F867 in Hawaii. Pick another state for the same tag.
Against expectation — 2025
Hawaii cites F867 more often than its own record predicts
Versus expected share1.03×
1.03 times the share F867 takes of citations nationally.
Share of Hawaii citations0.34%
Of every deficiency written in Hawaii in 2025, this is the portion that was F867.
Hawaii0.34%
National0.33%
Share of all citations that were F867.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F867 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.
D · No harm, potential for more than minimal, isolatedJune 18, 2025
Based on interviews, medical record and document review, the facility failed to systematically analyze one Resident's (R1) adverse event (fall) and two unplanned hospitalizations for altered mental status. In addition, leadership received staff feedback regarding deficient practice related to this case and did not investigate the concerns. Due to this deficiency, system and process issues were not identified and addressed to ensure the nursing care met recognized standards of practice. …
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