Molokai General Hospital

Total Number of Beds: 16	Percent of Occupied Beds: 38%
Total Number of Residents: 6	Located Within a Hospital: Yes
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Family	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 11/01/2002

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 6.5

Number of LPN/LVN Hours per Nursing Home Resident per Day: 2.74

Number of CNA Hours per Nursing Home Resident per Day: 9.01

Number of Staff Hours per Nursing Home Resident per Day: 18.25

Nursing Home Resident Information**:

** Details Last Reported on: 11/1/2002

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2000-02-03	2000-03-24	Mistreatment Deficiencies	Protect residents from mistreatment, neglect, and/or theft of personal property.	Widespread	Minimal harm or potential for actual harm
2000-02-03	2000-03-24	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Actual harm
2000-02-03	2000-03-24	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Actual harm
2000-02-03	2000-03-24	Resident Assessment Deficiencies	Keep assessments completed in the preceding 15 months in the resident's active record.	Isolated	Minimal harm or potential for actual harm
2000-02-03	2000-03-24	Quality Care Deficiencies	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	Isolated	Actual harm
2000-02-03	2000-03-24	Quality Care Deficiencies	Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion.	Isolated	Actual harm
2000-02-03	2000-04-20	Quality Care Deficiencies	Give the right treatment and services to residents who have mental or social problems adjusting.	Pattern	Potential for minimal harm
2000-02-03	2000-03-24	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Isolated	Minimal harm or potential for actual harm
2000-02-03	2000-03-24	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Isolated	Minimal harm or potential for actual harm
2000-02-03	2000-03-24	Quality Care Deficiencies	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	Isolated	Actual harm
2000-02-03	2000-03-24	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2000-02-03	2000-03-24	Pharmacy Service Deficiencies	Provide drugs and related services needed by each resident.	Widespread	Potential for minimal harm
2000-02-03	2000-03-24	Environmental Deficiencies	Have a program to keep infection from spreading.	Widespread	Potential for minimal harm
2000-02-03	2000-03-24	Environmental Deficiencies	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	Widespread	Potential for minimal harm
2000-02-03	2000-03-24	Environmental Deficiencies	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Widespread	Potential for minimal harm
2000-02-03	2000-03-24	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Widespread	Potential for minimal harm
2000-02-03	2000-03-24	Administration Deficiencies	1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator.	Isolated	Actual harm
2000-02-03	2000-03-24	Administration Deficiencies	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm
2001-07-27	2001-09-10	Mistreatment Deficiencies	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Widespread	Minimal harm or potential for actual harm
2001-07-27	2001-09-10	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Widespread	Minimal harm or potential for actual harm
2001-07-27	2001-09-10	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
2001-07-27	2001-09-10	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Potential for minimal harm
2001-07-27	2001-09-10	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
2001-07-27	2001-09-10	Resident Assessment Deficiencies	Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress.	Isolated	Minimal harm or potential for actual harm
2001-07-27	2001-09-10	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
2001-07-27	2001-09-10	Quality Care Deficiencies	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.	Isolated	Minimal harm or potential for actual harm
2001-07-27	2001-09-10	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	Pattern	Minimal harm or potential for actual harm
2001-07-27	2001-08-01	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
2001-07-27	2001-09-10	Environmental Deficiencies	Have a program to keep infection from spreading.	Widespread	Potential for minimal harm
2001-07-27	2001-09-10	Administration Deficiencies	Keep accurate and appropriate medical records.	Pattern	Potential for minimal harm
2002-11-01	2003-01-06	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Widespread	Minimal harm or potential for actual harm
2002-11-01	2003-01-06	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm
2002-11-01	2003-01-06	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Pattern	Minimal harm or potential for actual harm

*** All violations listed are based on federal government records.