Skip to main content
Complaint Investigation

Nuuanu Hale

February 27, 2026 · Honolulu, HI · 2900 Pali Highway
Citations 3
CMS Rating 2/5
Beds 75
Provider ID 125024
Healthcare Facility
Nuuanu Hale
Honolulu, HI  ·  View full profile →
Inspection Summary

NUUANU HALE in HONOLULU, HI — inspection on February 27, 2026.

Found 3 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.

Advertisement

Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies

another large bruise on R70's thigh and reported it to Licensed Practical Nurse (LPN) 3.On [DATE] at

she informed the RNA and RN10, who were assisting with care.On [DATE] at 11:29 AM, an interview

timely to ensure she and the State Agency were notified within required timeframes.

Review of the facility's abuse policy and procedure, revised on [DATE], documented An investigation is immediately conducted when there are allegations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property and shall be immediately report.Allegations that involve abuse or result in serious bodily injury shall be reported immediately, but not later than 2 hours after the allegation is made.The Administrator or designee shall be notified immediately, who will immediately initiate the report. to state agencies.

125024 02/27/2026

Nuuanu Hale 2900 Pali Highway Honolulu, HI 96817

thigh.

Bruise yellow in color.08/14/25: Bruise to L hip and L thigh fading.

Bruise is currently yellow in

size, and shape, the initial appearance, or date of resolution. On 02/26/26 at 11:59 AM, interviews

complete proper weekly skin assessments, which should have included the bruise.

The IP stated that if a new skin issue is identified, staff should immediately perform a full skin assessment and initiate a RMC Injury/Integumentary Alteration event, requiring documentation of description and type of injury, location and size, pain, activity during discovery, who was notified, and nursing notes/monitoring.

The IP and Administrator confirmed RN10 should not have assumed an assessment had been completed and should have reviewed R70's chart to ensure the injury was assessed and reported.

They also confirmed the event report initiated by LPN3 was not the correct form and did not include a complete assessment of the bruise.

125024 02/27/2026

Nuuanu Hale 2900 Pali Highway Honolulu, HI 96817

the position at the facility IP this month and the previous IP left last month.

Asked who are the

the collaboration between the IP and maintenance director is non-existent.

When asked if the risk

control measures are in place.

The weekly monitoring of the flushing of the shower heads, faucets and the Monthly temperature monitoring is also not being done. 5) The Department of Health Office of HealthCare Assurance (OHCA) received an anonymous complaint regarding trash overload at the facility on 08/26/25.

On 02/25/26 at 11:30 AM, observed three bags of thrash outside the facility next to the trash bin and multiple bags of thrash on the stairwell landing of the staircase outside of the facility leading to the second floor, blocking access to go up and down the staircase.

On 02/25/26 at 01:30 PM, interview with Housekeeping Staff (HS) 1 responsible for the emptying trash on the second floor noted that she puts the collected trash bags in the bin at least every hour to prevent the overflow on the outside staircase, but sometimes needs to wait for the Maintenance Worker (MW) as he is the only one with the keys to open the bin.

Interview with HS2 who is responsible for the thrash on the first floor noted that she will take the trash bags and leave it out by the bin at least twice a day, in the morning and afternoon. HS2 stated that the trash bags are too heavy for her to place in the bin so she would call the MW to place the trash bags in the bin. HS2 noted that she notified MW that there was trash to be placed in the bin about an hour ago, but not sure why it was still not placed in the bin.

On 02/25/26 at 02:00 PM, interview with MW completed.

When asked why the trash was still outside of the bin, MW noted that the aides told him to hold off putting it in the bin but was not sure why.

On 02/26/26 at 09:30 AM, interview with Administrator confirmed the overflow of trash started back in May of 2025.

The Administrator noted that they were using a waste management company who could not meet the scheduled pick-up frequency of three times a week, which caused the overflow.

The Administrator stated that they have implemented changes to include switching over to a new waste management agency on 09/25/25 and acknowledged the importance of keeping the trash under control for infection control purposes.

On 02/27/26 at 08:15 AM, interview with Maintenance Director (MD) confirmed that the housekeepers should be putting the trash in the bin more frequently but did not know why the first floor HS cannot put the trash directly in the bin and they cannot rely on or wait for the MW as he gets busy. MD acknowledged that the trash pile up can lead to unsanitary conditions that can affect the facility and neighborhood.

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 NUUANU HALE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement