Based on observations, interviews, and record reviews, the facility failed to ensure the resident's right to be informed of and participate in his/her care in a manner the resident can understand for one (1) resident, (R)335, sampled. Staff did not use auxiliary aids or written communication to inform R335, who has impaired hearing, that a medication would be administered rectally and was not informed of options and/or alternatives prior to staff administering the medication. As a result of not understanding medications would be administered rectally, R335 reported an allegation of sexual abuse to a family member (FM). …
F552 citations in Hawaii
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Hawaii cites F552 more often than its own record predicts
1.25 times the share F552 takes of citations nationally.
Of every deficiency written in Hawaii in 2025, this is the portion that was F552.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F552 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.
Based on record review and interview, the facility failed to ensure a resident or resident representative was informed of treatment and provided consent for the use of psychotropic medication for one of five residents (Resident (R) 40) reviewed for unnecessary medications. This failure placed R40 at risk for receiving treatment without informed consent and compromised the resident's rights to participate in care planning and treatment decisions. Findings Include: Review of R40's physician orders revealed the resident was prescribed trazodone, an antidepressant medication, 50 milligrams (mg) every morning beginning on 11/10/25.Review of R40's Electronic Health Record (EHR) revealed no documented informed consent for trazodone 50mg prior to administration of the medication.On 05/13/26 at… …
The short window
Recent years
| Year | Share of Hawaii citations | vs expected |
|---|---|---|
| 2023 | 0.63% | 2.12× |
| 2024 | 1.11% | 2.88× |
| 2025 | 0.68% | 1.25× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Hawaii surveyors cite →
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