Maunalani Nursing & Rehab: Safety Hazards Harm Resident - HI
The patient cannot swallow food or liquids due to dysphagia and receives nutrition through a surgical opening in her stomach. She requires oxygen through a nasal tube and has a doctor's order for suctioning as needed to clear oral secretions.
When inspectors found the incomplete suction setup on August 11, Registered Nurse 3 acknowledged the equipment "was no good" without its essential components. The nurse said the suction machine should "definitely" have all parts ready because it prevents accidents.
"To prevent an accident," the nurse explained when asked why the suction equipment must be set up and ready at all times.
The facility also failed to properly train staff on mechanical lift operations. Nursing Assistant 23 had not completed required training to operate patient lifts, despite facility policy mandating "a minimum of two trained staff members for all mechanical lift transfers."
CNA Supervisor 57 confirmed the nursing assistant never signed the training checklist that staff must complete after going through lift procedures with a trainer. The supervisor could not provide any documentation showing the assistant received the required training.
Federal inspectors documented actual harm to residents from these safety failures during their August 14 complaint investigation.
The 89-year-old stroke patient was admitted for short-term rehabilitation but found herself dependent on emergency equipment that couldn't function when needed. Her suction machine lacked the rigid curved tip that connects to tubing, the canister that collects secretions, and the tubing that creates suction.
Maunalani Nursing and Rehabilitation Center disputes the citation.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Maunalani Nursing and Rehabilitation Center from 2025-08-14 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
MAUNALANI NURSING AND REHABILITATION CENTER in HONOLULU, HI was cited for violations during a health inspection on August 14, 2025.
The patient cannot swallow food or liquids due to dysphagia and receives nutrition through a surgical opening in her stomach.
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.