Federal Nursing-Home Survey Record
HALE NANI REHABILITATION AND NURSING CENTER
Does HALE NANI REHABILITATION AND NURSING CENTER have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), HALE NANI REHABILITATION AND NURSING CENTER (CCN 125011), in HONOLULU, HI, has federal inspection findings on its record. CMS also lists the facility as a candidate for its Special Focus Facility program; a candidate is not on the active watch list.
In its current inspection cycle, CMS cited the facility for 31 deficiencies; the most serious carries scope/severity F on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. The latest standard health inspection on file is dated 2025-05-15. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $27,885 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own.
The Federal Record
CMS has $27,885 in civil money penalties on file against this facility.
Below is this facility's federal survey record as on file with CMS.
A candidate for the federal Special Focus Facility watch list
CMS lists this facility as a candidate for the Special Focus Facility program. It is not on the active watch list.
Scope & Severity — current cycle
CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.
Civil money penalties on file
$27,885
You may be reading this record for the first time.
If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.
Overall CMS star rating
This facility: 2 · CMS state average: 3.7
Both figures as published by CMS.
Deficiency timeline
"Current cycle" is CMS's most recent inspection cycle; it can span several survey dates and is listed by scope/severity (most severe first), not chronologically. Older cycles are shown as historical.
Post nurse staffing information every day.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Provide and implement an infection prevention and control program.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Provide safe, appropriate pain management for a resident who requires such services.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Keep all essential equipment working safely.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Allow residents to self-administer drugs if determined clinically appropriate.
Reasonably accommodate the needs and preferences of each resident.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Keep residents' personal and medical records private and confidential.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Provide care or services that was trauma informed and/or culturally competent.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
29 citations from earlier inspection cycles — historical (expand)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Hire a qualified full-time social worker in a facility with more than 120 beds.
Respond appropriately to all alleged violations.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Post nurse staffing information every day.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide and implement an infection prevention and control program.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Reasonably accommodate the needs and preferences of each resident.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide activities to meet all resident's needs.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Give the resident's representative the ability to exercise the resident's rights.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Document what happened
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