F-tags by state · Hawaii

Most common nursing home citations in Hawaii

1,496 health citations were recorded at 42 of 41 rated nursing homes in Hawaii over the last three inspection cycles, about 36.5 per facility. Here is what surveyors cite most, how that compares with the rest of the country, and where the harm-level findings cluster.

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  • Source: CMS Care Compare
Citations1,49636.5 per rated facility
Facilities cited42of 41 rated
Actual harm (G–I)443% of citations
Immediate jeopardy (J–L)60% of citations

Top 25 F-tags in Hawaii

"State share" is the percentage of rated Hawaii nursing homes cited at least once for the tag; "U.S. share" is the same figure nationally. A big gap shows a state-specific survey focus.

#TagRequirementCategoryCitationsState shareU.S. share
1F880Provide and implement an infection prevention and control program.Infection control8495%81%
2F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Assessment & care planning7695%58%
3F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition & dietary7390%76%
4F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of life & care7090%69%
5F761Ensure 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.Pharmacy services6585%59%
6F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Assessment & care planning6476%42%
7F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident rights6178%43%
8F584Honor 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.Resident rights4368%39%
9F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Assessment & care planning3966%35%
10F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Abuse, neglect & exploitation3566%40%
11F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Resident rights3456%23%
12F641Ensure each resident receives an accurate assessment.Assessment & care planning3259%37%
13F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nursing & physician services3051%15%
14F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy services3051%38%
15F688Provide 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.Quality of life & care2344%22%
16F610Respond appropriately to all alleged violations.Abuse, neglect & exploitation2239%28%
17F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Resident rights2041%25%
18F695Provide safe and appropriate respiratory care for a resident when needed.Quality of life & care1937%46%
19F558Reasonably accommodate the needs and preferences of each resident.Resident rights1834%23%
20F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Abuse, neglect & exploitation1837%35%
21F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedAssessment & care planning1839%19%
22F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy services1832%23%
23F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of life & care1734%44%
24F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of life & care1632%33%
25F697Provide safe, appropriate pain management for a resident who requires such services.Quality of life & care1634%18%

Citations by category

Quality of life & care318
Resident rights311
Assessment & care planning252
Pharmacy services155
Infection control113
Nutrition & dietary101
Abuse, neglect & exploitation96
Nursing & physician services80
Environment & safety38
Administration32

Citations by survey year

202112
2022181
2023569
2024452
2025282

Partial years reflect the rolling three-cycle window.

Check a specific Hawaii nursing home

The report card lists every citation for one facility with the severity decoded, and ranks it against the other 41 rated facilities in the state.

How this works

Source and method

CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles for every Medicare- and Medicaid-certified nursing home in Hawaii. Tags are matched to citations by CMS's standardized description. Tags with at least 50 national citations link to a detail page.

Counts describe survey findings, not a ranking of facilities. Facilities can dispute citations through CMS's IDR and IIDR processes.

Frequently asked questions

What is the most common nursing home citation in Hawaii?
F880 (Provide and implement an infection prevention and control program.) is the most-cited F-tag in Hawaii, with 84 citations at 39 facilities, or 95% of the state's rated nursing homes, compared with 81% nationally.
How many nursing home citations are there in Hawaii?
1,496 health citations across 42 of 41 rated nursing homes in the last three inspection cycles, about 36.5 per facility. 44 involved actual harm and 6 were immediate jeopardy.
Why do citation patterns differ by state?
Each state survey agency inspects on behalf of CMS with its own staffing, training, and priorities, and state licensing rules layer on top of the federal requirements. Compare a facility with others in the same state rather than with the national average.

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