Deficiency Records for Pearl City Nursing Home
Updated as of October 01, 2022
This is not the most recent data for Pearl City Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for Pearl City Nursing Home. 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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-17 | 2022-08-15 | 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 | 2022-06-17 | 2022-08-15 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-06-17 | 2022-08-15 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-17 | 2022-08-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-17 | 2022-08-15 | 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 | 2022-06-17 | 2022-08-15 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-17 | 2022-08-15 | 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 | 2022-06-17 | 2022-08-15 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-17 | 2022-08-15 | 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 | 2022-06-17 | 2022-08-15 | N |
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 | 2022-06-17 | 2022-08-15 | N |
Post nurse staffing information every day. | Health | 2022-06-17 | 2022-08-15 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-06-17 | 2022-08-15 | 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 | 2022-06-17 | 2022-08-15 | N |
Provide and implement an infection prevention and control program. | Health | 2022-06-17 | 2022-08-15 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-17 | 2022-08-15 | N |
Report COVID19 data to residents and families. | Health | 2022-06-17 | 2022-08-15 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-17 | 2022-08-15 | Y |
Have exits that are accessible at all times. | Fire Safety | 2021-08-18 | 2021-09-17 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-08-18 | 2021-09-17 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-18 | 2021-09-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-18 | 2021-09-17 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-07 | 2021-06-21 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-05-07 | 2021-06-21 | Y |
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-05-07 | 2021-06-21 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-07 | 2021-06-21 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-07 | 2021-06-21 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-07 | 2021-06-21 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-07 | 2021-06-21 | Y |
Keep all essential equipment working safely. | Health | 2021-05-07 | 2021-06-21 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-09-01 | 2020-09-23 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-06-22 | 2020-08-24 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-02-24 | 2020-07-22 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-24 | 2020-07-22 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-24 | 2020-07-22 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-02-24 | 2020-07-22 | N |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2020-02-24 | 2020-07-22 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-24 | 2020-07-22 | 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 | 2020-02-24 | 2020-07-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-24 | 2020-07-22 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-24 | 2020-07-22 | N |
Provide and implement an infection prevention and control program. | Health | 2020-02-24 | 2020-07-22 | N |
Implement a program that monitors antibiotic use. | Health | 2020-02-24 | 2020-07-22 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-24 | 2020-07-22 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-24 | 2020-07-22 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-24 | 2020-07-22 | Y |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-19 | 2020-05-21 | N |