Inspection Reports for Hawaii Loa Care Services LLC
272 Panio St, Honolulu, HI 96821, HI, 96821
Back to Facility ProfileInspection Report Summary
The most recent inspection on February 10, 2025, identified multiple deficiencies related to personnel training, nutrition, medication management, record keeping, physical environment, and safety. Earlier inspections also noted various issues including caregiver certifications, medication administration, nutrition documentation, and environmental safety, with similar themes recurring over time. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Complaint investigations were not mentioned in any report. The facility’s inspection history shows consistent areas of concern without a clear pattern of improvement or worsening.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
17.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
116% worse than Hawaii average
Hawaii average: 8.1 deficiencies/yearDeficiencies per year
32
24
16
8
0
Inspection Report
Annual Inspection
Deficiencies: 10
Date: Feb 10, 2025
Visit Reason
The inspection was an annual survey conducted to assess compliance with state licensing regulations for Hawaii Loa Care Services LLC.
Findings
The report identifies multiple deficiencies related to personnel training, nutrition, medication management, record keeping, physical environment, and safety. Each deficiency includes a plan of correction with completion dates ranging from February 10 to February 24, 2025.
Deficiencies (10)
No documented evidence substitute caregivers were trained on preparing and administering crushed medications and thickening liquids.
Resident menus did not meet residents' nutritional needs as portion sizes were not included and menus did not meet national dietary guidelines.
Pureed diet menu included food items and textures not appropriate for pureed diet.
Unlabeled tube of hydrocortisone cream stored in resident's bathroom cabinet.
Tube of hydrocortisone cream stored unsecured in resident's bathroom cabinet and residents' medications stored unsecured in kitchen cabinet.
Physician's order for thickener to food or beverage as needed was incomplete; thickness level not specified and PRN indication unavailable.
Initial tuberculosis clearance unavailable for review for Resident #2.
Valid annual tuberculosis clearance unavailable for review for Resident #2.
Accumulation of skin flakes observed on resident's bedsheet in Bedroom #2.
Large cracked portion of electrical outlet box missing with wiring fully exposed in Bedroom #2.
Report Facts
Deficiency completion dates: 10
Inspection Report
Annual Inspection
Deficiencies: 31
Date: Feb 16, 2024
Visit Reason
The inspection was conducted as the annual survey for Hawaii Loa Care Services LLC to assess compliance with licensing and regulatory requirements.
Findings
Multiple deficiencies were identified related to licensing, personnel certifications, admission policies, nutrition, medications, records and reports, physical environment, and resident accounts. Plans of correction and future plans were provided for each deficiency.
Deficiencies (31)
Primary Caregiver (PCG) - Two consecutive years of Fieldprint clearance unavailable for review.
Substitute Caregiver (SCG) #2 - Current first-aid certification unavailable for review.
Substitute Caregiver (SCG) #1 - PCG training to make prescribed medications available was unavailable for review.
Substitute Caregiver (SCG) #2 - Current cardiopulmonary resuscitation (CPR) certification unavailable for review.
Resident #3,4 - Level of care evaluation by physician unavailable for review.
Resident #2,5 - Special diet menus unavailable for the following diet orders: Resident #2 no added salt, low fat diet; Resident #5 regular, pureed diet.
Resident #2,5 - Special diet menus were not posted in the kitchen and dining area for the specified diet orders.
Cup of vanilla pudding stored uncovered in the refrigerator.
PCG reports cooking food to 97°F when preparing meals for residents; temperature well below safe minimum cooking temperature of 165°F.
Resident #1 - Medication bottle label incomplete; medication order incomplete on bottle.
Resident #1 - Medication administration record (MAR) for 2/2024 shows medication not administered in accordance with medication label on bottle.
Resident #1 - Medication orders not reevaluated or signed by physician or APRN every four months or as ordered.
Resident #1 - Medication orders were misfiled in resident's binder.
Resident #1 - Medication administration record (MAR) left blank for multiple dates; no indication if medication was administered, held, refused, or missed.
Resident #1 - Bottle of trazodone belonging to Resident #5 found in Resident #1's medication inventory.
Resident #1 - Bottle of haloperidol stored in resident's medication inventory; medication not available on 2/2024 MAR.
Resident #1 - Medication administration record (MAR) shows medication administered exceeding prescribed frequency; resident's response to medication not documented.
Resident #1 - Legend including full names unavailable to distinguish initials used on MAR when administering medications.
