State surveyors inspected 30 of Hawaii's 43 nursing homes in the 12 months from August 2025 through July 2026 and cited 225 health deficiencies, according to CMS's nursing home health citation file, processed September 1, 2026. The most cited was F880, which CMS words as “provide and implement an infection prevention and control program”, at 17 of those buildings (57%). 1 of the citations were immediate jeopardy, the most serious level CMS has.
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Hawaii, the 12 months from August 2025 through July 2026, from CMS's nursing home health citation file.
August 2025 through July 2026. Source: CMS's nursing home health citation file, processed September 1, 2026.
| Rank | Tag | Citations | Buildings cited |
|---|---|---|---|
| 1 | F880Provide and implement an infection prevention and control program | 20 | 17 (57%) |
| 2 | F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured | 14 | 13 (43%) |
| 3 | F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards | 14 | 13 (43%) |
| 4 | F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents | 13 | 13 (43%) |
| 5 | F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs | 11 | 10 (33%) |
| 6 | F684Provide appropriate treatment and care according to orders, resident’s preferences and goals | 10 | 8 (27%) |
| 7 | F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights | 9 | 9 (30%) |
| 8 | F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies | 9 | 8 (27%) |
| 9 | F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals | 7 | 7 (23%) |
| 10 | F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason | 7 | 6 (20%) |
| 11 | F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards | 6 | 6 (20%) |
| 12 | F641Ensure each resident receives an accurate assessment | 6 | 5 (17%) |
| 13 | F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities | 5 | 5 (17%) |
| 14 | F692Provide enough food/fluids to maintain a resident's health | 5 | 5 (17%) |
| 15 | F552Ensure that residents are fully informed and understand their health status, care and treatments | 4 | 4 (13%) |
| 16 | F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive | 4 | 3 (10%) |
| 17 | F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely | 3 | 3 (10%) |
| 18 | F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge | 3 | 3 (10%) |
| 19 | F686Provide appropriate pressure ulcer care and prevent new ulcers from developing | 3 | 3 (10%) |
| 20 | F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections | 3 | 3 (10%) |
| 21 | F695Provide safe and appropriate respiratory care for a resident when needed | 3 | 3 (10%) |
| 22 | F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist | 3 | 3 (10%) |
| 23 | F757Ensure each resident’s drug regimen must be free from unnecessary drugs | 3 | 3 (10%) |
| 24 | F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function | 3 | 2 (7%) |
| 25 | F698Provide safe, appropriate dialysis care/services for a resident who requires such services | 3 | 2 (7%) |
| Rank | Tag | Citations | Buildings cited |
|---|---|---|---|
| 26 | F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift | 3 | 2 (7%) |
| 27 | F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident | 2 | 2 (7%) |
| 28 | F583Keep residents' personal and medical records private and confidential | 2 | 2 (7%) |
| 29 | F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody | 2 | 2 (7%) |
| 30 | F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | 2 | 2 (7%) |
| 31 | F697Provide safe, appropriate pain management for a resident who requires such services | 2 | 2 (7%) |
| 32 | F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being | 2 | 2 (7%) |
| 33 | F760Ensure that residents are free from significant medication errors | 2 | 2 (7%) |
| 34 | F791Provide or obtain dental services for each resident | 2 | 2 (7%) |
| 35 | F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options | 2 | 2 (7%) |
| 36 | F825Provide or get specialized rehabilitative services as required for a resident | 2 | 2 (7%) |
| 37 | F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies | 2 | 2 (7%) |
| 38 | F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice | 2 | 1 (3%) |
| 39 | F679Provide activities to meet all resident's needs | 2 | 1 (3%) |
| 40 | F699Provide care or services that was trauma informed and/or culturally competent | 2 | 1 (3%) |
| 41 | F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures | 2 | 1 (3%) |
| 42 | F558Reasonably accommodate the needs and preferences of each resident | 1 | 1 (3%) |
| 43 | F565Honor the resident's right to organize and participate in resident/family groups in the facility | 1 | 1 (3%) |
| 44 | F576Ensure residents have reasonable access to and privacy in their use of communication methods | 1 | 1 (3%) |
| 45 | F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances | 1 | 1 (3%) |
| 46 | F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment | 1 | 1 (3%) |
| 47 | F610Respond appropriately to all alleged violations | 1 | 1 (3%) |
| 48 | F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail | 1 | 1 (3%) |
| 49 | F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit | 1 | 1 (3%) |
| 50 | F712Ensure that the resident and his/her doctor meet face-to-face at all required visits | 1 | 1 (3%) |
| 51 | F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training | 1 | 1 (3%) |
| 52 | F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining | 1 | 1 (3%) |
| 53 | F732Post nurse staffing information every day | 1 | 1 (3%) |
| 54 | F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician | 1 | 1 (3%) |
| 55 | F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature | 1 | 1 (3%) |
| 56 | F826Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor | 1 | 1 (3%) |
| 57 | F883Develop and implement policies and procedures for flu and pneumonia vaccinations | 1 | 1 (3%) |
| 58 | F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status | 1 | 1 (3%) |
| 59 | F908Keep all essential equipment working safely | 1 | 1 (3%) |
| 60 | F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame | 1 | 1 (3%) |
| 61 | F919Make sure that a working call system is available in each resident's bathroom and bathing area | 1 | 1 (3%) |
| 62 | F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public | 1 | 1 (3%) |
A tag is ranked by how many times it was cited. “Buildings cited” counts the inspected buildings that drew the tag at least once, and its percentage is of every building inspected; we print a percentage only where 20 or more buildings were inspected. “Rank a year earlier” is the same ranking over August 2024 through July 2025. CMS publishes citations months after the survey, so the newest months are still filling in: compare ranks across the two years, not counts. Immediate jeopardy is CMS severity J, K or L; actual harm is G, H or I. No building is named on this page: open a building for its own inspections.
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