Based on observations, record reviews, interviews and review of the facility's policy and procedure, the facility failed to ensure that its residents are free of any significant medication errors for 4 of 16 residents (Residents #25, #14, #16, and #23 ) in the survey sample. As a result, there was a failure to protect from potential adverse medication consequences, a failure to have concise physician's orders [REDACTED]. In addition, it was found there were insufficient numbers of licensed staff who lacked the training for medication administration to adequately provide safe, competent nursing care for these residents who were all ventilatory dependent and required total care by staff. …
F760 citations in Hawaii
Significant medication errors · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Hawaii cites F760 less often than its own record predicts
0.38 times the national share — cited less often here than elsewhere.
Of every deficiency written in Hawaii in 2024, this is the portion that was F760.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F760 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 record review and staff interviews, the facility failed to ensure one Resident (R)52 of sixteen residents selected for review, is free of medication errors. List of wrong medications given to R52 included psychiatric medications, antihypertensive (medications to control high-blood pressure), furosemide, and blood thinner. As a result of this deficiency, R52 was at risk of experiencing potential side effects, adverse health issues and harm. Findings include:R52 is a [AGE] year-old male admitted to the facility on [DATE] and is currently receiving Intermediate Care Facility level of Care. …
The short window
Recent years
| Year | Share of Hawaii citations | vs expected |
|---|---|---|
| 2023 | 0.63% | 0.57× |
| 2024 | 0.44% | 0.38× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Hawaii surveyors cite →
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