Deficiency Records for Maunalani Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Maunalani Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-05 | 2023-09-29 | 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 | 2023-08-31 | 2023-09-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-31 | 2023-09-24 | 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 | 2023-08-31 | 2023-09-24 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-31 | 2023-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-31 | 2023-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-31 | 2023-09-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-31 | 2023-09-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-18 | 2022-12-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-18 | 2022-12-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-14 | 2022-11-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-14 | 2022-11-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-14 | 2022-11-17 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-10-14 | 2022-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-14 | 2022-11-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-14 | 2022-11-17 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-11-02 | 2021-12-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-02 | 2021-12-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-02 | 2021-12-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-29 | 2021-12-15 | 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 | 2021-10-29 | 2021-12-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-29 | 2021-12-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-10-29 | 2021-12-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-29 | 2021-12-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-29 | 2021-12-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-29 | 2021-12-15 | 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 | 2021-10-29 | 2021-12-15 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-29 | 2021-12-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-29 | 2021-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-29 | 2021-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-29 | 2021-12-15 | N |
