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Deficiency Records for Pu'uwai 'o Makaha
View the most recent health deficiencies and inspection results for Pu'uwai 'o Makaha. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pu'uwai 'o Makaha. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-07-25 | 2025-09-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-25 | 2025-09-08 | 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 | 2025-07-25 | 2025-09-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-07-25 | 2025-09-08 | 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 | 2025-07-25 | 2025-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-25 | 2025-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-25 | 2025-09-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-07-25 | 2025-09-08 | 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 | 2024-07-26 | 2024-09-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-26 | 2024-09-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-26 | 2024-09-04 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-07-26 | 2024-09-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-07-26 | 2024-09-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-26 | 2024-09-04 | 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 | 2024-07-26 | 2024-09-04 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2024-07-26 | 2024-09-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-26 | 2024-09-04 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-26 | 2024-08-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-26 | 2024-08-25 | 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 | 2023-07-28 | 2023-11-08 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-28 | 2023-10-28 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-07-28 | 2023-10-28 | 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 | 2023-07-28 | 2023-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-28 | 2023-10-28 | 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 | 2023-07-28 | 2023-10-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-28 | 2023-10-17 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-28 | 2023-10-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-28 | 2023-10-17 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-07-28 | 2023-10-17 | N |
| Post nurse staffing information every day. | Health | 2023-07-28 | 2023-10-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-28 | 2023-10-17 | 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 | 2023-07-28 | 2023-10-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-28 | 2023-10-17 | 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 | 2023-07-28 | 2023-10-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-28 | 2023-10-17 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-07-28 | 2023-10-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-31 | 2023-09-18 | 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 | 2023-08-31 | 2023-09-18 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-28 | 2023-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-31 | 2023-08-23 | Y |