Maunalani Nursing And Rehabilitation Center
MAUNALANI NURSING AND REHABILITATION CENTER in HONOLULU, HI — inspection on August 14, 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.
Inspection Findings
Review of the facility’s policy and procedure “Hoyer Lift Safe Use Policy” dated 07/28/25, documented “A minimum of two trained staff members is required for all mechanical lift transfers.” On 08/13/25 at 03:15 PM, an interview with CNA Supervisor, CNA57 was done. CNA57 was not able to provide documentation that NA23 was trained to use the mechanical lift to meet the facility’s policy requiring a minimum of two trained staff.
The facility uses a checklist that the CNA or NA orientee signs after a trainer goes over what is included in the checklist and CNA57 confirmed NA23 did not sign it. 2) R1 is an [AGE] year-old female admitted to the facility on [DATE] for short-term rehabilitation.
Her admitting diagnoses include, but are not limited to, a history of stroke, gastrostomy (a surgical opening into the stomach for the introduction of nutrition and/or medication), and dysphagia (difficulty swallowing foods or liquids).
On 08/11/25 at 11:47 AM, observations were made at the bedside of R1. R1 was lying in bed sleeping connected to oxygen via nasal cannula (indicating respiratory issues), with a suction machine at the bedside without any suction tubing, suction canister, or yankauer (rigid, curved, suction tip connected to suction tubing).
On 08/11/25 at 11:51 AM, an interview was done with Registered Nurse (RN) 3. RN3 validated that due to R1’s dysphagia, she is to have nothing by mouth, however the suction machine is kept at the bedside “just in case it is needed.” RN3 agreed that the suction machine at the bedside was no good without the suction canister, suction tubing, and yankauer, stating, it should definitely be there.
During a concurrent review of R1’s physician orders, the following order was revealed: Suction PRN [as needed] for oral secretions.
When asked why it was important to have the suction machine set-up and ready to use at any time, RN3 answered “to prevent an accident.”
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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.