Based on observation, interview, and record review, after receiving report of an alleged abuse of Resident (R)1 by a certified nurse aide on 01/07/22 at approximately 05:30 AM, the facility failed to immediately and fully implement their Comprehensive Abuse Policy and Prevention Program in response. Specifically, the facility failed to ensure appropriate protective measures for R1, failed to conduct a thorough investigation, and failed to report the abuse allegation to the state agency (SA) and adult protective services (APS) in a timely manner. As a result of this deficient practice, resident safety was compromised, and an immediate jeopardy (IJ) was identified. …
F607 citations in Hawaii
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Hawaii cites F607 less often than its own record predicts
0.52 times the national share — cited less often here than elsewhere.
Of every deficiency written in Hawaii in 2025, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F607 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 interviews and record review, the facility failed to provide protections for the health, welfare and rights of each resident residing in the facility by developing and fully implementing policy/procedures to prohibit and prevent abuse, neglect, exploitation of residents, and misappropriation of resident property. Specifically, the facility did not (1) include how the facility would ensure contract/agency caregivers who provide care on behalf of the facility would receive the required training elements, and (2) four of a sample size of six contracted Nursing Assistants did not have evidence of the required training. …
The short window
Recent years
| Year | Share of Hawaii citations | vs expected |
|---|---|---|
| 2023 | 0.42% | 0.56× |
| 2024 | 0.22% | 0.29× |
| 2025 | 0.34% | 0.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Hawaii surveyors cite →
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