Inspection Reports for Monegas Care Home And Expanded ARCH
94-913 Kuhaulua Street, Waipahu, HI 96797, HI, 96797
Back to Facility ProfileInspection Report Summary
The most recent inspection on March 13, 2025, found deficiencies related to inconsistent documentation of the response to PRN medication for leg swelling and lack of documentation of persistent leg swelling despite medication use. Earlier inspections showed multiple deficiencies primarily involving medication administration records, documentation accuracy, and order clarifications, as well as some issues with fire safety drills and caregiver background checks. Prior reports noted recurring themes around medication documentation and resident care records. Complaint investigations were not listed in the available reports. The facility’s inspection history shows ongoing documentation issues, with some improvement in the number and scope of deficiencies over time.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
26% better than Hawaii average
Hawaii average: 8.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Mar 13, 2025
Visit Reason
The inspection was conducted as the facility's annual survey to assess compliance with state licensing regulations.
Findings
The inspection found that Resident #1 was given Furosemide 20mg daily as needed for leg swelling from June 2024 to March 2025, but documentation of the response to PRN medication was inconsistently recorded in monthly progress notes. Additionally, there was no documentation of persistent leg swelling for the past ten months despite medication administration.
Deficiencies (2)
Inconsistent documentation of the response to PRN medication for leg swelling in monthly progress notes.
Lack of documentation of persistent leg swelling for the past ten months despite medication administration.
Inspection Report
Annual Inspection
Deficiencies: 11
Date: Mar 28, 2024
Visit Reason
The inspection was conducted as the annual survey of the Monegas Care Home and Expanded ARCH facility to assess compliance with state licensing regulations.
Findings
The inspection identified multiple deficiencies related to medication labeling, documentation of supplements, medication administration records, resident records, progress notes, and fire safety drills. Plans of correction were submitted for each deficiency with future prevention plans.
Deficiencies (11)
Physician order and medication label for Polyethylene Glycol did not match.
No documentation that physician-ordered supplement (Boost) was made available to resident.
No documented evidence on medication administration record that Calcium Carbonate was provided from May 2023 to March 2024.
Blood pressure parameter was ordered but no blood pressure recorded in April and July 2023 MARs.
Medications on September 2023 MAR were not initialed by care giver as given.
Physician order and reflected MAR for Acetaminophen did not match.
No current inventory for Resident #3 and Resident #4.
Progress notes did not include changes in medication orders or observations of resident's response.
Entries describing treatments and services rendered lacked documented evidence that diet order was clarified.
Blue ink was used to transcribe initials in August 2023 MAR, contrary to general rules.
No fire drills conducted during evening hours between 7:00 pm and 7:00 am.
Report Facts
Deficiencies cited: 11
Inspection Report
Annual Inspection
Deficiencies: 10
Date: Mar 23, 2023
Visit Reason
The inspection was conducted as the annual survey of the Monegas Care Home and Expanded ARCH facility to assess compliance with state regulations.
Findings
The report identifies multiple deficiencies related to non-standard diet orders, medication order clarifications, medication administration record discrepancies, and documentation issues including health care decision legal documents and emergency information. Plans of correction and future plans were provided for each deficiency.
Deficiencies (10)
Resident #1 - APRN's diet order is non-standard and needs clarification.
Resident #1 - Medication order for Tylenol 650mg PRN lacks indication; order needs clarification.
Resident #1 - Two new medications appeared on medication list but were not transferred to medication administration record or ordered from pharmacy; needs clarification.
Resident #1 - Medication order for Mirtazapine 7.5mg is unclear and needs clarification.
Resident #1 - Medication order for Seroquel 100mg and PRN Seroquel 25mg lacks indication and documentation; needs clarification.
Resident #1 - Medication administration record was not updated to reflect APRN's changed order for Tylenol from every 6 hours to every 8 hours.
Resident #1 - Resident's DPOA for health-care decision legal document lacks documented evidence of physician determination and designee documentation; needs clarification.
Resident #1 - Emergency information is outdated.
Resident #1 - No incident report available describing resident's fall noted after visit summary.
Resident #1 - Progress notes lack documentation justifying need for daily PRNs.
Report Facts
Inspection Date: Mar 23, 2023
Plan of Correction Completion Dates: Various completion dates listed for correction plans, e.g., 06-06-23, 10-23-23, 03-25-23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brenda M. Monegas | Licensee/Administrator | Signed plan of correction documents |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Mar 16, 2022
Visit Reason
The inspection was conducted as the annual licensing survey for Monegas Care Home and Expanded ARCH to verify compliance with licensing requirements.
Findings
The inspection found that there was no documented evidence of a fieldprint background check showing that the primary care giver and substitute care giver had no prior felony or abuse convictions, which is required for licensing.
Deficiencies (1)
No documented evidence of a fieldprint background check showing caregivers have no prior felonies or abuse convictions.
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