Nursing Home News — Page 544

The resident, identified only as Resident #2 in inspection records, weighed 130.8 pounds in September and had a feeding tube due to severe dementia.

The facility couldn't produce documentation that staff hired as recently as June had received mandatory training on basic care requirements.

On the night of May 11, a CNA was turning R2 toward the window when she reached across the bed for a washcloth.

Resident 71 scored a 5 on her mental status assessment, indicating severe cognitive impairment.

"It seemed like my toilet would not work for a long time," R8 said.

The facility's own corrective review told part of the story.

The resident, admitted in April 2024 with hemiplegia and weakness following a stroke, first showed signs of skin breakdown in June.

His cognitive abilities were moderately impaired, with a mental status score of 8 out of 15.

## Why Staffing Transparency Requirements Exist The daily posting of nurse staffing levels is not a bureaucratic formality.

The deficiency falls under the category of **Resident Rights**, one of the most fundamental protections guaranteed to nursing home residents under federal law.

That is what federal inspectors found when they investigated a complaint at Kulana Malama, a nursing home on Oahu's western shore.

The deficiency, tagged F0695, covers the provision of respiratory care services and equipment, including oxygen.