Deficiency Records for Kalakaua Gardens
Updated as of July 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? |
|---|---|---|---|---|
| Give residents a notice of rights, rules, services and charges. | Health | 2021-04-01 | 2021-05-20 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-04-01 | 2021-05-20 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-04-01 | 2021-05-20 | N |
| 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 | 2021-04-01 | 2021-05-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-04-01 | 2021-05-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-01 | 2021-05-20 | 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 | 2021-04-01 | 2021-05-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-01 | 2021-05-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-01 | 2021-05-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-01 | 2021-05-20 | 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 | 2021-04-01 | 2021-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-01 | 2021-05-20 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-04-01 | 2021-05-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-04-01 | 2021-05-20 | N |
| 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 |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-08 | 2019-07-16 | N |
| Establish emergency prep training and testing. | 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 |
