Based on record reviews, staff interview and review of policy, the facility did not show proof of discharge written notification for one Resident (R)11 of two sampled for hospitalization.Findings include:Review of Electronic Health Record showed that R11 was discharged to the hospital on [DATE]. Notice of Resident Transfer or Discharge form showed that the resident's representative was notified, via phone, of the transfer or discharge.During a staff interview on 07/01/26 at 2:35 PM, Social Services Director explained that the facility mailed R11's Transfer or Discharge form to the representative but could not provide any verification.Review of facility policy on Transfers and Discharges read; Policy, the facility will follow the limited conditions under which CMS has outlined how the… …
F628 citations in Hawaii
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Hawaii cites F628 less often than its own record predicts
0.73 times the national share — cited less often here than elsewhere.
Of every deficiency written in Hawaii in 2025, this is the portion that was F628.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F628 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.
What else Hawaii surveyors cite →
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