Hale Nani Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Hale Nani Rehabilitation and Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 25, 2025

  Based on observation, interview, and record review, the facility failed to protect the residents' right to be free from abuse, specifically resident-to-resident physical abuse, for 9 of 9 residents (Residents (R)10, R7, R8, R3, R1, R2, R4, R5, and R6) sampled for this type of abuse. The facility failed to provide sufficient protection to prevent resident-to- resident abuse from occurring or recurring once aware of aggressive behaviors. As a result of this deficient practice, at least one resident (R10) sustained physical injuries and experienced pain related to those injuries. […]

• Actual harm, isolatedF689Jun 21, 2021

  Based on record review and interview, the facility failed to ensure that the facility was free of accident hazards and failed to provide adequate supervision for fall precautions for two residents, R406 and R224. This deficient practice has the potential to affect all residents in the facility. Findings include: 1) On [DATE] at 03:00 PM, surveyor reviewed R406's discharge summary from an acute care hospital dated [DATE]. R406 is an [AGE] year old male with prior medical history of dementia. R406 experienced an unwitnessed fall on [DATE] at facility. The fall resulted in a skin laceration to back of his head with uncontrolled bleeding. R406 received five surgical staples to the back of his head. […]

• No harm, potential for more than minimal, widespreadF725Nov 19, 2025

  Based on observation, interview, and record review, the facility failed to ensure there was sufficient nursing staff to provide nursing and related services to meet the residents' needs safely for 6 of 9 residents (Residents 1, 2, 3, 4, 7, and 8), and 4 of 7 floors sampled. Specifically, residents were not receiving their showers or restorative nursing services as scheduled, residents were not being transferred by mechanical lift per the facility policy and protocol for safety, and a resident requiring an around-the-clock one-to-one (1:1) sitter did not consistently have one. […]

• No harm, potential for more than minimal, widespreadF732Nov 19, 2025

  Based on observation, interview, and record review, the facility failed to ensure its nurse staffing information was posted in a prominent place readily accessible to all residents. In addition, the facility failed to ensure the staff information that was posted met the data requirements, specifically, facility name, resident census, and the total number and actual hours worked by licensed and unlicensed staff. Findings include:On 11/17/25 at 11:53 AM, observations made on the ground floor of the main building noted a staff assignment posting on the table at the main entrance, and a copy posted near the time clock. Review of the staff posting noted it did not include the facility name, resident census, or the total number and actual hours worked by licensed and unlicensed staff. […]

• No harm, potential for more than minimal, widespreadF838Nov 19, 2025

  Based on interview and review of the current Facility Assessment, the facility failed to review and update the assessment when there was a change to a six-hour Certified Nurse Aide (CNA) shift schedule on 11/02/25. As a result of this deficient practice, the assessment did not reflect that the facility assessed how many CNAs were needed on each shift to safely care for the needs of the residents.Findings include:On 11/17/25 at 06:15 AM, a memo posted on the wall by the main building time clock was reviewed. […]