Based on observations, interviews, and record review, the facility failed to ensure a resident (Resident (R)50) received a therapeutic diet as prescribed. As a result of this deficiency, R50 could have experienced harm due to aspiration had this surveyor not intervened prior to staff administering water that was not nectar thickened. Findings include: On [DATE] at 11:14 AM, this surveyor was seated outside of R50's room. R50 was coughing and one of the resident's visitors (V)1 approached this surveyor and requested a cup of water for the resident. V1 was encouraged to activate R50's call light as no staff were visible in the hallway. V1 activated the call light and Licensed Nurse (LN)22 answered the call light at 11:17 AM and was informed that R50 was coughing and needed some water. …
F808 citations in Hawaii
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Hawaii cites F808 more often than its own record predicts
2.12 times the share F808 takes of citations nationally.
Of every deficiency written in Hawaii in 2023, this is the portion that was F808.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F808 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.
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