Resident #1 - Monthly progress notes unavailable from 10/1/23 to present (2/16/24).
Resident #3,4 - PCG reports resident files removed from facility and taken to PCG's personal house; resident files not provided within time frame given.
Bedroom #5 - Substantial amount of lizard feces on interior window ledge.
All bedrooms and bathrooms - receptacles do not have tight fitting covers.
Bedroom #2 - Signaling device unavailable at bedside.
Resident #1-5 - Monthly weight measurement unavailable for 1/2024.
Resident #1 - No documented evidence resident was provided opportunity to receive annual influenza vaccine.
Resident #3,4 - Self-preservation status unavailable for review.
Resident #1-4 - Annual tuberculosis clearance unavailable for review.
Resident #1 - Most recent physical exam dated 3/27/24 filed; Resident #2-4 physical exams filed with some misfiling noted.
Resident #1 - Monthly progress notes from 2/2023-9/2023 did not include resident's response to medication.
Resident #1 - Monthly progress notes from 2/2023-9/2023 did not include resident's response to medication.
Resident #4 - Plastic pillow protector unavailable on pillow.
Report Facts
Medication pills unaccounted: 12
Medication pills unaccounted: 16
Inspection Report
Annual Inspection
Deficiencies: 9
Date: Feb 27, 2023
Visit Reason
The inspection was an annual survey conducted to assess compliance with regulatory requirements for Hawaii Loa Care Services LLC.
Findings
The report identifies multiple deficiencies related to caregiver qualifications, personnel staffing and family requirements, nutrition documentation, medication labeling and administration, and record keeping. All deficiencies were addressed with corrective actions and future plans to prevent recurrence.
Deficiencies (9)
No documented evidence of any continuing education hours for primary care giver qualifications.
No documented evidence of initial (2-step) TB clearance for personnel, staffing and family requirements.
No documented evidence of annual TB clearance for personnel, staffing and family requirements.
No documented evidence of first aid certification for substitute care giver.
No documented evidence of cardiopulmonary resuscitation certification for substitute care giver.
No documented evidence of diet type upon admission for resident nutrition.
Medication label does not reflect medication order for Memantine and Levocetirizine; medication administration records issues including late entries and discontinued medications not properly documented.
No signed, accurate list of medication orders available upon resident admission.
No documented evidence of resident's current inventory of possessions available.
Report Facts
Continuing education hours: 8
Inspection Report
Annual Inspection
Deficiencies: 20
Date: Feb 1, 2022
Visit Reason
The inspection was conducted as the annual survey for Hawaii Loa Care Services LLC to assess compliance with regulatory requirements.
Findings
Multiple deficiencies were identified related to personnel physical examinations, tuberculosis clearances, first aid certification, medication administration, emergency preparedness, food sanitation, records and reports, personal care services, and physical environment. The facility submitted plans of correction for each deficiency with completion dates.
Deficiencies (20)
Substitute care giver (SCG) #2 - no current physical examination (PE).
Cook - No PE prior to contact with residents.
SCG #1, SCG #3 and SCG #4 - No two-step tuberculosis clearance.
SCG #5 - No TB clearance.
SCG #2 - No screening for symptoms consistent with pulmonary TB.
SCG #5 - No first aid certification.
SCG #5 - No documentation of training by the primary care giver (PCG) to make prescribed medication available to residents.
SCG #5 - No cardiopulmonary resuscitation training.
Resident #1 - Medication records had double documentation and missing physician orders for Naproxen.
Resident #1 - Medication were not updated since 3/2/21, a period of 10 months.
Resident #1 - No schedule of activities.
First aid kit was not maintained; tube of Neosporin ointment found in kit.
Cleaner with bleach, Comet Ultra Disinfectant Spray, rubbing alcohol (2 bottles), and hydrogen peroxide (1 bottle) were unsecured on a shelf in the kitchen area.
Clorox Multipurpose Cleaner and Tough & Tender Spray unsecured under hallway bathroom sink cabinet.
Resident #1 - Care giver signatures were illegible when signing progress notes; no legend for signatures.
Resident #1 - No legend for initials on medication record.
Resident #1 - No progress notes of a fall on 12/28/21.
Resident #1 - No documentation of PCG assessment upon admission 2/9/21.
Resident #2 - Discharge date was not recorded on the permanent general register.
Bedroom #2 & Bedroom #5 - No signaling device at bedside.
Report Facts
Deficiencies cited: 21
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