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Kaiser Permanente Home Health Agency Maui

(808) 243-668180 Mahalani Street, Wailuku, HI 96793
CMS Certification Number 127023 · Non-Profit · Medicare-certified since 10/11/1993
3deficiencies since 2018
0serious
1inspections
3CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2023-03-03

· Recertification · 3 deficiencies · CMS source report (PDF)
Moderate Authentication

The facility failed to ensure that all entries in the medical record were complete and appropriately authenticated as evidenced by 7 of 13 record reviews done were noted to have progress notes, assessments, and orders that were not authenticated in a timely manner and in alignment with facility…

Source: CMS Form 2567, inspection 2023-03-03, tag G1024 · view on CMS
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Minor Rn Performs Assessment

The facility failed to conduct an initial assessment visit within 48 hours of the referral or within 48 hours of the patient’s return home for 2 (Patients 12 and 13) of 13 patients in the active sample.

Source: CMS Form 2567, inspection 2023-03-03, tag G0514 · view on CMS
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Minor Revised Plan Of Care

The facility failed to ensure the plan of care (POC) for one patient (P) was revised to reflect her comprehensive assessment, as evidenced by no measures found in the Home Care Aide (HCA) POC to address skin tears related to fragile skin identified and documented in the Skilled Nurse (SN)…

Source: CMS Form 2567, inspection 2023-03-03, tag G0592 · view on CMS
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