Inspection Reports for Elisa Cabal Care Home

228 Hookano St, Hilo, HI 96720, HI, 96720

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Inspection Report Summary

The most recent inspection on October 7, 2024, identified two deficiencies related to personnel documentation and medication orders. Earlier inspections showed a mixed record, with the October 20, 2023, inspection finding no deficiencies, while the October 10, 2022, inspection cited multiple issues involving personnel physicals, tuberculosis clearance, first aid training, and medication documentation. No fines, enforcement actions, or complaint investigations were listed in the available reports. Prior deficiencies mainly involved staff credentialing and medication record accuracy. The pattern suggests some fluctuation in compliance, with improvements noted in 2023 but some recurring documentation issues in 2024.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 2.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

67% better than Hawaii average
Hawaii average: 8.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2022
2023
2024

Inspection Report

Plan of Correction
Deficiencies: 2 Date: Oct 7, 2024

Visit Reason
Annual inspection conducted on October 7, 2024, to assess compliance with licensing requirements.

Findings
Two deficiencies were identified: lack of documented evidence that a substitute care giver had no prior felony or abuse convictions, and absence of a physician or APRN medication order for a resident's medication. Plans of correction were submitted addressing these deficiencies.

Deficiencies (2)
No documented evidence that the substitute care giver has no prior felony or abuse convictions in a court of law, on file.
No documented evidence of a physician or advanced practice registered nurse (APRN) medication order for resident's Dorzolamide 2% solution eye drops.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Oct 20, 2023

Visit Reason
Annual inspection of the Elisa Cabal (ARCH/Expanded ARCH) facility conducted by the Office of Health Care Assurance State Licensing Section.

Findings
No deficiencies were found during the inspection; the facility was found to be in compliance with all applicable rules and criteria.

Inspection Report

Annual Inspection
Deficiencies: 6 Date: Oct 10, 2022

Visit Reason
Annual inspection of the Elisa Cabal (ARCH/Expanded ARCH) facility to assess compliance with Chapter 100.1 regulations.

Findings
Multiple deficiencies were found related to personnel documentation including lack of current annual physical examinations, tuberculosis clearance, first aid certification, and medication record discrepancies. The facility submitted plans of correction for each deficiency.

Deficiencies (6)
Substitute care giver (SCG) #4 – no current annual physical examination.
SCG #2 & SCG #3, no current tuberculosis (TB) clearance.
SCG #1 – no first aid training.
Resident #1 – physician order dated 04-08-22 & 05-27-22 read, 'Furosemide 20 mg QD prn edema.' However, April 2022 – current (October 2022) medication record read, 'Furosemide 10 mg 1 tab QD PRN'.
Resident #1 – physician order dated 02-15-22 and February – April 2022 medication record read, 'Stool Softener take 2 tabs daily PRN'. However, order did not clearly indicate name of stool softener or dosage (mg).
Resident #1 – February – September 2022 monthly progress notes – no response to diet.

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