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Complaint Investigation

Hilo Benioff Medical Center

February 7, 2025 · Hilo, HI · 1190 Waianuenue Avenue
Citations 1
CMS Rating 4/5
Beds 52
Provider ID 125002
Healthcare Facility
Hilo Benioff Medical Center
Hilo, HI  ·  View full profile →
Inspection Summary

HILO BENIOFF MEDICAL CENTER in HILO, HI — inspection on February 7, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF943
Minimal harm or altercation. Facility deemed altercation was substantiated as there were witnesses present at the time. Some room. On 01/28/25 at 08:00 AM, attempted to interview R44 at breakfast. R44 was visited at bedside. She affected

Review of the quarterly Minimum Data Set (MDS) with assessment reference date of 11/12/24 notes R44 is cognitively intact, scored a 15 on the Brief Interview for Mental Status (BIMS).

A review of Section D.

Mood, the mood interview was conducted, R44 noted with the presence of the following mood symptoms: little interest or pleasure in doing things; feeling down, depressed, or hopeless, trouble falling or staying asleep or sleeping too much; poor appetite; feeling bad about yourself or that you are a failure or have let yourself or family down; and moving or speaking so slowly that other people could have noticed. R44 was not coded for exhibiting behaviors during the assessment period.

R44 was seen by the psychologist on 10/17/24.

The psychologist notes R44 tends to become agitated, and hoards (mostly food). R44 reportedly not on psychotropic or have psychiatric history.

The recommendation/plan is to continue standard behavioral oversight and interventions to provide resident time to settle into her new placement.

Review of the care plan for behavioral symptoms noted the following interventions, I can be impatient and have history of changing my own briefs while in my bed/room, remind to use call light and educate me on the importance of being patient and the risks of changing my own brief.

Following the incident, the care plan was revised (09/26/24) to include, please ensure that I am not seated near resident in E2 (R33) during meals, as I think she stole food from me which made me upset.

R33 was admitted to the facility on [DATE], diagnoses include but not limited to vascular dementia with behavioral disturbance, acute subdural hematoma, and insomnia.

A review of the quarterly MDS with ARD of 12/10/24 notes, R33 scored a three (severe cognitive impairment) upon application of the BIMS. R33 noted with no mood or behavioral symptoms.

On 01/27/25 at 01:09 PM interviewed R33 in her room. R33 was unable to recall any incident(s) with fell ow residents.

125002

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 125002 B.

Wing 02/07/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Hilo Benioff Medical Center 1190 Waianuenue Avenue Hilo, HI 96720

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HILO, HI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from HILO BENIOFF MEDICAL CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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