Liliha Healthcare Center
LILIHA HEALTHCARE CENTER in HONOLULU, HI — inspection on January 31, 2025.
Found 2 citations. 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.
Inspection Findings
During staff interview on 01/27/25 at 08:20 AM, Administrator (Admin) said that there was no DON and that the facility was currently looking for one.
During Quality Assurance Performance Improvement review on 01/31/25 at 01:35 PM, Admin further said that the previous DON left a few months ago and that currently other staff were covering some of the duties and responsibilities of that position.
Review of the QAPI meeting minutes for the past two months did not show a DON present.
Review of Facility Assessment read the following: Purpose, the purpose of the assessment is to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.
This assessment is to be used to make decisions about direct care staff needs, as well as capabilities to provide services to the residents in the facility ensuring that each resident is provided care that allows the resident to maintain or attain their highest practicable physical, mental and psychosocial well-being .
Part 3, Facility Resources Needed to Provide Competent Support and Care for our Resident Population Every Day and During Emergencies .
The following type of staff and other professionals provide the needed care to our resident population .
Nursing Services, we provide 24-hour nursing care.
Our nursing staff consists of a DON, ADON, MDS nurses, RN, LPN, CNA, Licensed Treatment Nurse, Treatment Nurse Assistant and Rehab Nurse Aide .
125041
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 125041 B.
Wing 01/31/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Liliha Healthcare Center 1814 Liliha Street Honolulu, HI 96817
During staff interview on 01/27/25 at 08:20 AM, Administrator (Admin) said that there was no DON and that the facility was currently looking for one.
During Quality Assurance Performance Improvement review on 01/31/25 at 01:35 PM, Admin further said that the previous DON left a few months ago and that currently other staff were covering some of the duties and responsibilities of that position.
Review of Facility Assessment read the following: Purpose, the purpose of the assessment is to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.
This assessment is to be used to make decisions about direct care staff needs, as well as capabilities to provide services to the residents in the facility ensuring that each resident is provided care that allows the resident to maintain or attain their highest practicable physical, mental and psychosocial well-being .
Part 3, Facility Resources Needed to Provide Competent Support and Care for our Resident Population Every Day and During Emergencies .
The following type of staff and other professionals provide the needed care to our resident population .
Nursing Services, we provide 24-hour nursing care.
Our nursing staff consists of a DON, ADON, MDS nurses, RN, LPN, CNA, Licensed Treatment Nurse, Treatment Nurse Assistant and Rehab Nurse Aide .
125041
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 125041 B.
Wing 01/31/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Liliha Healthcare Center 1814 Liliha Street Honolulu, HI 96817
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.