MOLOKAI GENERAL HOSPITAL

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.

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 06/03/2011.

Administration

Hire a Qualified Activities Director. Inspection Date: 01/29/2009 Correction Date: 03/27/2009
Hire a Qualified Activities Director. Inspection Date: 06/03/2011 Correction Date: 07/15/2011
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 06/03/2011 Correction Date: 07/15/2011
Train All Employees on What to Do in an Emergency. Inspection Date: 06/03/2011 Correction Date: 07/15/2011

Environmental

Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 01/29/2009 Correction Date: 03/27/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/03/2011 Correction Date: 07/15/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 06/03/2011 Correction Date: 07/15/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 01/29/2009 Correction Date: 03/27/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 01/29/2009 Correction Date: 03/27/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 06/03/2011 Correction Date: 07/15/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/03/2011 Correction Date: 07/15/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 01/29/2009 Correction Date: 03/27/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/29/2009 Correction Date: 03/27/2009

Resident Assessment

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: 01/29/2009 Correction Date: 03/27/2009
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: 01/29/2009 Correction Date: 03/27/2009
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: 01/14/2010 Correction Date: 02/11/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 01/29/2009 Correction Date: 03/27/2009

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 Molokai General Hospital 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 06/03/2011.

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 01/27/2009 Correction Date: 03/27/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 01/27/2009 Correction Date: 03/27/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 01/27/2009 Correction Date: 03/27/2009