Based on observations, interview, and record review, the facility failed to conduct COVID-19 testing correctly on staff being screened during a COVID-19 outbreak. This deficient practice has the potential to transmit the COVID-19 virus affecting the health and safety of residents, staff, and visitors. Finding includes: On 03/28/23 at 1:02 PM, observations were made of Registered Nurse (RN)1 conducting staff COVID-19 testing to manage an outbreak at the facility. RN1 wore a gown, gloves, face shield, and mask. Staff (S)1 wore a face mask, took off her mask, and did not hand hygiene after touching her mask. S1 swabbed both nostrils, and placed the swab unto the COVID-19 testing card and closed it. S1 did not hand hygiene after touching the COVID-19 testing card. …
F886 citations in Hawaii
Infection Control Deficiencies
Perform COVID19 testing on residents and staff.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Hawaii cites F886 more often than its own record predicts
5.35 times the share F886 takes of citations nationally.
Of every deficiency written in Hawaii in 2023, this is the portion that was F886.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F886 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 →
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