Based on interview with the Administrator, the facility did not assure the governing body oversees the Administrator's management and operations of the facility. Findings include: On 09/15/23 at 01:13 PM an interview was conducted with the Administrator. Inquired who are the members of the governing body, the Administrator replied, it is mainly comprised of family members. The President is her son, the [NAME] President is her mother, the Treasurer is her husband and she is the Secretary. Also, her two daughters are the stake holders. Inquired how does the governing body oversee the Administrator's management of the facility. Further inquired how does she report to the governing body and the governing body hold her accountable for the operations of the facility. …
F837 citations in Hawaii
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Hawaii cites F837 more often than its own record predicts
2.86 times the share F837 takes of citations nationally.
Of every deficiency written in Hawaii in 2023, this is the portion that was F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F837 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 →
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