Hilo Medical Center

Contact Information:
1190 Waianuenue Ave
Hilo, Hawaii 96720
Phone Number: (808) 974-4700

Hilo Medical Center Facility Information

Number of Certified Beds	134	Sprinkler Systems	Fully Sprinklered
Total Residents	131	Part of a Chain	Yes
Precent of Beds Occupied	98%	Located Within Hospital	Yes
Resident and Family Conseling	Resident & Family Counseling	Company Type	Government - State
Medicare/Medicaid	Participating in Medicare and Medicaid

Hilo Medical Center Nursing Home Staff

Average number of registered nurse (rn) hours per day per resident.	1.31
Average number of licensed practical or vocational nurse hours per day per nursing home resident.	0.96
Total number of hours worked by nursing staff for each resident in the nursing home.	2.27
Average number of certified nursing assistant (CNA) hours worked each week per resident.	2.33

Hilo Medical Center Resident Information

Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 8%

Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 88%

Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: 14%

Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: 8%

Percent of Long Term Nursing Home Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 9%

Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: 11%

Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: 20%

Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 84%

Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 3%

Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 22%

Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 19%

Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 6%

Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: 4%

Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 45%

Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 62%

Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 38%

Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 51%

Percent of Short Term Nursing Home Residents With Delirium: 17%

Percent of Short Term Nursing Home Residents With Pressure Sores: 17%

Nursing Home Violations by Hilo Medical Center

Health Violations:
Category:	Date:	Specific Violation:	Scope:	Level of Harm Caused:
Administration Deficiencies	12/13/2002	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm
Environmental Deficiencies	12/13/2002	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
Environmental Deficiencies	12/13/2002	Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture.	Pattern	Potential for minimal harm
Mistreatment Deficiencies	12/13/2002	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Pattern	Minimal harm or potential for actual harm
Nutrition and Dietary Deficiencies	12/13/2002	Hire enough skilled workers to carry out dietary service.	Pattern	Potential for minimal harm
Quality Care Deficiencies	12/13/2002	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	12/13/2002	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	12/13/2002	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.	Isolated	Minimal harm or potential for actual harm
Resident Rights Deficiencies	12/13/2002	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Widespread	Potential for minimal harm
Resident Rights Deficiencies	12/13/2002	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Minimal harm or potential for actual harm
Resident Rights Deficiencies	12/13/2002	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	Pattern	Minimal harm or potential for actual harm
Resident Rights Deficiencies	12/13/2002	Let each resident choose a personal doctor.	Isolated	Minimal harm or potential for actual harm
Resident Rights Deficiencies	12/13/2002	Allow residents to easily see the results of the nursing home's most recent survey.	Pattern	Potential for minimal harm
Resident Rights Deficiencies	12/13/2002	Let residents give themselves their drugs if they are able.	Isolated	Minimal harm or potential for actual harm
Environmental Deficiencies	05/27/2004	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
Environmental Deficiencies	05/27/2004	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	Pattern	Potential for minimal harm
Nutrition and Dietary Deficiencies	05/27/2004	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Isolated	Minimal harm or potential for actual harm
Nutrition and Dietary Deficiencies	05/27/2004	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
Pharmacy Service Deficiencies	05/27/2004	Provide drugs and related services needed by each resident.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	05/27/2004	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	05/27/2004	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	05/27/2004	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Pattern	Minimal harm or potential for actual harm
Resident Assessment Deficiencies	05/27/2004	Assess the resident when the resident enters the nursing home, in a timely manner.	Isolated	Minimal harm or potential for actual harm
Resident Assessment Deficiencies	05/27/2004	Do a new assessment after any major change in a resident's physical or mental health.	Isolated	Minimal harm or potential for actual harm
Resident Assessment Deficiencies	05/27/2004	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Minimal harm or potential for actual harm
Resident Assessment Deficiencies	05/27/2004	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Pattern	Minimal harm or potential for actual harm
Resident Assessment Deficiencies	05/27/2004	Keep assessments completed in the preceding 15 months in the resident's active record.	Pattern	Minimal harm or potential for actual harm
Resident Rights Deficiencies	05/27/2004	Allow residents to easily see the results of the nursing home's most recent survey.	Widespread	Potential for minimal harm
Resident Rights Deficiencies	05/27/2004	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Potential for minimal harm
Resident Rights Deficiencies	05/27/2004	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
Environmental Deficiencies	03/17/2006	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
Environmental Deficiencies	03/17/2006	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
Environmental Deficiencies	03/17/2006	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Potential for minimal harm
Mistreatment Deficiencies	03/17/2006	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm
Mistreatment Deficiencies	03/17/2006	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Isolated	Minimal harm or potential for actual harm
Nutrition and Dietary Deficiencies	03/17/2006	1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	Pattern	Minimal harm or potential for actual harm
Pharmacy Service Deficiencies	03/17/2006	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	03/17/2006	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
Quality Care Deficiencies	03/17/2006	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	03/17/2006	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	03/17/2006	Give each resident enough fluids to keep them healthy and prevent dehydration.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	03/17/2006	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	Isolated	Minimal harm or potential for actual harm
Resident Assessment Deficiencies	03/17/2006	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Minimal harm or potential for actual harm
Resident Assessment Deficiencies	03/17/2006	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
Resident Rights Deficiencies	03/17/2006	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Isolated	Minimal harm or potential for actual harm
Resident Rights Deficiencies	03/17/2006	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Minimal harm or potential for actual harm
Resident Rights Deficiencies	03/17/2006	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
Resident Rights Deficiencies	03/17/2006	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
Fire Safety Violations:
Category:	Date:	Specific Violation:	Scope:	Level of Harm Caused:

Hilo Medical Center

Hilo Medical Center Facility Information

Hilo Medical Center Nursing Home Staff

Hilo Medical Center Resident Information

Nursing Home Violations by Hilo Medical Center