Deficiency Records for The Care Center of Honolulu
Updated as of January 01, 2021
This is not the most recent data for The Care Center of Honolulu. For the most recent information, click here.
A list of the most recent deficiencies for The Care Center of Honolulu. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-14 | 2020-11-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-14 | 2020-11-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-14 | 2020-11-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-09-14 | 2020-11-25 | 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 | 2020-09-14 | 2020-11-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-09-14 | 2020-11-06 | 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 | 2020-09-14 | 2020-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-14 | 2020-11-06 | 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 | 2020-09-14 | 2020-11-06 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-09-14 | 2020-11-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-09-14 | 2020-11-06 | 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 | 2020-09-14 | 2020-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-14 | 2020-11-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-14 | 2020-11-06 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-09-14 | 2020-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-14 | 2020-11-06 | N |
| Keep all essential equipment working safely. | Health | 2020-09-14 | 2020-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-23 | 2020-08-17 | 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 | 2020-04-09 | 2020-06-05 | 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 | 2020-04-09 | 2020-06-05 | Y |
| Meet other general requirements. | Fire Safety | 2020-02-05 | 2020-05-08 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-02-05 | 2020-05-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-05 | 2020-05-08 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-02-05 | 2020-05-08 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2020-02-03 | 2020-05-05 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-02-03 | 2020-05-05 | 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 | 2020-02-03 | 2020-05-05 | 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 | 2020-02-03 | 2020-05-05 | 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 | 2020-02-03 | 2020-05-05 | 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 | 2020-02-03 | 2020-05-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-03 | 2020-05-05 | 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 | 2020-02-03 | 2020-05-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-03 | 2020-05-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-03 | 2020-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-03 | 2020-05-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-03 | 2020-05-05 | 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 | 2020-02-03 | 2020-05-05 | 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 | 2020-02-03 | 2020-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-03 | 2020-05-05 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-02-03 | 2020-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-03 | 2020-05-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-03 | 2020-05-05 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-02-03 | 2020-05-05 | 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 | 2020-02-03 | 2020-05-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-19 | 2020-02-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-19 | 2020-02-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-12-19 | 2020-02-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-19 | 2020-02-03 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-12-19 | 2020-02-03 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-12-19 | 2020-02-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-04 | 2019-02-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-26 | 2018-12-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-26 | 2018-12-21 | 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 | 2018-10-26 | 2018-12-21 | 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 | 2018-10-26 | 2018-12-21 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-10-26 | 2018-12-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-10-26 | 2018-12-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-26 | 2018-12-21 | 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 | 2018-10-26 | 2018-12-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-26 | 2018-12-21 | 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 | 2018-10-26 | 2018-12-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-26 | 2018-12-21 | 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 | 2018-10-26 | 2018-12-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-10-26 | 2018-12-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-26 | 2018-12-21 | 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 | 2018-10-26 | 2018-12-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-26 | 2018-12-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-26 | 2018-12-21 | N |
