F880 in Hawaii. Pick another state for the same tag.
Against expectation — 2025
Hawaii cites F880 more often than its own record predicts
Versus expected share1.10×
1.10 times the share F880 takes of citations nationally.
Share of Hawaii citations6.78%
Of every deficiency written in Hawaii in 2025, this is the portion that was F880.
Hawaii6.78%
National6.19%
Share of all citations that were F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F880 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.
J · Immediate jeopardy, isolatedMay 22, 2023
On survey entry, a request was made for a copy of the facility specific Infection Prevention Control Plan (IPCP) and surveillance policy within one hour. The surveillance policy was provided at the end of day three after a conference call with Corporate regarding an Immediate Jeopardy. The IPCP, review date 09/2022, was included with abatement documents on survey day four, 05/22/2023. Based on observations, interviews and document review, the facility failed to ensure staff were familiar with and aware the written facility specific IPCP and surveillance policy existed. …
D · No harm, potential for more than minimal, isolatedJuly 2, 2026
Based on observations, interviews and record review, the facility failed to implement infection control policy related to Enhanced Barrier Precautions (EBP) for one of three residents sampled for skin conditions. The facility did not place Resident (R)48) on EBP who had a wound with cellulitis (a bacterial infection affecting deeper layer of skin) on his left lower leg. This deficient practice places the other residents in the facility at an increased risk of infection. Findings include:R48 was a [AGE] year-old resident admitted to the facility on [DATE] for short-term rehabilitation services. Diagnoses included but not limited to cervical (neck bone) fracture following a recent fall at home, diabetes and history of alcohol abuse. …
C · No harm, potential for minimal, widespreadSeptember 27, 2018
Based on interview and record review, the facility failed to ensure a review of its Infection Control Policies and Procedures was conducted at least annually. This deficient practice had the potential to affect all 78 residents.
Findings include:
Review of the facility's Infection Control Policy indicated the title page of the three-ring binder stated, (Name of facility) Infection Control Manual (YEAR). The next page titled, Preface - Infection Control Manual had a copyright footer that read, (Vendor name) Health Services, Inc . Infection Control Manual (YEAR).
In an interview on 09/27/18 at 12:36 PM, the Director of Nursing stated, (Vendor name) came from mainland in (YEAR) to do our infection control policies. …
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