| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 6% |
| Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 90+% |
| Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: 27% |
| Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: 0% |
| Percent of Long Term Nursing Home Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 5% |
| Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: 12% |
| Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: 4% |
| Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 90+% |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 10% |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 33% |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 24% |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 13% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information. |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 90+% |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 89% |
| Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 21% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 90+% |
| Percent of Short Term Nursing Home Residents With Delirium: 4% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 14% |
Nursing Home Violations by Wahiawa General Hospital
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Administration Deficiencies |
04/02/2004 |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
04/02/2004 |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
04/02/2004 |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
04/02/2004 |
Properly mark drugs and other similar products. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/02/2004 |
Provide activities to meet the needs of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/02/2004 |
Give or get dental care for each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
04/02/2004 |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
04/02/2004 |
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
08/26/2005 |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
08/26/2005 |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
08/26/2005 |
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 |
| Pharmacy Service Deficiencies |
08/26/2005 |
At least once a month, have a licensed pharmacist check the drugs that each resident takes. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
08/26/2005 |
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
08/26/2005 |
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
08/26/2005 |
Check and update (if needed) each resident's assessment every 3 months. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
08/26/2005 |
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 |
08/26/2005 |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
08/26/2005 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
08/26/2005 |
Give enough notice to the resident before changing the resident's room or roommate. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/08/2006 |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/08/2006 |
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. |
Pattern |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
09/08/2006 |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
09/08/2006 |
Store, cook, and give out food in a safe and clean way. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
09/08/2006 |
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 |
09/08/2006 |
Provide activities to meet the needs of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
09/08/2006 |
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 |
09/08/2006 |
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 |
09/08/2006 |
Give the right treatment and services to residents who have mental or social problems adjusting. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
09/08/2006 |
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 Assessment Deficiencies |
09/08/2006 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Fire Alarm Systems Deficiencies |
09/07/2006 |
a properly located automatic smoke detector system in all hallways. |
Pattern |
Minimal harm or potential for actual harm |
| Vertical Openings Deficiencies |
09/07/2006 |
exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors. |
Pattern |
Minimal harm or potential for actual harm |
