Based on record review and staff interview, the facility failed to inform all residents, their representatives, and families of those residing in the facility by 5:00 PM the next calendar day of a confirmed case of COVID-19 as required by regulation. Findings include: A review of the facility staff COVID-19 testing records showed a positive case on 03/20/23. During staff interview on 04/14/23 at 08:55 AM, the Infection Preventionist acknowledged that not all residents, their representatives, and resident families were notified of the confirmed case of COVID-19 by 5:00 PM the next calendar day as required by regulation.
F885 citations in Hawaii
Infection Control Deficiencies
Report COVID19 data to residents and families.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Hawaii cites F885 more often than its own record predicts
8.16 times the share F885 takes of citations nationally.
Of every deficiency written in Hawaii in 2023, this is the portion that was F885.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F885 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 →
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