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-07-29 | 2016-11-01 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-07-29 | 2016-11-01 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-07-29 | 2016-11-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-07-29 | 2016-11-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-29 | 2016-11-01 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-07-29 | 2016-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-29 | 2016-11-01 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-07-29 | 2016-11-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-07-29 | 2016-11-01 | N |
| Dispose of garbage and refuse properly. | Health | 2016-07-29 | 2016-11-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-07-29 | 2016-11-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-29 | 2016-11-01 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-07-29 | 2016-11-01 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-07-29 | 2016-11-01 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2016-07-29 | 2016-11-01 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2015-07-31 | 2015-10-26 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-07-31 | 2015-10-26 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-07-31 | 2015-10-26 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-07-31 | 2015-10-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-31 | 2015-10-26 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-07-31 | 2015-10-26 | N |
