F686 in Hawaii. Pick another state for the same tag.
Against expectation — 2025
Hawaii cites F686 less often than its own record predicts
Versus expected share0.86×
0.86 times the national share — cited less often here than elsewhere.
Share of Hawaii citations1.69%
Of every deficiency written in Hawaii in 2025, this is the portion that was F686.
Hawaii1.69%
National1.97%
Share of all citations that were F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F686 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.
G · Actual harm, isolatedFebruary 27, 2026
Based on observation, interviews and record review, the facility failed to provide the needed care in accordance to standard of practice to prevent a pressure ulcer (PU) in one Resident (R)88 of a sample size of three. R88 was at high risk of developing a new PU due to her immobility. She was totally dependent on staff for positioning to prevent a PU. There was no evidence in the medical record that staff frequently repositioned R88. As a result, she suffered harm and developed a Stage III (3) coccyx/sacral PU, which increased the risk of infection and complications. This deficient practice has the potential to affect any resident at risk of PU. …
D · No harm, potential for more than minimal, isolatedApril 9, 2026
Based on observation, interview and record review, the facility failed to recognize and put preventive measures in place to prevent the potential development of pressure injury for one of one resident (Resident (R)2) utilizing a nasal cannula to receive oxygen. This deficient practice put all residents that utilize a nasal cannula at risk for potential development of medical device related pressure injury. Findings include:On 04/07/2026 at 08:51 AM, R2 had an oxygen nasal cannula with the cannula prongs in her nostrils and tubing under her chin, along her cheek bones and looped around her ears. The cannula tubing was observed pressing into her right facial cheek bone area. …
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