Hi'olani Care Center at Kahala Nui

In the surveyor’s words

From the most serious findings on record at Hi'olani Care Center at Kahala Nui, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 27, 2024

  Based on observations and interviews the facility failed to dispose of food items that have passed the use by date, failed to assure food items were stored in accordance with professional standards, failed to test temperatures of all food on the trayline and stored clean pots and pans on a rack that had rusty colored debris. This deficient practice puts all the residents and staff at risk for foodborne illnessess. Findings Include: 1) On [DATE] at 08:30 AM an initial tour of kitchen was done with dietician and Head Chef (HC). The following food items were found in the kitchen: expired chicken base found with a use by date of [DATE], pork with a prep date of ,d+[DATE] but no use by date, three containers of cooked pork in metal containers with use by date of [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Aug 10, 2023

  Based on observations, interviews, and record reviews, the facility failed to ensure food items were stored under sanitary conditions and the sanitizing solution was at the appropriate concentration for the three compartments sink. Findings include: On 08/08/23 at 08:05 AM an initial tour of the kitchen was done with Registered Dietitian (RD). In the walk-in refrigerator observed food items were stored without a cover: tray of cooked salmon, one pie atop clear wrap of a metal container, and metal container of cooked pearl onions (labeled as prepared on 08/07/23). […]

• No harm, potential for more than minimal, widespreadF656Sep 23, 2022

  Based on observations, interviews, and record reviews, the facility failed to ensure comprehensive person-centered care plans were developed and/or implemented for one (1) resident, (Resident (R)2), of eight (8) residents sampled. As a result of this deficiency, resident is at risk to not achieve their highest quality of life. This has the potential to affect all residents in the facility. Findings include: On 09/20/22 at 10:18 AM, conducted an observation of R2 in the resident's room seated in a wheelchair with a towel roll in the resident's left hand (appeared to have contracture), a large towel under her left arm (near the underarm), and holding the call light cord between her thumb and pointer finger with her right hand. […]

• No harm, potential for more than minimal, widespreadF812Sep 23, 2022

  Based on observations and staff interview, the facility failed to properly store and discard expired food from the walk-in refrigerator. As a result of this deficiency, the facility put all the residents at risk for foodborne illness. Findings include: During a walk-through tour of the kitchen on [DATE] at 09:00 AM, the following foods had Use by dates that have already past which indicated that the foods were expired and should have been discarded. 1. One container of Cole Slaw with Use By date of [DATE] at 12:00 PM, 2. One container of Carrots with a Use By date of [DATE] at 10:29 AM, 3. […]

• No harm, potential for more than minimal, widespreadF800Oct 7, 2021

  Based on observations, staff interview, and record review, the facility failed to prepare and serve cold food at appropriate temperatures as it relates to food safety requirements. The deficient practice has the potential to place residents residing in the facility at risk for foodborne illness. Foods not held at appropriate temperatures may promote the growth of pathogens that cause foodborne illness. Findings Include: During an observation on 10/07/21 at 11:42 a.m., five cartons of thickened juice were half submerged in a plastic bin of ice in the resident dining room. The ice in the bin was half melted. The Dietary Supervisor (DS) performed temperature checks of the thickened cranberry juice and thickened apple juice at the request of the surveyor. […]