CLARENCE TC CHING VILLAS AT ST FRANCIS

πŸ“ 2230 LILIHA STREET, hon, HI 96817 πŸ“ž 8085476000 πŸ›οΈ 119 beds

Overall Rating

⭐⭐⭐⭐⭐
5/5

Health Inspection

⭐⭐⭐⭐
4/5

Staffing

⭐⭐⭐⭐⭐
5/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

63
Total Violations
7 years of data
$26,580
Total Fines
2 penalties
7
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 1 violations

Tag 0684 D May 23, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jun 7, 2024

2023 11 violations

Tag 0550 D Dec 22, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jan 31, 2024
Tag 0641 D Dec 22, 2023

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jan 31, 2024
Tag 0657 D Dec 22, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jan 31, 2024
Tag 0689 D Dec 22, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 31, 2024
Tag 0755 D Dec 22, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jan 31, 2024
Tag 0760 D Dec 22, 2023

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jan 31, 2024
Tag 0761 D Dec 22, 2023

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Jan 31, 2024
Tag 0803 D Dec 22, 2023

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

βœ“ Corrected: Jan 31, 2024
Tag 0880 D Dec 22, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 31, 2024
Tag 0883 D Dec 22, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Jan 31, 2024
Tag 0921 D Dec 22, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Jan 31, 2024

2022 8 violations

Tag 0623 D Dec 9, 2022

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Dec 27, 2022
Tag 0656 D Dec 9, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Dec 27, 2022
Tag 0684 D Dec 9, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Dec 27, 2022
Tag 0693 D Dec 9, 2022

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

βœ“ Corrected: Dec 27, 2022
Tag 0760 D Dec 9, 2022

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Dec 27, 2022
Tag 0761 D Dec 9, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Dec 27, 2022
Tag 0610 D Oct 13, 2022

Respond appropriately to all alleged violations.

βœ“ Corrected: Nov 11, 2022
Tag 0726 G Oct 13, 2022

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: Nov 4, 2022

2021 18 violations

Tag 0550 D Dec 3, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jan 15, 2022
Tag 0578 D Dec 3, 2021

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Jan 15, 2022
Tag 0584 D Dec 3, 2021

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Jan 15, 2022
Tag 0655 D Dec 3, 2021

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Jan 15, 2022
Tag 0656 D Dec 3, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jan 15, 2022
Tag 0679 D Dec 3, 2021

Provide activities to meet all resident's needs.

βœ“ Corrected: Jan 15, 2022
Tag 0684 D Dec 3, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jan 15, 2022
Tag 0689 D Dec 3, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 15, 2022
Tag 0697 D Dec 3, 2021

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Jan 15, 2022
Tag 0725 E Dec 3, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Jan 15, 2022
Tag 0758 D Dec 3, 2021

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jan 15, 2022
Tag 0761 D Dec 3, 2021

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Jan 15, 2022
Tag 0838 C Dec 3, 2021

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

βœ“ Corrected: Jan 15, 2022
Tag 0880 E Dec 3, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 15, 2022
Tag 0917 D Dec 3, 2021

Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

βœ“ Corrected: Jan 15, 2022
Tag 0623 E Sep 24, 2021

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Nov 8, 2021
Tag 0656 D Sep 24, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Nov 8, 2021
Tag 0660 D Sep 24, 2021

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Nov 8, 2021

2020 16 violations

Tag 0655 D Jul 2, 2020

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Aug 2, 2020
Tag 0656 D Jul 2, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Aug 2, 2020
Tag 0660 D Jul 2, 2020

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Aug 2, 2020
Tag 0684 E Jul 2, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Aug 2, 2020
Tag 0697 D Jul 2, 2020

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Aug 2, 2020
Tag 0757 D Jul 2, 2020

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Aug 2, 2020
Tag 0554 D Jan 27, 2020

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Apr 17, 2020
Tag 0584 D Jan 27, 2020

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Apr 17, 2020
Tag 0585 D Jan 27, 2020

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Apr 17, 2020
Tag 0604 D Jan 27, 2020

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Apr 17, 2020
Tag 0656 D Jan 27, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Apr 17, 2020
Tag 0677 D Jan 27, 2020

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Apr 17, 2020
Tag 0689 D Jan 27, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Apr 17, 2020
Tag 0755 D Jan 27, 2020

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Apr 17, 2020
Tag 0842 D Jan 27, 2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Apr 17, 2020
Tag 0880 D Jan 27, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 17, 2020

2018 5 violations

Tag 0558 D Nov 2, 2018

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Dec 28, 2018
Tag 0578 E Nov 2, 2018

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Dec 28, 2018
Tag 0686 G Nov 2, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Dec 28, 2018
Tag 0700 D Nov 2, 2018

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

βœ“ Corrected: Dec 28, 2018
Tag 0921 D Nov 2, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Dec 28, 2018

2017 4 violations

Tag 0246 D Nov 17, 2017

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Aug 3, 2018
Tag 0279 D Nov 17, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Aug 3, 2018
Tag 0323 D Nov 17, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Aug 3, 2018
Tag 0329 D Nov 17, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Aug 3, 2018

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $11,408

$11,408
Fine
October 13, 2022
Average: $11,408 | Range: $11,408 - $11,408

2018 1 penalties totaling $15,172

$15,172
Fine
November 2, 2018
Average: $15,172 | Range: $15,172 - $15,172

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

May 23, 2024
0.00

Health

December 22, 2023
0.00

Health

December 9, 2022
0.00

Health

October 13, 2022
0.00

Health

December 3, 2021
0.00

Health

September 24, 2021
0.00

Health

January 27, 2020
0.00

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Ownership Information

For profit - Limited Liability company
Independent (Not part of a chain)
125064
125064
8085476000
Honolulu

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual