Inspection Reports for Pualei Care Home

7246 Anakua St, Honolulu, HI 96825, HI, 96825

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Inspection Report Summary

The most recent inspection on October 8, 2024, found a deficiency related to missing documentation of hospice visits and consultations for one resident. Earlier inspections identified issues with medication documentation, use of prescribed thickened liquids, fire drill descriptions, and staff continuing education. Prior reports noted repeated deficiencies involving physician orders for diet modifications and incomplete progress notes. There were no complaint investigations or enforcement actions listed in the available reports. The facility’s inspection history shows ongoing documentation-related issues, with some recurring themes but no clear pattern of worsening or improvement over time.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

75% better than Hawaii average
Hawaii average: 8.1 deficiencies/year

Deficiencies per year

4 3 2 1 0
2022
2023
2024

Inspection Report

Annual Inspection
Deficiencies: 1 Date: Oct 8, 2024

Visit Reason
Annual inspection conducted on October 8, 2024, to assess compliance with state licensing regulations for Pualei Care Home.

Findings
The inspection found no documented evidence of hospice visits and consultations by the hospice services provider for Resident #2, indicating a deficiency in record-keeping.

Deficiencies (1)
No documented evidence of hospice visits and consultations by Hospice services provider for Resident #2.

Employees mentioned
NameTitleContext
Rudy JoseLicensee/AdministratorSigned the plan of correction on 10/15/24.

Inspection Report

Annual Inspection
Deficiencies: 3 Date: Oct 27, 2023

Visit Reason
The inspection was conducted as the annual survey of Pualei Care Home to assess compliance with state licensing regulations.

Findings
The report identifies deficiencies related to incomplete monthly progress notes regarding residents' responses to medications, lack of documented evidence for prescribed thickened liquids, and incomplete descriptions of monthly fire drills. For each deficiency, a future plan of correction was provided.

Deficiencies (3)
Monthly progress notes do not include the observed response to medications taken daily
Physician’s order for Thick-It prescribed for nectar thickened liquids; however, no documented evidence thickener being utilized daily for liquids consumed
Monthly fire drills do not include a description of the drills performed

Inspection Report

Annual Inspection
Deficiencies: 2 Date: Oct 5, 2022

Visit Reason
Annual inspection of Pualei Care Home to assess compliance with state licensing regulations.

Findings
Two deficiencies were identified: lack of a physician order for thickening agent for Resident #1's diet, and insufficient continuing education hours for Substitute Care Giver #1, a repeat deficiency from 2021.

Deficiencies (2)
No physician order for thickening agent was obtained for Resident #1's diet dated 8/10/22.
Substitute Care Giver #1 had only 3 hours of continuing education out of the required 12 hours per year; repeat deficiency from 2021.
Report Facts
Continuing education hours available: 3 Continuing education hours required: 12 Deficiency repeat year: 2021

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