F759 in Hawaii. Pick another state for the same tag.
Against expectation — 2025
Hawaii cites F759 less often than its own record predicts
Versus expected share0.94×
0.94 times the national share — cited less often here than elsewhere.
Share of Hawaii citations1.02%
Of every deficiency written in Hawaii in 2025, this is the portion that was F759.
Hawaii1.02%
National1.08%
Share of all citations that were F759.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F759 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.
L · Immediate jeopardy, widespreadDecember 29, 2017
Based on observations, record reviews, interviews and review of the facility's policy and procedure, the facility failed to ensure the facility's medication error rates are not 5 percent or greater for 4 of 16 residents (Residents #25, #14, #16, and #23 ) in the survey sample. In addition, the facility's practice of medication administration was not based on current standards of practice as evidenced by the actions observed of the licensed staff and others who were interviewed. As a result, there existed a high potential for harm to the health and safety of all their residents and an immediate jeopardy (IJ) was identified on 12/22/17.
Findings includes:
Cross-reference to findings at F725, F726, F760, F835, F837, F841. …
D · No harm, potential for more than minimal, isolatedApril 3, 2025
Based on observation, interview, and record review, the facility failed to ensure a medication error rate of less than 5%, as evidenced by two medication errors observed out of 28 opportunities for errors, for an error rate of 7%. Safe and timely medication administration practices are essential for the health and well-being of the residents. As a result of this deficient practice, Resident (R) 56 was placed at risk of negative outcomes due to medication errors. This deficient practice has the potential to affect all residents in the facility taking medications administered by staff.
Findings include:
On 04/01/25 at 08:30 AM, began observing Registered Nurse (RN)14 as he prepared and administered medications to a resident in room [ROOM NUMBER]. …
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