Deficiency Records for Kalakaua Gardens
Updated as of April 01, 2021
This is not the most recent data for Kalakaua Gardens. For the most recent information, click here.
A list of the most recent deficiencies for Kalakaua Gardens. 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? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-03-13 | 2020-05-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-13 | 2020-05-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-03-13 | 2020-05-18 | 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 | 2020-03-13 | 2020-05-18 | N |
| Provide activities to meet all resident's needs. | Health | 2020-03-13 | 2020-05-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-13 | 2020-05-18 | 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 | 2020-03-13 | 2020-05-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-03-13 | 2020-05-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-03-13 | 2020-05-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-03-13 | 2020-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-13 | 2020-05-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-07 | 2020-03-12 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2019-02-08 | 2019-07-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-08 | 2019-07-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-08 | 2019-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-08 | 2019-04-03 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-04-06 | 2018-07-05 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-04-06 | 2018-07-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-06 | 2018-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-06 | 2018-07-05 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-04-06 | 2018-07-05 | 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 | 2018-04-06 | 2018-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-06 | 2018-07-05 | 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 | 2018-04-06 | 2018-07-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-06 | 2018-07-05 | N |
