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Care Center of Honolulu: Care Plan Failures - HI
The citation falls under the category of Resident Assessment and Care Planning Deficiencies....
Latest reports, citations, and penalties from CMS data
The citation falls under the category of Resident Assessment and Care Planning Deficiencies....
The incident surfaced during a complaint inspection completed November 21, 2025, when federal surveyors interviewed staff and reviewed facility records....
The physician's order from August 14 was clear: give one 50mg tablet by mouth nightly for depression....
Ostomy care involves managing a surgically created opening in the abdomen that allows waste to exit the body into an external pouch....
According to the inspection report completed November 20, 2025, the alleged verbal and mental abuse occurred on September 4, 2025....
The deficiency was classified at **Scope/Severity Level D**, meaning the issue was isolated in nature and did not result in documented actual harm....
The deficiency was classified at **Scope/Severity Level D**, meaning it was isolated in nature and no actual harm to residents was documented....
The F0812 regulatory tag falls under the **Nutrition and Dietary Deficiencies** category of federal nursing home regulations....
The facility reported correcting the deficiency as of **December 5, 2025**, approximately one month after the inspection....
That was one of at least six shifts between October 22 and November 5, 2025, where the facility ran short....
Federal regulations require that nursing facilities actively assist residents in scheduling and accessing appointments for vision and hearing care....
Federal inspectors cited SMP Health - St....
Resident #3 arrived at the hospital on September 5, 2025, with both patches still attached to her body....
The physician specifically ordered the sample be collected from the resident's Foley catheter tube, not from the drainage bag, to ensure accuracy....
But the abuse allegation didn't reach facility administrators until October 13....
The facility has not submitted a plan of correction for the cited violations....
By November 13, when inspectors arrived, 16 residents and 8 staff members had tested positive for COVID-19....
Federal inspectors discovered the dangerous storage violation on October 22 during a complaint investigation at the facility on North West Street....
The facility's Activity Director acknowledged the practice during an interview with inspectors on November 20....
The resident, identified in inspection records only as R1, was transferred to the facility's rehabilitation unit after a hospital stay in early August 2025....