Based on observations, interviews, and record reviews, the facility failed to ensure call system equipment was within reach for three Residents (R) 87, 132, 167 of eight sampled residents sampled. The deficient practice placed residents at risk of not having emergent needs met in a timely manner and had the potential to affect all residents that rely on staff for assistance with activities of daily living. Findings include:1) R87 is a long-term care resident at the facility. Her MDS (Minimum Data Set) assessment dated [DATE] revealed her medical history included but not limited to arthritis, bipolar disorder and chronic pain. She is always incontinent of bowel and bladder, and dependent on staff of Activities of Daily Living (ADL's). On 04/28/26 at 10:30 AM conducted an interview with R87. …
F919 citations in Hawaii
Call system · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Hawaii cites F919 more often than its own record predicts
1.45 times the share F919 takes of citations nationally.
Of every deficiency written in Hawaii in 2023, this is the portion that was F919.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Hawaii surveyors wrote
F919 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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