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F0692
D

Failure to Provide Bedside Water Pitcher for At-Risk Resident

Kaneohe, Hawaii Survey Completed on 08-01-2025

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

Staff failed to provide adequate hydration for a resident identified as being at risk for fluid and nutritional imbalance. On two separate observations, no water pitcher was found at the resident's bedside, despite the resident being able to pour water independently. A CNA confirmed that the resident should have a water pitcher available, and the Director of Nursing also acknowledged that the resident should have been provided with one. The resident's medical record indicated diagnoses including cerebral infarction and hemiplegia/hemiparesis, and the care plan specifically noted the need to monitor daily fluid intake and encourage fluids throughout the day. Facility policy required that additional fluids be routinely available via bedside water pitchers, but this was not followed for the resident in question.

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