Inspection Reports for R.K.C. Arch
91-938 Hanakahi Street, Ewa Beach, HI 96706, HI, 96706
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Inspection Report
Annual Inspection
Deficiencies: 4
Aug 6, 2024
Visit Reason
The inspection was conducted as the facility's annual survey to assess compliance with state licensing regulations.
Findings
The inspection identified deficiencies related to personnel requirements, including lack of documented evidence of current First Aid certification, PCG training, and CPR certification for substitute care givers. Additionally, there was a deficiency in consistent monthly documentation of resident progress notes over the past twelve months.
Deficiencies (4)
| Description |
|---|
| Substitute Care Giver (SCG) #1 and #2 had no documented evidence of a current First Aid Certification. |
| Substitute Care Giver (SCG) #1 and #2 had no documented evidence of PCG training. |
| Substitute Care Giver (SCG) #1 and #2 had no documented evidence of a Cardiopulmonary Resuscitation (CPR) certificate. |
| Resident #1's response to diet, medication, and activities were not consistently documented monthly in the past twelve months. |
Report Facts
Completion Date: Aug 20, 2024
Completion Date: Aug 27, 2024
Completion Date: Aug 27, 2024
Completion Date: Aug 27, 2024
Inspection Report
Annual Inspection
Deficiencies: 19
Aug 15, 2023
Visit Reason
The inspection was conducted as the annual survey of the facility R.K.C. ARCH to assess compliance with licensing requirements under Chapter 100.1.
Findings
Multiple deficiencies were identified related to licensing, personnel and staffing requirements, admission policies, nutrition, food sanitation, medications, personal care services, records and reports, resident accounts, and residents' rights and responsibilities. The facility submitted plans of correction with dates for completion and future plans to prevent recurrence.
Deficiencies (19)
| Description |
|---|
| No current documented evidence that care givers have no prior felony or abuse convictions in a court of law. |
| No current physical examination done by a physician or advanced practice registered nurse (APRN) for substitute care giver. |
| Initial 2-step Tuberculosis (TB) skin test not available for review; annual 1-step skin test dated 8/5/23. |
| PCG training available is not current to reflect training to administer medications via Jejunostomy (J-tube). |
| No level of care (LOC) assessment upon readmission; resident is bed-bound requiring total care with ADL, continuous J-tube feeding, incontinent care, repositioning, and use of mitten restraints. |
| Uncovered block of cheese found in facility refrigerator. |
| Medication list written by PCG and signed by physician for re-evaluation on 7/25/23 states all oral medications to be given by mouth; since 1/5/23 resident has been NPO and all oral medications changed to J-tube. |
| Medication not available in medication bin; medication discontinued on 1/5/23 and new medication ordered; no documentation of order clarification received by practitioner. |
| No schedule of activities for resident. |
| Monthly progress notes in January 2023 had no documentation of resident's hospitalization related to J-tube placement; no entries reporting tolerance to J-tube feeding, turning/repositioning, incontinent care, need for mitten restraints and max assist with ADLs. |
| Permanent General Register not maintained with accurate dates of readmission and discharge from care home; register was updated at time of inspection. |
| No resident emergency information sheet found. |
| No documented evidence of a PCG assessment upon readmission on 11/2/22 and 1/26/23. |
| No documented evidence of a PCG assessment upon admission. |
| No resident financial statement found. |
| Observed resident with bilateral mitten restraints during inspection; no physician order; no documented evidence of family, legal guardian, or case manager notification of mitten use. |
| Physical restraints used without written consent or assessment of least restrictive alternatives; no documentation of family or guardian notification. |
| No case manager to coordinate training based on resident's extensive needs for J-tube feeding, pressure ulcer wound care, maximum assistance with ADLs; resident is bedbound. |
| No documented evidence that treatments and services ordered for wound care are being provided. |
Report Facts
Completion date: Dec 7, 2023
Inspection Report
Annual Inspection
Deficiencies: 1
Aug 8, 2022
Visit Reason
The inspection was conducted as the facility's annual survey to assess compliance with state regulations under Chapter 100.1.
Findings
The inspection found a deficiency related to documentation of resident response to PRN medication. Specifically, there was no documentation of the resident's response to PRN Furosemide medication administered daily from 5/19/22 to 5/22/22.
Deficiencies (1)
| Description |
|---|
| No documentation of response to PRN Furosemide medication administered daily from 5/19/22 to 5/22/22 for Resident #1. |
Report Facts
Dates of medication administration: PRN Furosemide 20 mg administered daily from 5/19/22 to 5/22/22
Medication order dates: PRN Furosemide ordered on 11/3/2021 and renewed on 1/14/22 and 5/9/22
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