Nuuanu Hale: Bed-Hold Notice Failure After Transfer - HI
Federal inspectors reviewed the closed record for Resident 69 on February 5, 2025. What they found was a bed-hold agreement form with one section filled out and another left blank. The form acknowledged that oral notification had been provided. The section for written notification had nothing in it.
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See the Derila PillowA progress note from January 2, 2025, told part of the story. Social Services received a call from the resident's sister, who held power of attorney, informing the facility that the resident and family were unable to pay to hold the bed. That call happened. The written notice that should have preceded it, or at minimum accompanied it, did not exist in the record.
The Social Services Director, interviewed in her office the same afternoon inspectors pulled the file, said the bed-hold agreement had been mailed to the resident's representative. The representative never sent it back. The director confirmed that documentation of written notification should have been entered into the progress notes. It was not done.
That explanation raises more questions than it answers. A mailed form with no tracking, no follow-up entry, no confirmation in the chart — and a family that called to say they could not afford to keep the bed — means there is no way to verify the resident or their representative ever received the written notice at all. The form sitting unsigned somewhere, or never arriving, produces the same result: a resident transferred to a hospital with no documented assurance of a place to return.
Bed-hold notification is not a bureaucratic formality. When a long-term care resident is hospitalized, the question of whether their room will be there when they are discharged is immediate and consequential. A resident who does not know they have the right to hold a bed, or what that costs, cannot make an informed decision. A family managing a medical crisis and suddenly fielding a call about whether they can afford to pay for an empty room deserves to have received that information in writing before the question became urgent.
In this case, the family said they could not pay. Whether that decision would have been different with earlier, documented written notice is unknown. What is known is that the facility could not show it had given them the chance to make that choice with full information in hand.
Inspectors rated the violation at minimal harm or potential for actual harm, and noted it affected few residents, with one resident reviewed. The Social Services Director did not dispute the finding.
Nuuanu Hale is located at 2900 Pali Highway in Honolulu. The inspection was completed February 6, 2025.
The resident's sister called the facility to say the family could not hold the bed. Whether she ever received the written notice that was supposed to arrive before that call is a question the record cannot answer.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Nuuanu Hale from 2025-02-06 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
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Last verified: November 14, 2026 · Our methodology
NUUANU HALE in HONOLULU, HI was cited for violations during a health inspection on February 6, 2025.
Federal inspectors reviewed the closed record for Resident 69 on February 5, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.