Deficiency Index

Islands Hospice, Inc

Honolulu, Hawaii · CCN 121509

820 Mililani Street Suite #400

17 federal deficiencies across 2 surveys, November 18, 2021 to January 10, 2025.

Deficiencies17

Excludes the inspector’s preamble, which is not a finding

Surveys2

Federal surveys with at least one deficiency

Condition-level0

Findings against a Condition of Participation — a compliance grade, not a measure of harm

What level the findings sit at

Standard-level17100.0%
A requirement within a Condition of Participation. The Condition itself was not cited.

These are compliance grades, not harm grades: how deep in the regulation a finding sits, not whether anyone was harmed.

Who conducted the surveys

ACHC.

Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.

Most-cited requirements

Survey record

Federal surveys of Islands Hospice, Inc
SurveyTypeDeficienciesCondition-level
Jan 10, 2025Reaccreditation11—
Nov 18, 2021Initial with CCN6—

In the inspector’s words

The complete written findings for this hospice, in the inspector’s own words.

Read all 17 findings in full →

Hospice findings published by CMS on QCOR, covering surveys from November 18, 2021 to January 10, 2025. The inspectors’ written findings come from a single CMS survey-report extract.

Federal survey findings only. State licensure findings for hospices are not shown.

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