Based on resident/representative interviews, staff interview, record review and review of policy, the facility failed to ensure that three Residents (R)9, 54, 140 of three residents sampled understood the Binding Arbitration Agreement. As a result of this deficiency, R9, 54 and 140 did not fully understand the details of the Agreement. Findings include: Interview with R9's Family Representative on 05/14/25 at 01:30 PM, stated that he did not remember signing the Binding Arbitration Agreement and did not know what the Agreement was about. …
F847 citations in Hawaii
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Hawaii cites F847 more often than its own record predicts
2.30 times the share F847 takes of citations nationally.
Of every deficiency written in Hawaii in 2025, this is the portion that was F847.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F847 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 | 0.21% | 1.38× |
| 2024 | 0.66% | 4.02× |
| 2025 | 0.34% | 2.30× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Hawaii surveyors cite →
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