Based on record review and interview the facility failed to assure one of five Residents, (R) 10, reviewed for unnecessary medication, had a completed Medication Informed Consent form that was shared with the resident's representative by phone which ensured the residents representative was informed of the risks versus benefits of R10 taking psychotropic medications. The deficient practice places residents at risk of the right to be informed of treatment. Findings Include:On 06/30/2026 at 3:01 PM record review of R10's Electronic Health Record found he is taking Citalopram Hydrobromide for a mood disorder secondary to his dementia, Trazodone at bedtime for sleep, Risperidone (an antipsychotic medication) twice a day for dementia with psychosis. …
F842 citations in Hawaii
Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Hawaii cites F842 more often than its own record predicts
1.21 times the share F842 takes of citations nationally.
Of every deficiency written in Hawaii in 2025, this is the portion that was F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F842 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.
The short window
Recent years
| Year | Share of Hawaii citations | vs expected |
|---|---|---|
| 2023 | 1.90% | 1.17× |
| 2024 | 3.76% | 2.00× |
| 2025 | 2.71% | 1.21× |
Shares of citations, not counts: earlier years hold fewer inspections.
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