Oahu Care Facility

In the surveyor’s words

From the most serious findings on record at Oahu Care Facility, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 25, 2025

  Based on interviews, medical record review and document review, the facility failed to provide adequate supervision of one Resident (R)3 of three residents sampled that were high risk of elopement. R3 eloped on 02/09/2025 and suffered harm. When she was found, she was taken to the hospital where she was treated for abrasions from a fall and discharged back to the facility. The facility met the following three criteria for past non-compliance 1) Not in compliance with the regulatory requirement at the time the situation occurred; 2) The noncompliance occurred after the exit date of the last recertification and 3) There is evidence that the facility corrected the noncompliance and is in substantial compliant at the time of this survey. […]

• No harm, potential for more than minimal, widespreadF812Aug 29, 2024

  Based on observation and interview the facility failed to ensure staff use non-expired test strips for their kitchen three compartment sink to test for levels of strength of sanitizer solutions, failed to store clean meal lids on a rack that did not have rusty colored debris and failed to label opened beverages with the opened-on date. Findings Include: 1) Observation on [DATE] at 10:40 AM had kitchen staff test the strength of sanitizer in their three compartments sink and found facility was using expired Hydrion test strips with an expiration date of [DATE]. Food Service Worker (FSW) 11 confirmed the test strips were expired and got new test strips and tested the water which was in range. […]

• No harm, potential for more than minimal, widespreadF880Aug 29, 2024

  Based on observations, interviews, and record reviews, the facility failed to implement infection prevention and control measures when providing care for residents on isolation. The facility did not ensure that staff were wearing applicable personal protective equipment (PPE) when providing care to residents on transmission-based precautions (TBP). This deficient practice placed the residents at risk for the potential spread of infections and communicable diseases. Findings include: On 08/26/24 at 11:03 AM, observed postings on the door of room [ROOM NUMBER] that stated, Special Droplet/Contact Precautions. The posting also stated that eye protection, gown and gloves are required when entering the room. […]

• No harm, potential for more than minimal, widespreadF727Nov 3, 2022

  Based on observations, staff interview, and review of facility assessment, the facility failed to have a director of nursing on a full-time basis. As a result of this deficiency, there was a potential for substantial impact on the quality of care and resident outcomes. Findings include: During an observation on 10/31/22 at 09:00 AM, there was no director of nursing onsite. The Assistant Administrator (Asst Admin) was interviewed/queried and stated that the director of nursing was working only on a part-time basis and was not onsite at that time. Asst Admin further stated that the director of nursing was available on call if needed. Review of the facility assessment tool stated the following: Our Resident Profile. 1.1 Indicate the number of residents you are licensed to provide care for 82. […]

• No harm, potential for more than minimal, widespreadF882Nov 3, 2022

  Based on interview, the facility failed to ensure the designated infection preventionist (IP) responsible for the facility's Infection Prevention Control Program (IPCP) worked at least part-time at the facility. Findings include: On 11/03/22 at 11:32 AM, conducted an interview and record review of the facility's IPCP with the Assistant Administrator (AA), Nurse Supervisor (NS)2, NS3, and Temporary Administrative Nurse (TAN). TAN joined the meeting via telephone. Inquired if the facility has an individual designated as the IP with primary professional training in nursing, medical technology, microbiology, epidemiology, or other related field, that is qualified (by education, training, experience or certification), that has completed specialized training in infection control and… […]