HAWAII MEDICAL CENTER EAST

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 "High 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 Hawaii Medical Center East. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Low Rehabilitation

Extensive Services

Clinically Complex

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 08/13/2010.

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 05/07/2009 Correction Date: 07/08/2009
Keep All Essential Equipment Working Safely. Inspection Date: 05/07/2009 Correction Date: 07/08/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 08/13/2010 Correction Date: 09/21/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/13/2010 Correction Date: 09/21/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 08/13/2010 Correction Date: 09/21/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 08/13/2010 Correction Date: 09/21/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/07/2009 Correction Date: 07/08/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/13/2010 Correction Date: 09/21/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 05/07/2009 Correction Date: 07/08/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 05/07/2009 Correction Date: 07/08/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/07/2009 Correction Date: 07/08/2009
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: 08/13/2010 Correction Date: 09/21/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 08/13/2010 Correction Date: 09/21/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/07/2009 Correction Date: 07/08/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/07/2009 Correction Date: 07/08/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/07/2009 Correction Date: 07/08/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/25/2009 Correction Date: 11/27/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 09/25/2009 Correction Date: 11/27/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 08/13/2010 Correction Date: 09/21/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/13/2010 Correction Date: 09/21/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 08/13/2010 Correction Date: 09/21/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 08/13/2010 Correction Date: 09/21/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 08/13/2010 Correction Date: 09/21/2010

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: 05/07/2009 Correction Date: 07/08/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/07/2009 Correction Date: 07/08/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/25/2009 Correction Date: 11/27/2009
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: 09/25/2009 Correction Date: 11/27/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/13/2010 Correction Date: 09/21/2010

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

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment. Complaint Filed: 08/24/2009 Correction Date: 10/02/2009