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F0584
D

Failure to Maintain Clean Environment and Protect Resident Property

Honolulu, Hawaii Survey Completed on 05-01-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain a clean, homelike environment and did not adequately protect residents' personal property. In one instance, a cognitively intact resident was found with a used incontinence bed pad and used gloves left on top of her personal belongings, including a green bag with arts and crafts supplies and a reusable bowl. The soiled items were not disposed of properly, despite a trash bin being available nearby. The resident reported that she did not place the items there and indicated that agency staff sometimes left dirty items in her room. Facility policy required prompt disposal of soiled linens to minimize odors, but this was not followed. In another case, a cognitively intact male resident reported that his personal floor lamp was removed from his room by maintenance after it broke, but he was not given an explanation or offered a replacement. There was no documentation of his consent for the removal or any explanation provided to him. Interviews with staff revealed confusion about the removal process, and the lamp was later found in the MDS office. The facility did not document the removal or communicate adequately with the resident regarding his property.

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