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Health Inspection

Pu'uwai 'o Makaha

July 26, 2024 · Waianae, HI · 84-390 Jade Street
Citations 1
CMS Rating 4/5
Beds 93
Provider ID 125046
Healthcare Facility
Pu'uwai 'o Makaha
Waianae, HI  ·  View full profile →
Inspection Summary

PU'UWAI 'O MAKAHA in WAIANAE, HI — inspection on July 26, 2024.

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.

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Inspection Findings

FF741
Minimal harm or Few Based on observation, interview, and record review (RR) the facility failed to revise one Resident's (R35) affected

The surveyor asked why the mood and behavior assessments didn't include an accurate description of the resident's documented behaviors.

The SSD replied that the behaviors may not have been present at the time of the assessment.

The surveyor discussed that R32's agitated behaviors are documented in the record prior to the annual review date, per the nursing care plan 12/14/23.

125046

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 125046 B.

Wing 07/26/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Pu'Uwai 'o Makaha 84-390 Jade Street Waianae, HI 96792

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 WAIANAE, 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 PU'UWAI 'O MAKAHA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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