Based on interviews and record review, the facility failed to ensure a Resident Representative's (RR) 21 right to exercise the resident's rights to the extent provided by state law for one Resident (Resident (R) 5) sampled. RR21 is the Durable Power of Attorney (DPOA) for R5 and identified by the facility as the R5's healthcare decision-maker. R5 has a diagnosis of Alzheimer's Disease and does not have the capacity to make medication related decisions. Review of R5's Electronic Health Record (EHR) documented an informed consent for the use of an antidepressant medication signed by R5 and not RR21. …
F551 citations in Hawaii
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Hawaii cites F551 more often than its own record predicts
5.79 times the share F551 takes of citations nationally.
Of every deficiency written in Hawaii in 2024, this is the portion that was F551.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F551 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.
The short window
Recent years
| Year | Share of Hawaii citations | vs expected |
|---|---|---|
| 2023 | 0.21% | 3.89× |
| 2024 | 0.44% | 5.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Hawaii surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction