Leahi Hospital in Honolulu, HI is owned by the state, in Honolulu, HI, in zipcode 96816, is in the Western states, government-owned, Medicaid certified, Medicare certified, located within a hospital, had a deficiency in how to develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, had a deficiency in how to develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals, had a deficiency in how to immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident, had a deficiency in how to implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications is only used when the medication is necessary and PRN use is limited, had a deficiency in how to procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, had a deficiency in how to provide safe, appropriate pain management for a resident who requires such services, has a Resident Council, has automatic sprinklers in all required areas, improved or reached best on scores over the last two years (3 in total), doesn't have facility-reported incidents, substantiated complaints, fines, or payment denials, has a 5-star rating in each of quality measures, long-stay quality measures, staffing, and registered-nurse staffing (4 total), has a 1- or 2-star rating in health inspection, has a 4- or 5-star rating in each of overall, quality measures, long-stay quality measures, staffing, and registered-nurse staffing (5 total), is better than the nationwide mental-health averages in each of short-stay residents who newly received an antipsychotic medication, long-stay residents who received an antipsychotic medication, and long-stay residents who have depressive symptoms, is better than the nationwide hospital-related averages in both outpatient emergency department visits per 1,000 long-stay resident days and hospitalizations per 1,000 long-stay resident days, is worse than the nationwide averages in short-stay residents who made improvements in function, were assessed and appropriately given the pneumococcal vaccine, and were assessed and appropriately given the seasonal influenza vaccine, is better than the nationwide averages in short-stay residents who newly received an antipsychotic medication, is worse than the nationwide physical-health averages in long-stay residents who became less able to move independently, experienced one or more falls with major injury, were physically restrained, and were low-risk and lost control of their bowels or bladder (4 total), and is better than the nationwide physical-health averages in long-stay residents who were high-risk and had pressure ulcers, has a urinary tract infection, had a catheter inserted and left in their bladder, lose too much weight, and needed increased help with daily activities (5 total).

• total fines ($0)
• total fines per resident ($0.00)
• change in total fines over two years (-$52,845)
• long-stay residents assessed and appropriately given the seasonal influenza vaccine (100%)
• long-stay residents assessed and appropriately given the pneumococcal vaccine (93.2%)
• short-stay residents assessed and appropriately given the pneumococcal vaccine (77.9%)
• short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (73.7%)
• certified-bed occupancy rate (62.8%)
• short-stay residents who made improvements in function (54.8%)
• low-risk long-stay residents who lose control of their bowels or bladder (53.7%)
• long-stay residents whose ability to move independently worsened (22.6%)
• long-stay residents whose need for help with daily activities has increased (13.9%)
• long-stay residents who received an antipsychotic medication (6.5%)
• long-stay residents who received an antianxiety or hypnotic medication (5.2%)
• long-stay residents experiencing one or more falls with major injury (3.9%)
• high-risk long-stay residents with pressure ulcers (3.1%)
• long-stay residents who lose too much weight (2.5%)
• long-stay residents with a catheter inserted and left in their bladder (1.6%)
• long-stay residents who were physically restrained (1.2%)
• long-stay residents with a urinary tract infection (1.2%)
• long-stay residents who have depressive symptoms (1.0%)
• short-stay residents who newly received an antipsychotic medication (0.0%)
• change in health-inspection rating over two years (+1 star)
• change in overall rating over two years (+2 stars)
• change in quality-measures rating over two years (+1 star)
• change in residents in certified beds over two years (-10.2)
• change in staffing rating over two years (0 stars)
• health-inspection rating (2 stars)
• long-stay quality-measures rating (5 stars)
• overall rating (4 stars)
• quality-measures rating (5 stars)
• registered-nurse staffing rating (5 stars)
• RN staffing hours per resident per day (2.79)
• staffing rating (5 stars)
• total nurse staffing hours per resident per day (5.15)
• change in facility-reported incidents or substantiated complaints over two years (0)
• change in last-inspection-cycle health-deficiency score over two years (-115)
• change in last-inspection-cycle total health-inspection score over two years (-115)
• change in total last-inspection-cycle fire-safety deficiencies over two years (0)
• change in total last-inspection-cycle health deficiencies over two years (+2)
• change in total weighted health survey score over two years (-63.4)
• count of administration deficiencies (0)
• count of automatic sprinkler systems deficiencies (0)
• count of construction deficiencies (0)
• count of corridor walls and doors deficiencies (0)
• count of electrical deficiencies (0)
• count of emergency plans and fire drills deficiencies (0)
• count of emergency preparedness deficiencies (0)
• count of environmental deficiencies (2)
• count of exit deficiencies (0)
• count of fire alarm systems deficiencies (0)
• count of freedom from abuse, neglect, and exploitation deficiencies (0)
• count of gas, vacuum, and electrical systems deficiencies (0)
• count of hazardous area deficiencies (0)
• count of illumination and emergency power deficiencies (0)
• count of interior deficiencies (0)
• count of laboratories deficiencies (0)
• count of medical gases and anesthetizing areas deficiencies (0)
• count of miscellaneous deficiencies (0)
• count of nursing and physician services deficiencies (0)
• count of nutrition and dietary deficiencies (1)
• count of pharmacy service deficiencies (2)
• count of quality of life and care deficiencies (1)
• count of resident assessment and care planning deficiencies (3)
• count of resident rights deficiencies (2)
• count of services deficiencies (0)
• count of smoke deficiencies (0)
• count of smoking regulations deficiencies (0)
• facility-reported incidents (0)
• facility-reported incidents or substantiated complaints (0)
• facility-reported incidents or substantiated complaints per 100 residents in a certified bed (0.0)
• fines (0)
• health deficiencies during the last inspection cycle (11)
• health deficiencies from complaint surveys during the last inspection cycle (0)
• health deficiencies from the standard survey during the last inspection cycle (11)
• health-deficiency score during the last inspection cycle (64)
• hospitalizations per 1,000 long-stay resident days (1.16)
• outpatient emergency department visits per 1,000 long-stay resident days (0.70)
• payment denials (0)
• substantiated complaints (0)
• total health-inspection score during the last inspection cycle (64)
• total number of fire-safety deficiencies (0)
• total number of health deficiencies (11)
• total penalties (0)
• total weighted health survey score during the last 3 inspection cycles (79.2)
• certified beds (155)
• change in RN staffing hours per resident per day (+0.7)
• change in total nurse staffing hours per resident per day (+0.7)
• LPN staffing hours per resident per day (0.06)
• Nurse Aide staffing hours per resident per day (2.81)
• residents in certified beds (97.3)
• years certified for Medicare/Medicaid (51.9)

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