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.
F585 in Hawaii. Pick another state for the same tag.
Against expectation — 2025
Hawaii cites F585 more often than its own record predicts
Versus expected share1.59×
1.59 times the share F585 takes of citations nationally.
Share of Hawaii citations1.02%
Of every deficiency written in Hawaii in 2025, this is the portion that was F585.
Hawaii1.02%
National0.64%
Share of all citations that were F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F585 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.
G · Actual harm, isolatedAugust 15, 2024
Based on interview and record review, the facility failed to support the resident's right to voice a complaint without the fear of reprisal or retaliation for one resident (Resident (R) 31) sampled. R31 reported an allegation of mistreatment by the Alleged Perpetrator (AP) to the Assistant Administrator (AADM). Initially, R31 reported he did not want to file a formal grievance due to being fearful what AP's reaction would be, and that R31 would not receive assistance from staff, or care would be withheld. During the facility's investigation, the facility informed R31 and AP that there should not be any form of contact between the two individuals. …
D · No harm, potential for more than minimal, isolatedJune 10, 2026
Based on interviews, documents and record review, the facility failed to respond to a family member's (FM) email grievance regarding Resident (R)1's stay at the facility. The facility reported no grievances during period requested (September 2025 to June 8,20-26). There was no follow-up documentation, resolution, or communication to the FM. This failure resulted in several of the FM's concerns remaining unaddressed and caused ongoing dissatisfaction. Findings include:1) On survey entry, requested the facility grievance log from September 2025 to current. On 06/08/26 at approximately 01:00 PM, interviewed the Administrator (ADM) and the Director of Nursing (DON) about the facility process for grievances. …
C · No harm, potential for minimal, widespreadMarch 23, 2023
Based on observation, interviews and document review, the facility had not determined or notified residents/families what a reasonable timeframe was they could expect a completed review of a grievance.
Findings include:
1) Observed the signage notifying residents/families of the grievance process located at the main facility entrance/registration area did not include a reasonable expected timeframe for completing review of a grievance.
2) Reviewed the facility policy titled Grievance Program (Concern and Comment) reviewed 09/30/2022. The policy included:
- Definitions of Prompt efforts to resolve -This refers to a facility acknowledgement of a complaint/grievance and actively working toward resolution of that complaint/grievance.
- Procedure 1. …
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