Inspection Reports for Aliga, Nelly
174 Lukia St, Hilo, HI 96720, USA, HI, 96720
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Unclassified
Inspection Report
Annual Inspection
Deficiencies: 5
Jan 29, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with state licensing requirements for the facility.
Findings
The report identifies deficiencies related to personnel tuberculosis clearance documentation, medication administration record inaccuracies, missing medication orders upon admission, incomplete progress notes, and documentation of PRN medication administration. Plans of correction and future plans were submitted for each deficiency.
Deficiencies (5)
| Description |
|---|
| Substitute Care Giver (SCG) #1 - Annual Tuberculosis (TB) Risk Assessment dated 8/21/24 observed but no record of a positive TB skin test and negative chest x-ray. |
| Resident #1 - August Medication Administration Record (MAR) for Cyclosporine ophthalmic drops was not initialed for PM doses from 8/1/24 to 8/7/24 and from 8/8/24 to 8/31/24 and September 2024, only AM initials observed. |
| Resident #1 - Medication orders upon admission on 6/12/24 were not available for review; medication orders found dated 6/18/25 and signed 6/25/25, thirteen days after admission. |
| Resident #1 - Monthly progress notes did not include resident's response to medication from June 2024 to December 2024. |
| Resident #1 - Entries detailing all medications administered or made available lacked documentation of reason for PRN medication and response to PRN medication. |
Report Facts
Days after admission medication orders signed: 13
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nelly Aliga | Licensee/Administrator | Signed the plan of correction and future plans. |
Inspection Report
Annual Inspection
Deficiencies: 3
Jan 16, 2024
Visit Reason
Annual inspection conducted to assess compliance with personnel, staffing, family requirements, and resident account regulations.
Findings
Deficiencies were found related to expired certifications for the substitute care giver, including First Aid and CPR certificates, as well as missing current inventory records for residents' belongings. Plans of correction were submitted with completion dates and future prevention plans.
Deficiencies (3)
| Description |
|---|
| No documented evidence of a current First Aid Certificate for Substitute Care Giver #1; certificate expired 12/2023. |
| No documented evidence of a current Cardiopulmonary Resuscitation (CPR) certificate for Substitute Care Giver #1; certificate expired 12/2023. |
| No current inventory of possessions for Resident #1 and Resident #2; Resident #1's inventory was last done at admission in 11/2020 and Resident #2's inventory was last done in 2022. |
Report Facts
Certificate expiration date: 202312
Inventory record dates: 202011
Inventory record year: 2022
Inspection Report
Annual Inspection
Deficiencies: 2
Jan 5, 2023
Visit Reason
Annual inspection conducted to evaluate compliance with licensing requirements and medication administration regulations.
Findings
Two main deficiencies were identified: lack of fingerprint background checks for primary and substitute care givers, and a medication order discrepancy for Resident #1 where the medication record did not match the physician's order.
Deficiencies (2)
| Description |
|---|
| Primary care giver (PCG), substitute care giver (SCG) #1 and SCG #2 – no fingerprint background check. |
| Resident #1 medication order dated 01-27-22 read 'Losartan 10 mg once a day.' However, medication record from February to June 2022 read 'Losartan 50 mg once a day.' |
Report Facts
Medication dosage discrepancy: 40
Days to submit plan of correction: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nelly Aliga | Licensee/Administrator | Signed plan of correction and administrator of the facility |
Inspection Report
Plan of Correction
Deficiencies: 0
Jan 4, 2022
Visit Reason
The document is a statement of deficiencies and plan of correction following an inspection conducted on January 4, 2022.
Findings
No deficiencies were found during the inspection.
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