Based on observation, record review and interview, the facility failed to ensure that residents who require [MEDICAL TREATMENT], receive such services consistent with the professional nursing standards of practice, including accurate assessments of the resident's condition to monitor for complications of the arteriovenous fistula (AVF) (an access site in the arm for [MEDICAL TREATMENT]), specifically after HD treatments for one of one resident Resident (R)1 selected for review. R1 is at high risk for increased [MEDICAL CONDITION] (occlusions) and has a history of occlusions to his access site. Good post [MEDICAL TREATMENT] care of the AVF site is crucial to prevent negative outcomes that may result in the following: Occlusions; hemmoraging (bleeding out from the site) and/ or death. …
F698 citations in Hawaii
Dialysis · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Hawaii cites F698 less often than its own record predicts
0.91 times the national share — cited less often here than elsewhere.
Of every deficiency written in Hawaii in 2025, this is the portion that was F698.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F698 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 access site care as ordered by the physician for one of one resident (R) 138, sampled for Dialysis. The deficient practice puts all residents who receive dialysis at risk for complications related to improper care of resident's hemodialysis access site potentially putting the resident's at risk for reduced blood flow, clotting, and narrowing or stenosis of the Arteriovenous Fistula (AVF). Findings Include:On 04/29/2026 at 11:53 AM interviewed R138 in his room. Surveyor inquired about his access site which is used for hemodialysis. R138 explained it is on his right arm. …
The short window
Recent years
| Year | Share of Hawaii citations | vs expected |
|---|---|---|
| 2024 | 0.89% | 1.17× |
| 2025 | 0.68% | 0.91× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Hawaii surveyors cite →
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