Based on observation, interview and record review the Facility failed to collaborate with its social services Department to coordinate the thorough reporting of an alleged sexual assault, thoroughly investigate the allegation, and file the allegation of abuse in the accused employee's (CNA)1 personnel record along with a statement by the employee disputing the allegation. The facility Administrator (FA) failed to ensure steps were completed to provide one Resident (R)1 with the highest practicable mental, physical and psycho-social well being. The Administration knew the proper steps which is described in in its abuse investigation and reporting policy which is referenced to Regulatory reference number483.12(c) In response to allegations of abuse, neglect, exploitation, or mistreatment. …
F835 citations in Hawaii
Administration · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Hawaii cites F835 more often than its own record predicts
1.46 times the share F835 takes of citations nationally.
Of every deficiency written in Hawaii in 2023, this is the portion that was F835.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F835 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 observations, record review, and interviews the facility's nursing administration did not assure the facility was administered in a manner that enabled it to develop and maintain systems for residents of the facility to attain or maintain their highest practicable, physical, mental, and psychosocial well-being. The facility failed to: support residents' right to organize and participate in a resident group; support a residents' right to voice grievances; support residents' right to have visitors; create a system for checking the sanitizing of dishes and cookware; and ensure nurse aide competencies/evaluations are being done. Findings include: 1) On 09/12/23 at 07:58 AM an entrance interview was conducted with the Assistant Administrator. …
What else Hawaii surveyors cite →
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