St Francis Hospice
Honolulu, Hawaii · CCN 121500
24 Puiwa Road - In Patient Unit
39 federal deficiencies across 5 surveys, April 7, 2022 to October 28, 2022.
Excludes the inspector’s preamble, which is not a finding
Federal surveys with at least one deficiency
Findings against a Condition of Participation — a compliance grade, not a measure of harm
What level the findings sit at
- Standard-level39100.0%
- 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
State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- K0293Exit Signage3
- K0353Sprinkler System - Maintenance and Testing3
- K0761Maintenance, Inspection & Testing - Doors3
- L0503Notice of Rights and Responsibilities2
- L0504Notice of Rights and Responsibilities2
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Oct 28, 2022 | Recertification | 3 | — |
| Jul 28, 2022 | Recertification | 3 | — |
| Jul 7, 2022 | Recertification | 15 | — |
| Apr 8, 2022 | Recertification | 15 | — |
| Apr 7, 2022 | Recertification | 3 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 24 findings in full →
CMS publishes written findings for 24 of the 39 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from April 7, 2022 to October 28, 2022. 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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