Maunalani Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few Note: The nursing home is disputing this citation.
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) Resident R1 is an [AGE] year-old female admitted to the facility on [DATE REDACTED] 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 Resident R1. Resident 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 Resident 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 Resident 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.”
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
MAUNALANI NURSING AND REHABILITATION CENTER in HONOLULU, HI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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.