KAUAI VETERANS MEMORIAL HOSPITAL

4643 WAIMEA CANYON DRIVE
WAIMEA, HI, 96796
8083389431
CCN: 125021
2
Overall
1
Health
1
Staffing
5
Quality
ChainHAWAII HEALTH SYSTEMS CORPORATION
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
KAUAI VETERANS MEMORIAL HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTEREST100%
HAWAII HEALTH SYSTEMS CORPORATION5% OR GREATER INDIRECT OWNERSHIP INTEREST20%
ASATO, CHRISTINECORPORATE OFFICERNOT APPLICABLE
SEGAWA, LANCECORPORATE OFFICERNOT APPLICABLE
FRANKLIN, NICHOLASOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ASATO, CHRISTINEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SEGAWA, LANCEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-09-10Fine$34K
Health Deficiencies (21)
2024-09-10 · Health
L
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
Ensure 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.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F637 · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
2023-09-22 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F638 · Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
D
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
2022-09-02 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
F727 · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
E
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
G
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F637 · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
E
F584 · Resident Rights Deficiencies
Honor 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.
E
F577 · Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
E
F574 · Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
D
F568 · Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
1.51
3.68
RN Hrs/Resident/Day
0.54
0.54
LPN Hrs/Resident/Day
0.09
0.81
CNA Hrs/Resident/Day
0.88
2.33
PT Hrs/Resident/Day
0.00
0.12
Data as of 2026-03-01