Deficiency Index

Hale Anuenue Restorative Care

Hilo, Hawaii · CCN 125045

15 surveys since 2010. The first finding at harm level was recorded in 2019.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
95
Surveys
15
Harm or worse
6
Immediate jeopardy
0
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse6

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file11/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Limited Liability company
Chain
LIFE CARE CENTERS OF AMERICA
County
Hawaii · rural
Medicare-certified since
1996

CMS ratings

Overall
4
Health inspection
2
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 25 for-profit facilities in Hawaii.

Last survey on record

Feb 2, 2024

1,011 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.604.18
Registered-nurse hours per resident day1.17—
Annual nurse turnover16.2%38.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG27.1%H—I—
No harm, potential for more than minimalD1760.7%E517.9%F414.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 28 of the 95 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F7252×

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  • F8802×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at Hale Anuenue Restorative Care, in the surveyor’s own words.

  • Actual harm, isolatedF684Aug 4, 2022

    Based on staff interviews, and record review, the facility did not ensure a resident received care to maintain her highest practicable dental well-being. There was no documentation routine dental care was provided by a Dentist between March 2017 to January 2021 and from January 2021 to July 2022. Also, R1's recent oral assessment was inaccurate. Due to poor oral care, Resident (R)1 requires oral surgery under sedation to extract remaining lower six teeth which is not being recommended due to the risk (advanced age). Findings include: Cross Reference to F641 and F791. On 08/02/22 at 02:49 PM an interview was conducted with R1's son. R1 reported his mother requires a referral to an oral surgeon for sedation to complete teeth extractions. […]

  • Actual harm, isolatedF600Jul 16, 2021

    Based on observations, staff interviews, and record review, the facility failed to ensure a resident's right to be free from neglect. The facility did not assure Resident (R)10 was provided the care to address positioning needs and as a result of this deficiency, R10 experienced psychosocial harm and an increased potential for physical harm. Findings Include: Cross Reference to F656 Development/Implement Comprehensive Person-Centered Care Plan and F725 Sufficient Nursing Staff R10 had a stroke and was admitted to the facility on [DATE]. R10's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

  • Actual harm, isolatedF689Jul 16, 2021

    Based on observation, interviews and record reviews, the facility failed to protect three residents, R103, R302 and R39, from falls while residing at the facility. R103 and R302 had sustained major injuries after their falls and R39 continues to suffer from falls. The deficient practice resulted in the decline and expiration of R103; R302 was transferred to acute care and R36 could potentially suffer from a major injury if he continues to have falls in the facility. Findings Include: 1) Surveyor reviewed the electronic medical record (EMR) on [DATE] at 03:14 PM. The event completed report dated [DATE] stated that R103 was found on the floor lying next to her bed. The nursing assessment noted that she had swelling to her right shoulder. […]

  • No harm, potential for more than minimal, widespreadF812Feb 28, 2025

    Based on observation, record review and interview the facility failed to assure staff were cleaning the kitchen ice machine to prevent any growth of infectious organisms on a regular basis. The facility failed to assure staff were documenting the kitchen dishwasher was reaching the 120 degrees Fahrenheit (F) for the wash cycle observed and documented each meal, breakfast, lunch and dinner. The deficient practice puts all residents and staff at risk for exposure to infectious organisms who are provided with ice or meals from the kitchen. Findings include: On 02/25/25 at 10:55 am during initial tour with Food Service Director (FSD) observed the ice machine in the kitchen. Opened the top of the ice machine and observed it had dark gray to black debris on the upper inside of the ice machine. […]

  • No harm, potential for more than minimal, widespreadF725Feb 2, 2024

    Based on observation, record review, and interview, the facility failed to ensure there was sufficient nursing staff to provide nursing and related services to meet the residents' needs safely and in a manner that promotes each resident's rights, in addition to their physical, mental, and psychosocial well-being. As a result of this deficient practice, the residents experienced a decreased quality of life and were unable to attain their highest practicable well-being. Findings include: 1) On 01/30/24 at 01:43 PM interviewed AR4 in his/her room. Inquired if there are enough staff to provide care for him/her. AR4 reported there are not enough staff, they are so short staffed, and he/she made a note to the social worker regarding this. […]

Read 26 findings in full →The most serious and the most recent: 26 of 95 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 28, 2025Standard6 findings
  • Feb 2, 2024Standard12 findings
  • Aug 8, 2023Complaint3 findings
  • Mar 23, 2023Complaint3 findings
  • Dec 2, 2022Standard and complaint4 findings
  • Aug 4, 2022Complaint3 findings · 1 harm
  • Jul 16, 2021Standard9 findings · 2 harm
  • Mar 6, 2020Standard13 findings · 1 harm
Show the 7 earlier surveys
  • Feb 4, 2019Standard7 findings · 2 harm
  • May 4, 2018Standard6 findings
  • Dec 9, 2016Standard3 findings
  • Oct 9, 2015Standard3 findings
  • Oct 3, 2014Standard4 findings
  • Aug 24, 2012—9 findings
  • Dec 9, 2010—10 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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