Based on observation, interview, and record review, the facility failed to provide care and services (reassessing the residents' dietary/nutritional needs, consistently implementing related care-planned interventions, monitoring for effectiveness, and ensuring coordination of care among the interdisciplinary team) to prevent significant weight loss for 2 of 6 residents (Residents 153 and 147) in the sample, despite having identified them as at risk for compromised nutrition. As a result of this deficient practice, the facility placed these residents at risk for avoidable declines and injuries. This deficient practice has the potential to affect all residents at the facility. Findings include: 1) Resident (R)153 is an [AGE] year-old female admitted to the facility on [DATE]. …
F692 citations in Hawaii
Nutrition and hydration · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Hawaii cites F692 more often than its own record predicts
1.19 times the share F692 takes of citations nationally.
Of every deficiency written in Hawaii in 2025, this is the portion that was F692.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F692 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 Interviews, document and record review, the facility failed to report to the physician that one Resident (R)16, of a sample of one, had a trend of significantly lower intake than baseline. In addition, R16's last documented weight indicated a significant weight loss, which was not confirmed with a reweigh according to standards of care and their own policy. As a result of this deficient practice, timely medical review to determine of these signs were a part of a broader decline in health status was not done and increased the risk of a negative outcome. This deficient practice could affect any Resident in the facility and prevent them from maintaining the highest practicable level of well-being. 1) R16 was a [AGE] year-old female long-term resident at the facility. …
The short window
Recent years
| Year | Share of Hawaii citations | vs expected |
|---|---|---|
| 2023 | 1.27% | 1.00× |
| 2024 | 0.66% | 0.56× |
| 2025 | 1.36% | 1.19× |
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