Honoka'a Hospital & Skilled Nursing

In the surveyor’s words

From the most serious findings on record at Honoka'a Hospital & Skilled Nursing, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 15, 2023

  Based on observation, interview and record review, the facility failed to assure the protection and freedom from sexual abuse of resident (R)1 who encountered several events of inappropriate touching and invasion of resident's privacy/room was witnessed by staff members on several occasions. Although suspicion of inappropriate sexual activity was perceived by staff, effective reporting and immediate action was not taken by the facility. This deficient practice has the potential to affect other vulnerable residents in the facility. Findings include. R1 was admitted to the facility on [DATE]. R1 has a diagnosis of advanced Alzheimer's dementia. […]

• No harm, potential for more than minimal, widespreadF812Nov 22, 2024

  Based on observation and staff interview, the facility failed to record hot water temperatures for manual washing of dishes/pots/pans and failed to completely record hot water temperatures for the dishwashing machine. Findings include: During observation of the kitchen on 11/19/24 at 10:25 AM, there were two different dishwashing sections; manual washing and dishwashing with machine. Review of hot water temperature logs showed no recording log for the manual washing, and missing temperature logs for the dishwashing machine. During staff interview on 11/21/24 at 08:20 AM, Kitchen Staff 1 revealed that the facility did not have temperature logs for manual washing and acknowledged that there were missing temperature logs for the dishwashing machine. […]

• No harm, potential for more than minimal, widespreadF585Jun 1, 2021

  Based on observations, interviews and record reviews, the facility failed to ensure the resident's right to voice grievances to the facility or other agency/entity that hears grievances. Residents were unaware of how to file a grievance/complaint and the contact information of independent entities (pertinent State agency, Quality Improvement Organization, State Survey Agency and State Long-Term Care Ombudsman program or protection and advocacy system) with whom grievances may be filed was not made available to all residents. As a result of this deficiency, residents are at risk for negative psychosocial impacts on their quality of life. […]

• No harm, potential for more than minimal, patternF880Dec 8, 2023

  Based on observations, interviews, and record reviews, the facility failed to implement the facility's infection prevention and control measures. Facility did not ensure that staff were wearing applicable personal protective equipment (PPE) when providing care to two residents (Resident (R) 41 and 12) on Transmission Based Precautions (TBP). This deficient practice placed the residents at risk for the potential spread of infections and communicable diseases. Findings include: 1) On 12/06/23 at 08:56 AM, observed signage next to R41's door indicating she was on Droplet Plus Precautions. R41 was sitting in a wheelchair with her breakfast tray on a table in front of her. R41 was not wearing a mask and was telling the staff that she wanted to come out of her room. […]

• No harm, potential for more than minimal, patternF550Jun 1, 2021

  Based on observation, interview, and record review (RR), the facility failed to protect and promote quality of life for four residents (R)30, R50, R27, and R22, by ensuring that they were treated with respect and dignity. As a result of this deficient practice, these residents have experienced embarrassment, ridicule, sadness, frustration, and defeat, and have been prevented from attaining their highest practicable well-being. This deficient practice has the potential to affect all residents in the facility. Findings include: 1) R30 was a [AGE] year-old male admitted on [DATE] for long-term care with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Since his admission, R30 had been isolated in a single room in the facility, leaving his room only to attend outside doctor appointments. […]