Inspection Reports for The Plaza at Pearl City
1048 Kuala St, Pearl City, HI 96782, United States, HI, 96782
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Inspection Report
Annual Inspection
Deficiencies: 6
Sep 19, 2024
Visit Reason
The inspection was conducted as the annual survey of The Plaza at Pearl City assisted living facility to assess compliance with regulatory requirements.
Findings
The inspection identified deficiencies related to comprehensive assessments and service plans, specifically regarding recognition and documentation of hemodialysis treatment and management of LUE AVF for Resident #2, and conflicting interventions in service plans for Residents #1 and #2. Medication administration issues were also noted involving unlicensed personnel performing blood sugar checks for Resident #1.
Deficiencies (6)
| Description |
|---|
| Resident #2 comprehensive assessment did not recognize hemodialysis treatment and presence of LUE AVF. |
| Resident #2 current service plan did not include scheduled hemodialysis treatment and management of LUE AVF. |
| Resident #1 service plan for specialized care/treatment had conflicting interventions regarding night checks frequency. |
| Resident #2 service plan for medication had conflicting interventions between self-administration and staff administration. |
| Resident #1 licensed staff was not notified to assess and monitor blood sugar results; medication administration record showed blood sugar checks performed by unlicensed assistive personnel. |
| Resident #1 no incident report was generated for abnormal blood sugar results as required by facility policy. |
Report Facts
Deficiencies cited: 6
Inspection dates: September 19 & 20, 2024
Plan of correction completion dates: Ranged from 09/24/2024 to 10/17/2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dominique Hidaro | Licensee/Administrator | Signed the report on 11/06/2024 |
Inspection Report
Annual Inspection
Deficiencies: 1
Sep 15, 2023
Visit Reason
The inspection was conducted as the facility's annual survey to assess compliance with regulatory requirements.
Findings
The facility was found deficient in updating the service plan to reflect the current diet order for Resident #1. The service plan did not match the diet order dated 2/18/23.
Deficiencies (1)
| Description |
|---|
| Service plan does not reflect current diet order for Resident #1. |
Report Facts
Completion date for correction: Sep 15, 2023
Completion date for future plan: Sep 25, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dominique Hidaro | Licensee/Administrator | Signed the plan of correction document |
Inspection Report
Annual Inspection
Deficiencies: 5
Sep 8, 2022
Visit Reason
The inspection was conducted as an annual licensing inspection to ensure compliance with state and county building, housing, fire, and other codes, ordinances, and laws for the type of occupancy to be licensed.
Findings
The inspection identified deficiencies including lack of oxygen warning signs on a resident's unit with oxygen tanks, untimely service plan interventions, outdated service plans, missing aspiration precautions for a resident with dysphagia, and untimely medication reviews by a registered nurse or physician.
Deficiencies (5)
| Description |
|---|
| Resident #2's unit contained oxygen tanks; however, oxygen warning sign not posted on entry door of unit |
| Resident #1 service plan intervention dated 7/8/22 states night checks every 4 hours between 2200-0600; however, this service was not provided timely on multiple days of 7/2022, 8/2022, and 9/2022 |
| Resident #1 service plan was not updated to reflect daily weights as ordered by physician on 6/13/22 |
| Resident #1 no aspiration precautions/safe swallow guidelines developed for resident with dysphagia diagnosis and on chopped texture diet with nectar consistency liquids |
| Resident #2 timely medication review by a registered nurse or physician unavailable between 12/17/21 and 6/9/22 |
Report Facts
Dates of service plan intervention non-compliance: 3
Date of physician order for daily weights: Jun 13, 2022
Timeframe of unavailable medication review: 175
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