Deficiency Records for Leahi Hospital
Updated as of September 01, 2020
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-03 | 2019-06-17 | 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 | 2019-05-03 | 2019-06-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-03 | 2019-06-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-03 | 2019-06-17 | 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 | 2019-05-03 | 2019-06-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-03 | 2019-06-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-03 | 2019-06-17 | 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 | 2019-05-03 | 2019-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-03 | 2019-06-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-05-03 | 2019-06-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-03 | 2019-06-17 | 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 | 2018-08-02 | 2018-09-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-02 | 2018-09-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-02 | 2018-09-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-02 | 2018-09-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-02 | 2018-09-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-02 | 2018-09-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-02 | 2018-09-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-02 | 2018-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-02 | 2018-09-14 | N |
| 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 |
