F550 in Hawaii. Pick another state for the same tag.
Against expectation — 2025
Hawaii cites F550 more often than its own record predicts
Versus expected share2.70×
2.70 times the share F550 takes of citations nationally.
Share of Hawaii citations5.76%
Of every deficiency written in Hawaii in 2025, this is the portion that was F550.
Hawaii5.76%
National2.13%
Share of all citations that were F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F550 findings written in Hawaii, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
J · Immediate jeopardy, isolatedDecember 19, 2019
Based on observation, interview, and record review, the facility failed to ensure a vulnerable Resident (R1) was free from criminal sexual assault by a Certified Nurse Aide (CNA)1 while providing personal care early in the morning. The deficient practice violated the residents right to be free from sexual abuse, the right to a dignified existence, and finally the right to an acceptable quality of life which failed when R1 was left traumatized, afraid, and unable to sleep or participate in her skilled services program. The facility also failed to provide R1 with emotional support and trauma informed care after the assault. The facility did not promote and protect R1's quality of life. (refer F600). …
Based on interviews with resident and staff members and record review, the facility did not ensure a resident's right to a dignified existence was respected. A resident was not treated in a manner that recognized her individuality and promoted her quality of life. A staff member was not respectful of Resident (R)1's request to refuse peri care (peri care also known as perineal care involves cleaning the private areas of a resident). The staff member proceeded to provide care despite the resident's refusal which resulted in R1 expressing feelings of being scared and ashamed. The facility did not honor the resident's preference of not having male staff members provide direct personal care. The staff member continues to be assigned to R1's unit. …
D · No harm, potential for more than minimal, isolatedJune 4, 2026
Based on observations, interviews, record reviews, the facility failed to ensure the resident's right to a dignified existence for 1 of 2 residents (Resident) (R) 124) sampled for dignity. As a result of this deficiency, the resident was not promoted the right to the maintenance or enhancement of the resident's quality of life. Findings include:On 06/01/26 at 12:23 PM, concurrent interview and observation were done with R124. Observed R124 self-propelling himself to the dining area from Physical Therapy activities. Observed urinary drainage bag hanging under the wheelchair, with a privacy/dignity bag covering about a third of the drainage bag. …
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