A list of the most recent deficiencies for Samuel Mahelona Memorial 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? |
|---|---|---|---|---|
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-19 | 2024-01-14 | 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 | 2023-12-01 | 2024-01-05 | 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 | 2023-12-01 | 2024-01-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-01 | 2024-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2024-01-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-01 | 2024-01-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-01 | 2024-01-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-04 | 2022-12-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-30 | 2022-11-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-30 | 2022-11-11 | 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 | 2022-09-30 | 2022-11-11 | N |
| Provide activities to meet all resident's needs. | Health | 2022-09-30 | 2022-11-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-30 | 2022-11-11 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-09-30 | 2022-11-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-30 | 2022-11-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-01-25 | 2021-03-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-01-25 | 2021-03-12 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-01-25 | 2021-03-12 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2021-01-25 | 2021-03-01 | 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 | 2021-01-25 | 2021-03-01 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2021-01-25 | 2021-03-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-01-25 | 2021-03-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-01-25 | 2021-02-26 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-01-25 | 2021-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-01-25 | 2021-02-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-25 | 2021-01-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-01-25 | 2021-01-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-25 | 2021-01-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-11-20 | 2021-01-05 | 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 | 2020-11-20 | 2021-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-11-20 | 2021-01-05 | N |
| Keep all essential equipment working safely. | Health | 2020-11-20 | 2021-01-05 | N |
