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Health Inspection

Maunalani Nursing And Rehabilitation Center

August 29, 2024 · Honolulu, HI · 5113 Maunalani Circle
Citations 2
CMS Rating 5/5
Beds 100
Provider ID 125013
Healthcare Facility
Maunalani Nursing And Rehabilitation Center
Honolulu, HI  ·  View full profile →
Inspection Summary

MAUNALANI NURSING AND REHABILITATION CENTER in HONOLULU, HI — inspection on August 29, 2024.

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.

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Inspection Findings

FF641
Minimal harm or now has two ulcers on her buttocks. The left buttock was moisture associated skin damage (MASD) on Few 30 minutes. The orders vary if it changes. She is being turned every two hours. affected

Observation and interview with R2 in her room on 08/27/24 at 09:42 AM.

Head of bed is up at a 45-degree angle, and she is on her back center.

When asked if R2 has a sore on her back or her bottom, she said, something is there.

When asked if she has a wound or a dressing, she said yes, they are taking care of it.

The nurses are coming in to do change it.

Observed R2 in the activity room on 08/27/24 at 03:30 PM Sitting up in her wheelchair with a Bingo card on the table with pieces on it.

08/28/24 11:31 AM observed sleeping in her bed with the head of bed up 45 degrees.

She was laying on her back center.

125013

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 125013 B.

Wing 08/29/2024

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

Maunalani Nursing and Rehabilitation Center 5113 Maunalani Circle Honolulu, HI 96816

Review of the Minimum Data Set (MDS) quarterly review 07/12/24. R2 is cognitively intact with impairment on bilateral upper and lower extremities and dependent on staff for self-care and mobility. R2 is coded with having a stage three pressure ulcer that was present on admission.

Interview and concurrent record review with the Director of Nursing (DON) on 08/29/24 at 12:58 PM.

The DON confirmed that R2's pressure ulcers were facility acquired and said that the coding in the MDS is incorrect and will need to be updated.

125013

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 125013 B.

Wing 08/29/2024

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

Maunalani Nursing and Rehabilitation Center 5113 Maunalani Circle Honolulu, HI 96816

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 HONOLULU, 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 MAUNALANI NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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