LILIHA HEALTHCARE CENTER

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Medium Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Liliha Healthcare Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care Low

Behavioral Symptoms and Cognitive Performance

Reduced Physical Function

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Hawaii are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 08/26/2010.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 06/26/2009 Correction Date: 08/28/2009

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 06/02/2008 Correction Date: 08/15/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 06/02/2008 Correction Date: 08/15/2008
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 06/02/2008 Correction Date: 08/15/2008
Provide Enough Emergency Electricity. Inspection Date: 06/02/2008 Correction Date: 08/15/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 06/02/2008 Correction Date: 08/15/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Keep All Essential Equipment Working Safely. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 08/26/2010 Correction Date: 10/04/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/26/2010 Correction Date: 10/04/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 08/26/2010 Correction Date: 10/04/2010
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 08/26/2010 Correction Date: 10/04/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/26/2010 Correction Date: 10/04/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/02/2008 Correction Date: 08/15/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 08/26/2010 Correction Date: 10/04/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/26/2010 Correction Date: 10/04/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 06/02/2008 Correction Date: 08/15/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 06/02/2008 Correction Date: 08/15/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/26/2010 Correction Date: 10/04/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 06/02/2008 Correction Date: 08/15/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 06/02/2008 Correction Date: 08/15/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 08/26/2010 Correction Date: 10/04/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 08/26/2010 Correction Date: 10/04/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 08/26/2010 Correction Date: 10/04/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 08/26/2010 Correction Date: 10/04/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/26/2010 Correction Date: 10/04/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/26/2010 Correction Date: 10/04/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/02/2008 Correction Date: 08/15/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 06/26/2009 Correction Date: 08/28/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 06/02/2008 Correction Date: 08/15/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 06/02/2008 Correction Date: 08/15/2008
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet. Inspection Date: 06/02/2008 Correction Date: 08/15/2008
Tell the Resident Completely About His or Her Health Status. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Provide Enough Notice Before Discharging or Transferring a Resident. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 06/26/2009 Correction Date: 08/28/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 08/26/2010 Correction Date: 10/04/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/26/2010 Correction Date: 10/04/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 08/26/2010 Correction Date: 10/04/2010

The table below lists incident reports by the nursing staff or administration for Liliha Healthcare Center, as well as complaints by residents or their family in the previous three years.

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Complaint Filed: 06/26/2009 Correction Date: 08/28/2009

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Complaint Filed: 06/26/2009 Correction Date: 08/28/2009

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Liliha Healthcare Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 08/24/2010.

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 05/29/2008 Correction Date: 08/15/2008
Proper Power Supply for Life Support Equipment. Inspection Date: 08/24/2010 Correction Date: 10/04/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 05/29/2008 Correction Date: 08/15/2008