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Inspection Reports for 15 Craigside

HI, 96817

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Inspection Report Summary

The most recent inspection of the facility on March 13, 2025, found no deficiencies and confirmed compliance with all applicable rules. Prior inspections showed some deficiencies, including issues with medication administration and documentation in 2023, and incomplete service plans and tuberculosis clearance documentation in 2022. Inspectors cited medication record mismatches, unsecured medications, and documentation of resident notifications as the main themes in 2023, while earlier concerns involved initial assessments and health screenings. Complaint investigations were not noted in the available reports. The inspection history shows improvement, with the most recent two inspections free of deficiencies after earlier issues were addressed.

Deficiencies (last 4 years)

Deficiencies (over 4 years) 2.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

72% better than Hawaii average
Hawaii average: 8.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2022
2023
2024
2025
Unclassified
State average

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Mar 13, 2025
Visit Reason
Annual inspection of the facility 15 Craigside was conducted on March 13, 2025.
Findings
No deficiencies were found during the inspection; the facility was found to be in compliance with all applicable rules.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Mar 21, 2024
Visit Reason
Annual inspection of the facility 15 Craigside was conducted on March 21, 2024.
Findings
No deficiencies were found during the inspection; the facility was found to be in compliance with all applicable regulations.

Inspection Report

Annual Inspection
Deficiencies: 7 Date: Mar 17, 2023
Visit Reason
The inspection was conducted as the annual survey of the assisted living facility 15 Craigside to assess compliance with state regulations.
Findings
Multiple deficiencies were identified related to medication administration, including mismatches between medication bottle labels and medication administration records (MAR) for several residents, unsecured medication bottles found on a resident's nightstand, and documentation issues regarding resident notification of charges and receipt of the resident handbook.
Deficiencies (7)
Resident #1 - Medication bottle prescription label and medication administration record (MAR) do not match for Escitalopram Oxalate Oral Tablet.
Resident #1 - Medication bottle prescription label and MAR do not match for Levothyroxine Sodium Oral Tablet.
Resident #1 - MAR does not match medication order for Ipratropium Bromide Nasal Solution.
Resident #5 - Medication bottles found unsecured on resident's nightstand.
Resident #4 - Documented evidence shows resident received notification of charges after admission on 8/7/20.
Resident #4 - Documented evidence shows resident received a copy of the resident handbook after admission on 8/7/20.
Resident #4 - Documented evidence shows resident received notification of rights and responsibilities after admission on 8/7/20.
Report Facts
Admission date: Aug 6, 2020 Admission notification date: Aug 7, 2020 Deficiency correction dates: Mar 17, 2023 Staff training date: Mar 28, 2023 Staff training date: Mar 28, 2023

Inspection Report

Annual Inspection
Deficiencies: 2 Date: Mar 14, 2022
Visit Reason
The inspection was conducted as the annual survey for the facility 15 Craigside to assess compliance with state regulations.
Findings
The inspection identified deficiencies related to the development and documentation of initial service plans for residents and the lack of documented evidence of an initial 2-step tuberculosis clearance for a resident. Plans of correction and future plans were provided to address these deficiencies.
Deficiencies (2)
No documented evidence the initial comprehensive assessment and service plan were completed and developed prior to admission for Resident #1 and Resident #2.
No documented evidence of an initial 2-step tuberculosis clearance for Resident #3.
Report Facts
Deficiency correction completion date: Mar 14, 2022 Future plan start date: Mar 28, 2022
Employees mentioned
NameTitleContext
Keleka HovakawaLicensee/AdministratorSigned the plan of correction documents
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