Starfile / Hawaii

HALE NANI REHABILITATION AND NURSING CENTER

1677 PENSACOLA STREET, HONOLULU, HI 96822 · CCN 125011

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Inspection history vs Hawaii & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$27,885

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

VOLARE HEALTH

Facilities in chain

16

Chain avg overall

1.70 / 5

Inspection citations (92)1 actual harm

1. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-11-19 · Health · corrected 2026-01-02

   Potential for more than minimal harm

2. FF0732Post nurse staffing information every day.2025-11-19 · Health · corrected 2026-01-02

   Potential for more than minimal harm

3. FF0838Conduct 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.2025-11-19 · Health · corrected 2026-01-02

   Potential for more than minimal harm

4. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-15 · Health · corrected 2025-06-27

   Potential for more than minimal harm

5. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-05-15 · Health · corrected 2025-06-27

   Potential for more than minimal harm

6. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-05-15 · Health · corrected 2025-06-27

   Potential for more than minimal harm

7. DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-15 · Health · corrected 2025-06-27

   Potential for more than minimal harm

8. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-05-15 · Health · corrected 2025-06-27

   Potential for more than minimal harm

9. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2025-05-15 · Health · corrected 2025-06-27

   Potential for more than minimal harm

10. DF0583Keep residents' personal and medical records private and confidential.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

11. DF0584Honor 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.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

12. EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

13. DF0641Ensure each resident receives an accurate assessment.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

14. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

15. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

16. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

17. EF0688Provide 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.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

18. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

19. EF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

20. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

21. DF0699Provide care or services that was trauma informed and/or culturally competent.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

22. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

23. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

24. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

25. DF0761Ensure 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.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

26. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

27. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

28. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

29. EF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

30. FF0880Provide and implement an infection prevention and control program.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

31. DF0908Keep all essential equipment working safely.2025-05-15 · Health · corrected 2025-06-27

    Potential for more than minimal harm

32. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-04-25 · Health · corrected 2025-06-02

    Potential for more than minimal harm

33. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-25 · Health · corrected 2025-06-05

    Actual harm

34. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-25 · Health · corrected 2025-06-02

    Potential for more than minimal harm

35. EF0610Respond appropriately to all alleged violations.2025-04-25 · Health · corrected 2025-06-02

    Potential for more than minimal harm

36. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-04-25 · Health · corrected 2025-06-27

    Potential for more than minimal harm

37. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-25 · Health · corrected 2025-06-02

    Potential for more than minimal harm

38. FF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2025-04-25 · Health · corrected 2025-06-02

    Potential for more than minimal harm

39. DF0585Honor 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.2024-10-22 · Health · corrected 2024-11-26

    Potential for more than minimal harm

40. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-10-22 · Health · corrected 2024-11-26

    Potential for more than minimal harm

41. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

42. DF0551Give the resident's representative the ability to exercise the resident's rights.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

43. DF0558Reasonably accommodate the needs and preferences of each resident.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

44. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

45. DF0584Honor 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.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

46. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

47. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

48. DF0610Respond appropriately to all alleged violations.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

49. FF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

50. FF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

51. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

52. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

53. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

54. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

55. DF0679Provide activities to meet all resident's needs.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

56. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

57. DF0688Provide 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.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

58. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

59. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

60. FF0732Post nurse staffing information every day.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

61. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

62. DF0761Ensure 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.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

63. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

64. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

65. EF0880Provide and implement an infection prevention and control program.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

66. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-07-19 · Health · corrected 2024-09-02

    Potential for more than minimal harm

67. EF0585Honor 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.2024-03-22 · Health · corrected 2024-05-05

    Potential for more than minimal harm

68. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-22 · Health · corrected 2023-10-27

    Potential for more than minimal harm

69. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-09-22 · Health · corrected 2023-10-27

    Potential for more than minimal harm

70. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-09-22 · Health · corrected 2023-10-27

    Potential for more than minimal harm

71. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

72. EF0572Give residents a notice of rights, rules, services and charges.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

73. EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

74. DF0584Honor 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.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

75. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

76. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-07-14 · Health · corrected 2023-08-22

    Potential for more than minimal harm

77. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

78. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

79. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

80. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

81. DF0679Provide activities to meet all resident's needs.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

82. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-14 · Health · corrected 2023-08-25

    Potential for more than minimal harm

83. DF0685Assist a resident in gaining access to vision and hearing services.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

84. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

85. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

86. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

87. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

88. DF0761Ensure 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.2023-07-14 · Health · corrected 2023-08-25

    Potential for more than minimal harm

89. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

90. DF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

91. EF0880Provide and implement an infection prevention and control program.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

92. DF0908Keep all essential equipment working safely.2023-07-14 · Health · corrected 2023-08-18

    Potential for more than minimal harm

Ownership

Other facilities in HONOLULU

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.