Based on observation, interview and record review, the facility failed to provide one Resident (R)1 with care and services necessary to maintain a quality of life after she suffered an alleged sexual assault from a certified Nurse Aide (CNA)1, In addition, the facility did not consider moving the resident to a location in another room or in another facity to provide a feeling of safety and security. In addition, the facility did not develop the comprehensive care plan to ensure services were provided to R1 to meet her psycho-social needs. (CR F600). Findings include: On 12/10/19 at approximately 01:50 PM the Office of Healthcare Assurance (OHCA) received a telephone call from the facility Administrator stated that a Resident reported she had been sexually assaulted by a staff member. …
F675 citations in Hawaii
Quality of Life and Care Deficiencies
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Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Hawaii cites F675 more often than its own record predicts
5.99 times the share F675 takes of citations nationally.
Of every deficiency written in Hawaii in 2024, this is the portion that was F675.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F675 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 observation, interviews, and record review (RR), the facility failed to make arrangements for one Resident (R35) to be transported to an appointment with a consultant. As a result of this deficiency, there was a delay taking her cast off. This deficient practice could affect any resident with outside appointments and may prevent them from meeting their highest potential of psychosocial and medical well-being. Findings included: R35 is a [AGE] year-old who had lived at the facility since 03/02/21. Diagnoses included cognitive communication deficit, major depressive disorder, severe psychotic symptoms, and dementia with behavioral disturbance. R35 has muscle weakness, difficulty walking and uses a wheelchair for mobility. …
What else Hawaii surveyors cite →
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