Inspection Reports for Care Homes By Hale Makua
472 Kaulana St, Kahului, HI 96732, HI, 96732
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Annual Inspection
Deficiencies: 8
Oct 2, 2024
Visit Reason
Annual inspection conducted for regulatory compliance and licensing review of Care Homes By Hale Makua.
Findings
Multiple deficiencies related to medication orders and administration were identified, including conflicting medication orders, lack of discontinued orders, and documentation issues. Plans of correction and future monitoring plans were submitted for each deficiency.
Deficiencies (8)
| Description |
|---|
| Resident #2 had conflicting physician orders for Tylenol with no documented clarification. |
| Resident #2 medication administration record showed Atorvastatin order discontinued but no discontinued order observed. |
| Resident #2 had unclear dosage orders for Atorvastatin with no documented discontinued order. |
| Resident #1 continued to take Aspirin despite physician orders to avoid NSAIDs. |
| Resident #1 medication order for eye drops was incorrect and required clarification. |
| Resident #1 incident report for ED visit on 2/16/24 was unavailable. |
| Resident #2 had blue ink observed on daily activity records for multiple months. |
| Resident #2 had white out observed on leave sign out sheet where name was written over. |
Report Facts
Completion date for correction: 2024
Inspection Report
Annual Inspection
Deficiencies: 3
Oct 19, 2023
Visit Reason
The inspection was conducted as the facility's annual licensing survey to assess compliance with state licensing requirements for Care Homes by Hale Makua.
Findings
The inspection identified deficiencies including inability to determine fitness of substitute care givers from background checks, failure to notify the physician of a resident's significant weight gain, and lack of documented nutritional assessment by a registered dietitian for the resident with weight gain.
Deficiencies (3)
| Description |
|---|
| Substitute Care Giver #1 and #2 – Unable to determine fitness determination on printed Fieldprint background check result. |
| Resident #2 – No documented evidence that the facility notified the physician of 19 lb. weight gain (18.5% weight change) in one year. |
| Resident #2 – No documented evidence that the facility utilized the Consultant Registered Dietitian to provide nutritional assessment for resident with 19 lb. weight gain (18.5% weight change) in one year and taking Boost 1 bottle PO q AM. |
Report Facts
Weight gain: 19
Weight change percentage: 18.5
Boost intake: 1
Inspection Report
Annual Inspection
Deficiencies: 6
Oct 14, 2022
Visit Reason
Annual inspection of Care Homes by Hale Makua to assess compliance with personnel, medication, personal care services, records, and resident health care standards.
Findings
Multiple deficiencies were found including lack of documented first aid certification for a substitute caregiver, medication labeling issues, missing activity schedules for a resident, incomplete progress notes, and lack of documentation of significant weight changes for a resident.
Deficiencies (6)
| Description |
|---|
| Substitute Care Giver (SCG) #1 had no documented evidence of current first aid certification. |
| Medication order for Furosemide did not include 'as needed' status on the label. |
| Medication order for Mirtazapine not reflected on medication administration record (MAR) or medication label. |
| Resident #1 had no schedule of activities available. |
| Progress notes for Resident #1 did not include observations of the resident's response to Ensure supplement as ordered. |
| No documented evidence that significant weight changes for Resident #1 were reported to the physician. |
Report Facts
Medication dosage: 20
Medication dosage: 15
Medication dosage: 7.5
Weight gain: 9.2
Weight loss: 5.3
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