F610 in Hawaii. Pick another state for the same tag.
Against expectation — 2025
Hawaii cites F610 more often than its own record predicts
Versus expected share1.12×
1.12 times the share F610 takes of citations nationally.
Share of Hawaii citations1.69%
Of every deficiency written in Hawaii in 2025, this is the portion that was F610.
Hawaii1.69%
National1.51%
Share of all citations that were F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F610 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.
J · Immediate jeopardy, isolatedJuly 15, 2021
Based on interviews, record review (RR) and observation, the facility lacked evidence that the allegation of abuse brought to their attention on 06/02/21 was thoroughly investigated. The Resident (R)1 was not interviewed in her primary language and there was no documentation R1 was monitored for behavioral changes post alleged incident. In addition, there was conflicting information obtained from interviews from R1's family members (FM's) and the Director of Nursing (DON) regarding notification of the alleged incident and a conversation FM2 had with the DON on 06/22/21. The investigation response document provided by the DON included inaccurate information. …
Based on observation, interview and record review, the facility failed to conduct a thorough investigation of an allegation of sexual assault of a vulnerable Resident (R)1 by a facility certified nurse aide (CNA)1. The facility did not immediately assess the resident for psycho-social trauma and take steps to alleviate R1's fear by moving her to another room or transfer to another facility.
The facility did not conduct interviews with other Residents who may have been assaulted by CNA1.
The facility did not conduct interview's with personnel from outside agencies at Honolulu Police Department (HPD), Adult protective services (APS), or obtain medical records from the emergency department (ER) to include in its investigation. …
D · No harm, potential for more than minimal, isolatedApril 1, 2026
Based on interviews and record review, the facility failed to investigate an injury of unknown origin to rule out the potential for abuse. Resident (R) 10 sustained a serious injury of unknown origin to the Right Lower Extremity (RLE). An investigation was not conducted into the origin of the injury and potential for abuse was not ruled out. As a result of this deficient practice, all residents are at risk for potential abuse until a thorough investigation is completed. Findings include: Cross Reference to F609- Reporting to the State Agency and F697- Pain ManagementOn 03/30/26 at 01:15 PM, conducted a review of R10's Electronic Health Record (EHR). The resident was admitted to the facility on [DATE]. …
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