The Care Center Of Honolulu
Inspection Findings
F-Tag F0550
Federal health inspectors cited THE CARE CENTER OF HONOLULU in HONOLULU, HI for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-11-19.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of THE CARE CENTER OF HONOLULU.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-18.
F-Tag F0558
F 0558
Reasonably accommodate the needs and preferences of each resident.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, interviews and record review, the facility failed to accommodate the needs of one of one resident [Resident (R)78] sampled by not ensuring that the call light was always placed within reach or positioned so that it could be activated. As a result of this deficient practice, Resident R78 was placed at risk of not having his emergent needs met in a timely manner. This deficient practice has the potential to affect all the residents at the facility who can activate a call light.Findings include:Resident R78 was a [AGE] year-old resident admitted to the facility on [DATE REDACTED] for long-term placement. Diagnoses included, but not limited to, quadriplegia (paralysis in all four limbs and torso) and has a tracheostomy (surgical opening in the front of
the neck where a tube is inserted into the windpipe to maintain an airway). Recent Minimum Data Set (MDS) quarterly assessment on 08/02/2025 revealed Resident R78 had a Brief Interview for Mental Status (BIMS) score of 15, indicating he is cognitively intact.On 09/02/25 at 10:21 AM, observed Resident R78 lying in bed watching television. Call light was placed on the mattress, left side of Resident R78's pillow and out of his reach.
Asked Resident R78 if he was capable of using the call light if he needed assistance from the staff. Resident R78 said, Yes, if I can reach it with my head. Resident R78 asked the surveyor to activate the call light so staff can pin it to the pillow and closer to his head. One minute after activating the call light, Certified Nurse Aide (CNA)122 knocked at
the door and asked if Resident R78 needed assistance. Resident R78 asked CNA122 to position the call light closer to his head so he can reach it. CNA122 acknowledged the call light was out of Resident R78's reach and proceeded to pin
it on the left side of the pillow.On 09/03/25 at 09:19 AM, observed Resident R78 lying in bed with his eyes closed.
Call light was placed on the mattress near the pillow and out of Resident R78's reach.On 09/05/25 at 10:11 AM, an
interview was conducted with the Nurse Supervisor (NS) 3 in front of the nurse's station. Shared with the NS3 observations of Resident R78's call light being out of his reach. NS3 said staff are to make sure Resident R78 is able to reach his call light at all times since he is able to activate it in case he needed assistance.
Residents Affected - Few Note: The nursing home is disputing this citation.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
F-Tag F0609
Federal health inspectors cited THE CARE CENTER OF HONOLULU in HONOLULU, HI for a deficiency under regulatory tag F-F0609 during a standard health inspection conducted on 2025-11-19.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of THE CARE CENTER OF HONOLULU.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-18.
F-Tag F0641
Federal health inspectors cited THE CARE CENTER OF HONOLULU in HONOLULU, HI for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-11-19.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of THE CARE CENTER OF HONOLULU.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-18.
F-Tag F0656
Federal health inspectors cited THE CARE CENTER OF HONOLULU in HONOLULU, HI for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-11-19.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of THE CARE CENTER OF HONOLULU.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-18.
F-Tag F0657
Federal health inspectors cited THE CARE CENTER OF HONOLULU in HONOLULU, HI for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-11-19.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of THE CARE CENTER OF HONOLULU.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-18.
F-Tag F0684
Federal health inspectors cited THE CARE CENTER OF HONOLULU in HONOLULU, HI for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-11-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of THE CARE CENTER OF HONOLULU.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-18.
F-Tag F0692
Federal health inspectors cited THE CARE CENTER OF HONOLULU in HONOLULU, HI for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2025-11-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of THE CARE CENTER OF HONOLULU.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-18.
F-Tag F0761
Federal health inspectors cited THE CARE CENTER OF HONOLULU in HONOLULU, HI for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-11-19.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of THE CARE CENTER OF HONOLULU.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-18.
F-Tag F0791
Federal health inspectors cited THE CARE CENTER OF HONOLULU in HONOLULU, HI for a deficiency under regulatory tag F-F0791 during a standard health inspection conducted on 2025-11-19.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide or obtain dental services for each resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of THE CARE CENTER OF HONOLULU.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-18.
F-Tag F0806
Federal health inspectors cited THE CARE CENTER OF HONOLULU in HONOLULU, HI for a deficiency under regulatory tag F-F0806 during a standard health inspection conducted on 2025-11-19.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of THE CARE CENTER OF HONOLULU.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-18.
F-Tag F0880
Federal health inspectors cited THE CARE CENTER OF HONOLULU in HONOLULU, HI for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-11-19.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of THE CARE CENTER OF HONOLULU.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-18.
THE CARE CENTER OF HONOLULU 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 THE CARE CENTER OF HONOLULU or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.