Inspection Reports for Island Care Home
151 Chong St, Hilo, HI 96720, HI, 96720
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Inspection Report
Annual Inspection
Deficiencies: 8
Nov 4, 2024
Visit Reason
The inspection was conducted as the annual survey for Island Care Home LLC to assess compliance with state licensing regulations.
Findings
Multiple deficiencies were identified related to documentation of diet orders, medication administration and recording, medication reevaluation, physical examinations, records and reports, and fire prevention. Plans of correction were submitted addressing each deficiency with future plans to prevent recurrence.
Deficiencies (8)
| Description |
|---|
| No documented evidence of a current annual diet order on file for Resident #1 and Resident #2. |
| Medications ordered in November 2023 were not transcribed onto the medication administration record (MAR) from November 2023 to November 2024. |
| Resident #1 medications were not reevaluated at least every four months; last evaluation dated November 2023. |
| Expired medications were observed in Resident #1's medication bin. |
| No documented evidence of a current annual physical examination clearance signed by a physician or APRN on file for Resident #1. |
| No documented evidence of a current annual level of care evaluation signed by a physician or APRN on file for Resident #1. |
| No documented evidence of a current annual self-preservation status signed by a physician or APRN on file for Resident #1. |
| No documented evidence of a monthly weight measurement or substitute for Resident #1 from February 2024 to September 2024. |
Report Facts
Deficiencies cited: 8
Inspection Report
Annual Inspection
Deficiencies: 14
Nov 13, 2023
Visit Reason
Annual inspection conducted to assess compliance with state licensing regulations for Island Care Home LLC.
Findings
Multiple deficiencies were identified related to personnel physical exams, nutrition/diet orders, medication storage and administration, record keeping, emergency information, and fire safety. Plans of correction were submitted for each deficiency with completion dates.
Deficiencies (14)
| Description |
|---|
| No documented evidence of annual physical exam for Resident #3. |
| No documented evidence of annual diet order for Resident #3. |
| No documented evidence that special diet is being provided as ordered for Resident #1. |
| Medication for Resident #3 pre-poured for seven days in pill storage box. |
| Medication for Resident #4 pre-poured for seven days in pill storage box. |
| No documented evidence of medication administration flowsheet for Resident #1. |
| No documented evidence of medication administration flowsheet for Resident #3. |
| Admission assessment not signed by Resident #1, legal guardian, family, or responsible party. |
| No documented evidence of current inventory list of valuables for Resident #1. |
| No documented evidence of current inventory list of valuables for Resident #2. |
| Blue ink not used in admission assessment for Resident #1. |
| Emergency contact information sheet not documented for Resident #1. |
| Fire exit partially obstructed by pile of dry plants. |
| No documented evidence of resident financial statement for Resident #1. |
Report Facts
Days medication pre-poured: 7
Plan of correction completion date: Most corrections planned to be completed by 2023-12-09.
Inspection Report
Annual Inspection
Deficiencies: 7
Nov 18, 2022
Visit Reason
Annual inspection of Island Care Home, L.L.C. to assess compliance with state regulations including personnel, staffing, family requirements, food sanitation, medication storage, records and reports, residents' rights, and physical environment.
Findings
Multiple deficiencies were found including lack of current tuberculosis skin tests for family members and residents, undocumented training for substitute caregivers, unsecured bleach and medications, no signed general operational policy by a resident, and improper storage of canned and dry goods on the kitchen floor.
Deficiencies (7)
| Description |
|---|
| Family member #1 – no current tuberculosis (TB) skin test. |
| Substitute care giver (SCG) #1 – no documented training provided by the primary care giver (PCG) to provide medications. |
| Bleach unsecured under kitchen sink. |
| "Nighttime cold and flu" and "Daytime cold and flu" liquid medicine unsecured on kitchen counter. |
| Resident #1 – no two (2) step TB skin test completed. (One (1) step TB skin test completed 10-06-22). |
| Resident #1 – no signed general operational policy. |
| Canned and dry goods on kitchen floor. |
Report Facts
Inspection Date: Nov 18, 2022
TB skin test date: Oct 6, 2022
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