F695 in Hawaii. Pick another state for the same tag.
Against expectation — 2025
Hawaii cites F695 more often than its own record predicts
Versus expected share1.23×
1.23 times the share F695 takes of citations nationally.
Share of Hawaii citations2.71%
Of every deficiency written in Hawaii in 2025, this is the portion that was F695.
Hawaii2.71%
National2.20%
Share of all citations that were F695.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F695 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.
K · Immediate jeopardy, patternDecember 29, 2017
Based on observation, record review, staff interviews and a review of the policies and procedures, the facility failed to ensure its residents are free from unplanned decannulations for 5 of 17 residents (Res #2, #7, #20, #24, #25). As a result, there was a failure to protect these residents from respiratory trauma/complications due to the number of unplanned decannulations. Residents who experience these unplanned decannulations suffer from oxygen desaturation, trauma and even the likelihood of death. …
D · No harm, potential for more than minimal, isolatedMay 1, 2026
Based on observations and interview the facility failed to assure one of one resident (R) 40, sampled for respiratory care, was provided oxygen assuring the O2 tubing was connected to the O2 concentrator. This deficient practice puts all residents who are using oxygen at risk for respiratory distress and complications related to not receiving lifesustaining O2. Findings Include:On 04/28/2026 at 11:08 AM went into R40's room and observed her resting in her bed with her oxygen concentrator running at 3L with the nasal cannula placed on resident's face with tongs placed in resident's nostrils. Went to check date on oxygen (O2) tubing and noticed O2 tubing was not attached to the O2 concentrator and tubing was on the ground. …
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