Based on observations, interviews, and record review, the facility failed to ensure a resident who is unable to carry out acitvities of daily living receives the necessary services to maintain grooming, and personal and oral hygiene for two of four residents (Resident (R)37 and R3) sampled. R37 unable to perform ADLs due to diagnosis of hemoplegia, hemiparesis, progressing Dementia and is dependent on staff for all ADLs needs. Observations on 02/07/23 through 02/10/23 documented R37's ADLs were not completed, appeared increasingly unkept, lips progressed to crack, and body odor was pungent. R3 is dependent on staff for oral hygiene did not receive lip care for dry lips. As a result of severity in the neglect of R37's ADLs, any reasonable person would experience psychosocial harm. …
F677 citations in Hawaii
ADL care for dependent residents · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Hawaii cites F677 less often than its own record predicts
0.45 times the national share — cited less often here than elsewhere.
Of every deficiency written in Hawaii in 2025, this is the portion that was F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F677 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, interview, and record review, the facility failed to provide the necessary care and services to maintain the activities of daily living (ADLs), specifically personal and oral hygiene, for 1 of 1 resident sampled for ADLs. As a result of this deficient practice, Resident (R)41 was hindered from attaining his highest practicable well-being and placed at risk for a decreased quality of life. Findings include:Resident (R)41 is a [AGE] year-old male admitted to the facility on [DATE] for long-term care. …
The short window
Recent years
| Year | Share of Hawaii citations | vs expected |
|---|---|---|
| 2023 | 0.84% | 0.30× |
| 2024 | 0.89% | 0.37× |
| 2025 | 1.02% | 0.45× |
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