The Care Center of Honolulu: Infection Control Failures - HI
That detail emerged during a Christmas Eve inspection, when a federal surveyor walked through the facility's water management program and found it couldn't support the paperwork backing it up.
The manager identified the rooms farthest from the water supply, numbers in the 200s, as the highest risk points for waterborne pathogens, with the ice machines ranking second. What he couldn't show was that the facility had ever done a formal risk assessment to reach those conclusions. The water management plan had no record of one.
The documentation he provided raised more questions than it answered. Temperature logs for the two rooftop water heaters recorded readings once a week, but the logs listed no acceptable temperature range. Staff marked entries as "Within Range" with a yes or no, with no policy defining what range they were checking against.
For the ice machines, quarterly maintenance was scheduled through an internal system, and a preprinted form guided staff through the steps. One of those steps instructed workers to sanitize the interior "per manufacturer's instructions," without saying what that meant or what the manufacturer actually required. One form covered both machines.
Housekeeping staff running water in resident rooms daily was described as part of the water management plan. The checklist used to document that work was a CDC tool designed for tracking high-touch surface cleaning, not water safety.
The facility's method for monitoring overall water quality was an annual report from the Honolulu Board of Water Supply. The revised plan the facility had drafted called for chlorine residual testing twice a year. That measure wasn't in the current plan at all.
The administrator, interviewed the same morning, confirmed the facility had recently hired a consultant to conduct a full building risk assessment and help rebuild the water management program from scratch. She acknowledged the existing plan was missing essential elements. The revised version was still waiting for committee approval.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Care Center of Honolulu from 2025-12-24 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
THE CARE CENTER OF HONOLULU in HONOLULU, HI was cited for violations during a health inspection on December 24, 2025.
What he couldn't show was that the facility had ever done a formal risk assessment to reach those conclusions.
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.