01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-11-15 | 10 | 2024-11-15 | 0 |
| Cycle 2 | 2023-10-30 | 11 | 2023-10-30 | 1 |
| Cycle 3 | 2022-10-14 | 18 | 2022-10-14 | 0 |
CMS CCN 1250582026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Yukio Okutsu State Veterans Home
1180 Waianuenue Avenue · Hilo, HI 96720 · Hawaii County
Certified beds95CMS provider file
Recent citation rows40current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
40 rows in the current release
3 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-11-15 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-12-302024-11-15 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2024-12-302024-11-15 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-12-302024-11-15 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-12-302024-11-15 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-12-302024-11-15 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2024-12-302024-11-15 · HEALTHF0726Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2024-12-30 · complaint2024-11-15 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-12-302024-11-15 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-12-302024-11-15 · HEALTHF0847Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Correction field: Deficient, Provider has date of correction · 2024-12-302024-11-15 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2024-12-302023-10-30 · HEALTHF0625Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Notify 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.
Correction field: Deficient, Provider has date of correction · 2023-12-112023-10-30 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2023-12-112023-10-30 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-12-112023-10-30 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2023-12-112023-10-30 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2023-12-112023-10-30 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2023-07-27 · complaint2023-10-30 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2023-12-112023-10-30 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-12-112023-10-30 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-12-112023-10-30 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-12-112023-10-30 · FIREK0293Severity C · widespread; potential for minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2023-11-302022-10-14 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2022-12-162022-10-14 · HEALTHF0572Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Correction field: Deficient, Provider has date of correction · 2022-12-1603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2023-10-30 | Fine | $13,049 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- HAWAII HEALTH SYSTEMS CORPORATIONOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 11/21/2007
- HASH, ALANIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 03/01/2014
- KIRTON, CHARLESIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 10/23/2012
- STUART, ANNEIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 03/01/2014
- IGNACIO, JAYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2019
- NUNOKAWA, CLARYSSEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2019
- ROSEN, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/16/2014
- SAKO, DEANNAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2018
- SMITH, STEPHENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/24/2018
- VANCAMP, CAROLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2019
- ZELKO-SCHLUETER, JENNIFERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/04/1977
- BELCHER, DANIELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2020
- BRINKMAN, DANIELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/22/2015
- CHU, EDWARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/16/2010
- FARIAS, CHADIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2021
- GOMEZ, LARAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/01/2022
- GRAY, JERRYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/22/2019
- KUROHARA, RANDALLIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.64per resident day
RN hours1.12per resident day
Weekend nurse hours4.07per resident day
Staff turnover60.3%CMS reported field
06 / LOCAL RECORDS
Open the Hilo ledger →