Deficiency Records for Hale Nani Rehabilitation and Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Hale Nani Rehabilitation and Nursing Center. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-22 | 2023-10-27 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-09-22 | 2023-10-27 | Y |
| 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 | 2023-09-22 | 2023-10-27 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-27 | 2023-09-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-14 | 2023-08-25 | 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 | 2023-07-14 | 2023-08-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-14 | 2023-08-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-14 | 2023-08-18 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-07-14 | 2023-08-18 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-07-14 | 2023-08-18 | 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 | 2023-07-14 | 2023-08-18 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-07-14 | 2023-08-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-14 | 2023-08-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-14 | 2023-08-18 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-14 | 2023-08-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-07-14 | 2023-08-18 | 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 | 2023-07-14 | 2023-08-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-14 | 2023-08-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-14 | 2023-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-14 | 2023-08-18 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-07-14 | 2023-08-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-14 | 2023-08-18 | N |
| Keep all essential equipment working safely. | Health | 2023-07-14 | 2023-08-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-14 | 2023-08-18 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-14 | 2023-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-14 | 2023-08-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-23 | 2022-10-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-09-23 | 2022-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-10-17 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-23 | 2022-10-17 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-23 | 2022-10-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-23 | 2022-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-23 | 2022-10-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-23 | 2022-10-17 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-09-30 | 2021-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-30 | 2021-11-15 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-09-30 | 2021-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-30 | 2021-11-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-21 | 2021-07-29 | 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 | 2021-06-21 | 2021-07-29 | 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 | 2021-06-21 | 2021-07-29 | 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 | 2021-06-21 | 2021-07-29 | 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 | 2021-06-21 | 2021-07-29 | 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 | 2021-06-21 | 2021-07-29 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-06-21 | 2021-07-29 | N |
| Provide activities to meet all resident's needs. | Health | 2021-06-21 | 2021-07-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-21 | 2021-07-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-21 | 2021-07-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-21 | 2021-07-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-21 | 2021-07-29 | 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 | 2021-06-21 | 2021-07-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-06-21 | 2021-07-29 | 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 | 2021-06-21 | 2021-07-29 | 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 | 2021-06-21 | 2021-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-21 | 2021-07-29 | N |
| Keep all essential equipment working safely. | Health | 2021-06-21 | 2021-07-29 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-06-21 | 2021-07-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-21 | 2021-07-29 | Y |
| Help the resident make transportation arrangements to and from radiology services. | Health | 2021-06-21 | 2021-07-29 | Y |
| Provide or obtain dental services for each resident. | Health | 2021-06-21 | 2021-07-29 | Y |
