Inspection Results » Kohala Hospital

Health Inspection on June 6, 2018 ^[1]

1. Widespread: Immediate jeopardy to the resident health or safety

   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-08-16)

2. Pattern: Immediate jeopardy to the resident health or safety

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-08-16)

3. Isolated: Actual harm that is not immediate jeopardy

   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-08-16)

4. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2018-08-16)
   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-08-16)

5. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-08-16)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-08-16)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-08-16)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-08-16)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-08-16)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-08-16)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-08-16)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-08-16)

6. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Post nurse staffing information every day. (Corrected 2018-08-16)
   • 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. (Corrected 2018-08-16)
   • Provide or get specialized rehabilitative services as required for a resident. (Corrected 2018-08-16)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-08-16)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-08-16)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-08-16)