Inspection Reports for Wisdom Home Care
94-234 Waikele Road, Waipahu, HI 96797, HI, 96797
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Inspection Report
Annual Inspection
Deficiencies: 7
Dec 6, 2024
Visit Reason
The inspection was conducted as the annual survey of Wisdom Home Care LLC to assess compliance with state licensing regulations.
Findings
Multiple deficiencies were identified related to nutrition, medications, records and reports, admission requirements, and case management services. The facility submitted plans of correction with future plans to address each deficiency.
Deficiencies (7)
| Description |
|---|
| No documented evidence low cholesterol/fat diet is being provided as ordered as there are no special diet menus available. |
| Systane ophthalmic solution discontinued on medication administration record 8/20/2024; however, no documented evidence of order to discontinue eye drops. |
| Monthly progress notes do not consistently include observations of the resident's response to diet and/or medications. |
| No documented evidence of pneumococcal vaccine for resident #1. |
| No documented evidence of 2-step tuberculosis clearance for resident #1. |
| Resident admitted into hospice program on 8/21/2024; current care plan by RN case manager does not incorporate end of life and/or comfort measure goals/plans. |
| No documented evidence care plan is reviewed monthly for resident #1. |
Report Facts
Completion Date: Dec 30, 2024
Completion Date: Jun 29, 2025
Inspection Date: Dec 6, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maricor dela Cruz | Licensee/Administrator | Signed the plan of correction documents |
Inspection Report
Annual Inspection
Deficiencies: 9
Dec 5, 2023
Visit Reason
The inspection was conducted as the annual survey for Wisdom Home Care LLC to assess compliance with state licensing requirements.
Findings
Multiple deficiencies were identified including lack of First Aid certification for a substitute caregiver, missing monthly progress notes for a resident, absence of current inventory of resident possessions, missing signage for oxygen use, lack of documented training on oxygen use, missing annual physical examination, incomplete care plans, and failure to document annual influenza vaccination.
Deficiencies (9)
| Description |
|---|
| Substitute care giver providing coverage for less than four hours lacked First Aid certification. |
| Resident #1 had no documented evidence of monthly progress notes charting from May 2023 to June 2023. |
| Resident #1 had no current documented evidence of a current inventory of possessions; last inventory was on admission in 2020. |
| No 'Oxygen in use' sign posted on the outside of the facility despite physician order for oxygen use. |
| No documented evidence of training on oxygen use for Resident #1 despite physician order. |
| Resident #1 had no current annual physical examination documented; last physical observed on 7/27/22. |
| Resident #1 had no current documented evidence of annual influenza vaccination. |
| Resident #1's care plan did not include a list of resident's medication and treatment orders. |
| Resident #1's care plan did not address medical needs including Parkinson's Disease, constipation, and palliative/comfort care. |
Report Facts
Completion date: Dec 8, 2023
Completion date: Jan 17, 2024
Completion date: Mar 19, 2024
Date of physician order: Jul 3, 2023
Date of last inventory: 2020
Date of last physical exam: Jul 27, 2022
Date of care plan: Oct 22, 2022
Date of care plan: Nov 23, 2022
Inspection Report
Annual Inspection
Deficiencies: 25
Dec 1, 2022
Visit Reason
Annual inspection of Wisdom Home Care LLC to assess compliance with state licensing regulations for a Type I expanded ARCH facility.
Findings
Multiple deficiencies were identified including lack of required certifications for substitute care givers, medication labeling and ordering issues, missing resident records such as admission assessments and tuberculosis clearances, incomplete documentation including progress notes and inventories, and fire drill record deficiencies.
Deficiencies (25)
| Description |
|---|
| Substitute Care Giver (SCG) #1 had no current annual tuberculosis clearance. |
| SCG #1 and #2 had no first aid certification. |
| SCG #1 and #2 had no cardiopulmonary resuscitation certification. |
| Resident #1 had no label on Vitamin D3 1000IU bottle. |
| Resident #1 had no medication order available before 7/27/2022 within the past 12 months. |
| Resident #1's medication administration record (MAR) listed Vitamin D3 without a physician’s order. |
| Resident #1's most recent physician’s order dated 7/27/2022 contained conflicting escitalopram orders that were not clarified. |
| Resident #1's MAR listed CITRACAL Calcium Supplement without a physician’s order. |
| Resident #1's physician’s order for calcium citrate lacked dosage information. |
| Resident #1's CITRACAL Petites Calcium Citrate was stored with current medication without a physician’s order. |
| Resident #1 had no documentation that medication was reevaluated, signed, and dated by physician for over 13 months. |
| Resident #1's medication record had conflicting escitalopram orders and MAR entries. |
| Resident #1 had no schedule of daily activities. |
| Residents #2 and #3 had no admission assessment documentation. |
| Resident #1 had no initial or 2-step tuberculosis clearance documentation. |
| Resident #1 had no inventory of personal money and valuables maintained. |
| Resident #1 had no current annual tuberculosis clearance documentation. |
| Resident #1 had no current physical examination documentation. |
| Resident #1 had no progress notes for November 2022. |
| Resident #1's medication list in emergency information sheet did not match current medication order. |
| Substitute Care Givers #1, 2, and 3 had no continuing education credits on file. |
| Resident #1 had no record that influenza vaccine was administered or offered. |
| Fire drill records did not include names of participating residents. |
| Resident #1 had not seen primary care physician every four months; last PCP visit was 6/14/2021. |
| Resident #1 had no documentation that comprehensive case management assessment was conducted in April 2022; assessment was completed in October 2022. |
Report Facts
Deficiencies cited: 26
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