Based on observation, interview, and record review, the facility failed to provide the proper care and treatment including assistive devices/tools to improve, promote the communication abilities and to communicate needs and express choices for 2 Residents (R)9 and 203 of 3 residents sampled. Despite identifying upon admission that their primary language was not English, the facility failed to implement the use of alternative communication methods, such as a communication board, non-verbal pain assessment tools or commonly used phrases in their primary language. As a result of this deficient practice, the residents were placed at an increased risk of not having their needs met, hindered from attaining their highest practicable well-being and placed at risk for decrease in quality of life. …
F676 citations in Hawaii
Activities of daily living · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Hawaii cites F676 more often than its own record predicts
3.42 times the share F676 takes of citations nationally.
Of every deficiency written in Hawaii in 2025, this is the portion that was F676.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F676 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.
The short window
Recent years
| Year | Share of Hawaii citations | vs expected |
|---|---|---|
| 2023 | 1.05% | 2.98× |
| 2024 | 0.44% | 1.22× |
| 2025 | 1.02% | 3.42× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Hawaii surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction