HALE KUPUNA HERITAGE HOME, LLC

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

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 03/03/2011.

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 03/03/2011 Correction Date: 06/07/2011
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 03/03/2011 Correction Date: 06/07/2011
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 03/03/2011 Correction Date: 06/07/2011
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 03/03/2011 Correction Date: 06/07/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 05/28/2009 Correction Date: 07/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/28/2009 Correction Date: 07/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/03/2011 Correction Date: 06/07/2011

Quality Care

Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/28/2009 Correction Date: 07/14/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 03/03/2011 Correction Date: 06/07/2011

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 05/28/2009 Correction Date: 07/14/2009
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: 05/28/2009 Correction Date: 07/14/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 05/28/2009 Correction Date: 07/14/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 05/28/2009 Correction Date: 07/14/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/03/2011 Correction Date: 06/07/2011

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident. Inspection Date: 03/03/2011 Correction Date: 06/07/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/03/2011 Correction Date: 06/07/2011
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 03/03/2011 Correction Date: 06/07/2011

The table below lists incident reports by the nursing staff or administration for Hale Kupuna Heritage Home, LLC, 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: 03/03/2011 Correction Date: 06/07/2011

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 Hale Kupuna Heritage Home, LLC 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 03/02/2011.

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/02/2011 Correction Date: 06/07/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 03/02/2011 Correction Date: 06/07/2011