Inspection Reports for Sweet Haven

98-1274 Hoohuali Place, Pearl City, HI 96782, HI, 96782

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Inspection Report Summary

The most recent inspection on December 12, 2024, identified deficiencies related to medication order reevaluation and missing signed financial statements for some residents. Earlier inspections showed a pattern of issues involving medication management, caregiver documentation, and personnel requirements. Prior reports cited missing caregiver clearances, incomplete medication records, and gaps in training and resident care documentation. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports, and complaint investigations were not noted. The facility’s deficiencies appear consistent over time, with similar themes recurring in recent years.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

51% better than Hawaii average
Hawaii average: 8.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2022
2023
2024

Inspection Report

Annual Inspection
Deficiencies: 2 Date: Dec 12, 2024

Visit Reason
The inspection was conducted as the annual survey of the Sweet Haven facility to assess compliance with state licensing regulations.

Findings
Two main deficiencies were identified: failure to have medication orders reevaluated and signed by the physician every four months, and lack of signed financial statements for certain residents. Plans of correction were submitted for both deficiencies.

Deficiencies (2)
No documentation medication orders were reevaluated and signed by the physician every four months for Resident #1.
No signed financial statement is recorded for Resident #2 and Resident #3.

Inspection Report

Annual Inspection
Deficiencies: 2 Date: Dec 8, 2023

Visit Reason
The inspection was conducted as the annual licensing inspection for the facility Sweet Haven to ensure compliance with state regulations.

Findings
Deficiencies were found related to licensing requirements, including missing current FieldPrint clearance for primary and substitute caregivers, and a missing valid annual physical examination for a substitute caregiver. Plans of correction were submitted addressing fingerprinting and physical exam completion.

Deficiencies (2)
Primary Caregiver #1,2 and Substitute Caregiver #1,2 - Current FieldPrint clearance unavailable for review.
Substitute Caregiver #1 - Valid annual physical examination unavailable for review.

Inspection Report

Annual Inspection
Deficiencies: 8 Date: Dec 2, 2022

Visit Reason
The inspection was conducted as the annual survey of the Sweet Haven facility to assess compliance with regulatory requirements.

Findings
Multiple deficiencies were identified related to medication orders, medication administration records, personal care services, records and reports, and personnel staffing requirements. The facility submitted plans of correction addressing each deficiency with future plans to prevent recurrence.

Deficiencies (8)
Physician's order for albuterol inhaler was incomplete and did not include the frequency of administration.
Medication administration record (MAR) and prescription label order for albuterol inhaler did not match.
Schedule of activities for Resident #1 was unavailable for review.
Annual tuberculosis clearance (PPD skin test) for Resident #2 was unavailable for review.
No documented evidence of medication effectiveness noted in progress notes for albuterol and acetaminophen administration.
No documented evidence caregivers were trained on how to administer albuterol using valved chamber device.
No documented evidence of successful completion of twelve hours of continuing education courses for primary and substitute caregivers.
No documented evidence that head wound sustained by Resident #1 was monitored following injury.
Report Facts
Completion dates for plan of correction: 2023 Continuing education credits completed: 9

Employees mentioned
NameTitleContext
Amelia T. FagotaLicensee/AdministratorSigned the plan of correction documents.

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