F604 in Hawaii. Pick another state for the same tag.
Against expectation — 2025
Hawaii cites F604 less often than its own record predicts
Versus expected share0.89×
0.89 times the national share — cited less often here than elsewhere.
Share of Hawaii citations0.34%
Of every deficiency written in Hawaii in 2025, this is the portion that was F604.
Hawaii0.34%
National0.38%
Share of all citations that were F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F604 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, isolatedMarch 15, 2021
Based on observations, interviews, and staff interviews, the facility failed to ensure the resident's right to be free from any physical restraint imposed for the purpose of convenience, and not required to treat the resident's medical symptoms as evidenced by Resident (R)76's wheelchair placed tightly between a table and wall, restricting the resident from standing up and staff applying a right-handed mitten on R16, restricting the use of the resident's hands without a doctors order or care plan. As a result of this deficiency, the residents are at risk of the potential for more than minimal harm and psychosocial harm to residents. …
D · No harm, potential for more than minimal, isolatedApril 9, 2026
Based on observations, interviews, and record reviews, the facility failed to ensure that two of four sampled residents (Resident (R)3, and R8) were free from physical restraints. Specifically, the facility failed to document when the restraints were applied and released. As a result of this deficient practice, R3 and R8's rights were violated, and were placed at risk of avoidable injury and/or a decline in their psychosocial well-being. Findings include:1) R3 is a [AGE] year-old male admitted to the facility on [DATE] for long-term care.
On 04/06/26 at 10:06 AM, and 02:05 PM, observations were done with R3 at bedside. R3 observed wearing mitten restraint on right hand. …
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