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Deficiency Records for Hale Nani Rehabilitation and Nursing Center

View the most recent health deficiencies and inspection results for Hale Nani Rehabilitation and Nursing Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Hale Nani Rehabilitation and Nursing Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2025-11-19 2026-01-02 Y
Post nurse staffing information every day. Health 2025-11-19 2026-01-02 Y
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 2025-11-19 2026-01-02 Y
Install corridor and hallway doors that block smoke. Fire Safety 2025-05-15 2025-07-08 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2025-05-15 2025-07-08 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2025-05-15 2025-07-08 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2025-05-15 2025-06-27 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2025-04-25 2025-06-27 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 2025-05-15 2025-06-27 N
Ensure each resident receives an accurate assessment. Health 2025-05-15 2025-06-27 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-05-15 2025-06-27 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 2025-05-15 2025-06-27 N
Keep residents' personal and medical records private and confidential. Health 2025-05-15 2025-06-27 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2025-05-15 2025-06-27 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2025-05-15 2025-06-27 N
Reasonably accommodate the needs and preferences of each resident. Health 2025-05-15 2025-06-27 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2025-05-15 2025-06-27 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2025-05-15 2025-06-27 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-05-15 2025-06-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-05-15 2025-06-27 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 2025-05-15 2025-06-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-05-15 2025-06-27 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2025-05-15 2025-06-27 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2025-05-15 2025-06-27 N
Provide care or services that was trauma informed and/or culturally competent. Health 2025-05-15 2025-06-27 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2025-05-15 2025-06-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-05-15 2025-06-27 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2025-05-15 2025-06-27 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 2025-05-15 2025-06-27 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2025-05-15 2025-06-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-05-15 2025-06-27 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-05-15 2025-06-27 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2025-05-15 2025-06-27 N
Provide and implement an infection prevention and control program. Health 2025-05-15 2025-06-27 N
Keep all essential equipment working safely. Health 2025-05-15 2025-06-27 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-04-25 2025-06-05 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-04-25 2025-06-02 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-04-25 2025-06-02 Y
Hire a qualified full-time social worker in a facility with more than 120 beds. Health 2025-04-25 2025-06-02 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2025-04-25 2025-06-02 Y
Respond appropriately to all alleged violations. Health 2025-04-25 2025-06-02 Y
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 2024-10-22 2024-11-26 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-10-22 2024-11-26 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 2024-07-19 2024-09-02 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-19 2024-09-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-19 2024-09-02 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-07-19 2024-09-02 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 2024-07-19 2024-09-02 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-07-19 2024-09-02 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-07-19 2024-09-02 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2024-07-19 2024-09-02 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 2024-07-19 2024-09-02 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2024-07-19 2024-09-02 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-07-19 2024-09-02 N
Give the resident's representative the ability to exercise the resident's rights. Health 2024-07-19 2024-09-02 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 2024-07-19 2024-09-02 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-07-19 2024-09-02 N
Provide activities to meet all resident's needs. Health 2024-07-19 2024-09-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-19 2024-09-02 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 2024-07-19 2024-09-02 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-07-19 2024-09-02 N
Post nurse staffing information every day. Health 2024-07-19 2024-09-02 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-07-19 2024-09-02 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 2024-07-19 2024-09-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-19 2024-09-02 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-07-19 2024-09-02 N
Provide and implement an infection prevention and control program. Health 2024-07-19 2024-09-02 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-07-19 2024-09-02 N
Respond appropriately to all alleged violations. Health 2024-07-19 2024-09-02 Y
List the names and contact information of those in the facility. Fire Safety 2024-07-19 2024-09-02 N
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. Fire Safety 2024-07-19 2024-08-19 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 2024-03-22 2024-05-05 Y
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 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
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
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-07-14 2023-09-08 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 2023-07-14 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
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
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2026-05-01 Not Fixed N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2026-05-01 Not Fixed N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2026-05-01 Not Fixed N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2026-05-01 Not Fixed N
Ensure that residents are free from significant medication errors. Health 2026-05-01 Not Fixed 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 2026-05-01 Not Fixed N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2026-05-01 Not Fixed N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-05-01 Not Fixed N
Provide and implement an infection prevention and control program. Health 2026-05-01 Not Fixed N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2026-05-01 Not Fixed N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2026-05-01 Not Fixed N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2026-05-01 Not Fixed N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2026-05-01 Not Fixed N
Provide safe and appropriate respiratory care for a resident when needed. Health 2026-05-01 Not Fixed N
Provide enough food/fluids to maintain a resident's health. Health 2026-05-01 Not Fixed 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 2026-05-01 Not Fixed N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-05-01 Not Fixed N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-05-01 Not Fixed 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 2026-05-01 Not Fixed N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-05-01 Not Fixed 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 2026-05-01 Not Fixed 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 2026-05-01 Not Fixed N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2026-05-01 Not Fixed N

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