The Care Center Of Honolulu
Inspection Findings
F-Tag F0880
F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
assessment and said that the facility had contracted with a consultant (C)1, who would be conducting a comprehensive assessment of the building in the near future. On 12/24/25 at 10:30 AM, interviewed the Facility Manager (FM) in the conference room. He said he did not know when the current water system diagram was developed and that it had been in place when he was hired in 2021. At the time of the interview, the white board in the conference room had a water system diagram on it, that the DOH developed with the facility during their visit. When asked the FM what the water systems highest risk for water borne pathogens was, he pointed to the diagram on the board and said it was the Resident rooms located at the farthest point from the distribution of water supply (room [ROOM NUMBER] and 238). The FM said the second highest risk would be the ice machines. He confirmed the facility had not previously done a risk assessment as part of the WMP.The FM said there were measures in place to minimize the risk of waterborne disease and provided the following documentation: - Water Heater Temperature: The facility logged temperature reading once a week on the two water heaters located on the roof. The Water Heater Temperature Monitoring Log used to document did not include the acceptable range, and there is no supporting policy or document that defined it. The log reads Within Range' with a Yes, or No. - Ice Machines: There is scheduled maintenance on the two ice machines on a quarterly basis. The work is scheduled through the internal electronic system, Direct Supply. The Preventive Maintenance steps are preprinted on the LogBook [sic] Documentation form, which is signed by the staff when the tasks were completed (One form is used for both machines). The sanitizing interior step on the form read per manufacturer's instructions, but does not say what specifically that means. - Housekeeping (HK)/Resident rooms; The FM said the HK staff are in the resident rooms every day and run the water, which helps to maintain water quality and part of the WMP. For documentation of completion, he provided a checklist titled CDC Environmental Checklist for Monitoring Occupied Cleaning, that HK staff check off after cleaning a room. This tool was specifically developed by the CDC to provide a framework for environmental cleaning to optimize the thoroughness of high touch cleaning, rather than the purpose of contribution to a WMP. - Water Quality; To monitor the water quality, the FM said they use the Water Quality Report from the Board of Water Supply, City and County of Honolulu, once a year. This measure is not included in the current plan, and the revised plan stated The facility must document: .Chlorine residual levels (via municipal reports or handheld testing) biannually. : On 12/24/25 at approximately 11:00 AM, during an interview with the ADM,
she confirmed the facility recently obtained C1 to do a full risk assessment of the building and assist to develop the WMP. At that time, she acknowledged the current plan was missing essential elements and that
the revised WMP was scheduled to go to Quality Assessment Performance Improvement Committee for approval.
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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.