A list of the most recent deficiencies for Ka Punawai Ola. 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 and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-05 | 2023-06-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-05 | 2023-06-09 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-05-05 | 2023-06-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-05 | 2023-06-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-05 | 2023-06-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-06-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-05 | 2023-06-09 | N |
| Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2023-05-05 | 2023-06-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-05 | 2023-06-09 | 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 | 2023-05-05 | 2023-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-05 | 2023-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-05 | 2023-06-09 | N |
| Keep all essential equipment working safely. | Health | 2023-05-05 | 2023-06-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-05-06 | 2022-06-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | 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 | 2022-05-06 | 2022-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-06 | 2022-06-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-06 | 2022-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-06 | 2022-06-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-04 | 2022-06-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-05-04 | 2022-06-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-04 | 2022-06-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-19 | 2021-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-19 | 2021-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-19 | 2021-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-19 | 2021-10-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-19 | 2021-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-19 | 2021-10-03 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-04-19 | 2021-06-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-04-19 | 2021-06-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-19 | 2021-06-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-19 | 2021-06-22 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-19 | 2021-06-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-19 | 2021-06-22 | 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 | 2021-04-19 | 2021-06-22 | N |
| Provide or obtain dental services for each resident. | Health | 2021-04-19 | 2021-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-19 | 2021-06-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-19 | 2021-06-22 | N |
