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Deficiency Records for Liliha Healthcare Center
View the most recent health deficiencies and inspection results for Liliha Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Liliha Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-09 | 2025-07-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-09 | 2025-07-24 | 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 | 2025-06-09 | 2025-07-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-06-09 | 2025-07-24 | 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 | 2025-06-09 | 2025-07-24 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-01-31 | 2025-03-14 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-01-31 | 2025-03-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-01-31 | 2025-03-14 | 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 | 2025-01-31 | 2025-03-14 | 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 | 2025-01-31 | 2025-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-31 | 2025-03-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-01-31 | 2025-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-31 | 2025-03-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-31 | 2025-03-14 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-01-31 | 2025-03-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-31 | 2025-03-14 | Y |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-01-31 | 2025-03-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-31 | 2025-03-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-26 | 2024-04-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-26 | 2024-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-26 | 2024-03-01 | 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 | 2024-01-26 | 2024-03-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-26 | 2024-03-01 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-01-26 | 2024-03-01 | 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 | 2024-01-26 | 2024-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-26 | 2024-03-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-26 | 2024-03-01 | 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 | 2024-01-26 | 2024-03-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-30 | 2023-07-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-30 | 2023-07-31 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-06-30 | 2023-07-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-30 | 2023-07-31 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-14 | 2023-05-11 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-14 | 2023-05-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-02-14 | 2023-05-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-14 | 2023-05-05 | N |
| Keep all essential equipment working safely. | Health | 2023-02-14 | 2023-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-14 | 2023-04-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-14 | 2023-04-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-14 | 2023-04-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-14 | 2023-04-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-14 | 2023-04-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-14 | 2023-04-14 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-02-14 | 2023-04-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-14 | 2023-04-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-14 | 2023-04-14 | 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 | 2023-02-14 | 2023-04-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-14 | 2023-04-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-14 | 2023-04-07 | 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 | 2023-02-14 | 2023-04-07 | 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 | 2023-02-14 | 2023-04-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-14 | 2023-04-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-14 | 2023-04-07 | 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 | 2023-02-14 | 2023-04-07 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-02-14 | 2023-04-07 | 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 | 2023-02-14 | 2023-04-07 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-02-14 | 2023-04-07 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-02-14 | 2023-04-07 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-02-14 | 2023-04-07 | N |
| Respond appropriately to all alleged violations. | Health | 2023-02-14 | 2023-04-07 | N |