REPORT TO THE TWENTY-NINETH LEGISLATURE
STATE OF HAWAII
2017

PURSUANT TO ACT 184, SESSION LAWS OF HAWAII (SLH) 2016, REQUESTING
THE DEPARTMENT OF HEALTH TO SUBMIT AN ANNUAL REPORT THAT OUTLINES
THE STATUS OF THE OFFICE OF HEALTH CARE ASSURANCE'S AGGREGATE
NUMBER OF ANNOUNCED AND UNANNOUNCED VISITS AND INSPECTIONS
CONDUCTED BY THE DEPARTMENT OF HEALTH ON THE STATE-LICENSED OR
STATE-CERTIFIED CARE FACILITIES AND THE GENERAL OUTCOMES AND
CORRECTIVE ACTIONS TAKEN BY THE DEPARTMENT.

PREPARED BY:
STATE OF HAWAII
DEPARTMENT OF HEALTH
DECEMBER 2016

 EXECUTIVE SUMMARY
In accordance with Act 184, Session Laws of Hawaii (SLH) 2016, the Department of
Health is submitting a report to the 2017 Legislature that identifies:
(1) The annual aggregate numbers of announced and unannounced visits
conducted by the department of health on the state-licensed or state-certified care
facilities;
(2) The annual aggregate numbers of unannounced inspections conducted by the
department of health on the state-licensed or state-certified facilities as follow-up visits,
visits to confirm corrections or deficiencies, or visits to investigate complaints or
suspicions of abuse or neglect; and
(3) The general outcomes and corrective actions taken because of the visits and
investigations conducted by the department of health on the state-licensed or statecertified care facilities.

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 REPORT TO THE LEGISLATURE
IN COMPLIANCE WITH ACT 184, SESSION LAWS OF HAWAII (SLH) 2016
Introduction:
The Department of Health is committed to ensure the health, welfare and safety of all
individuals receiving health care services in all settings in the State. In order to achieve
this goal, the department has established minimal standards for licensure and
certification that is monitored through inspections and investigations. As deficiencies
are identified, the department provides consultation to correct deficient practices.
Conclusion:
Aggregate Numbers:
Licensed Facility

Visits

Inspections

Ann Unann
0
0
0
4
0
45

Ann

Unann
0
1
41
0
930
0

Sub-Total
Ann Unann
0
1
41
4
930
45

Adult day health centers
Adult day care centers
Community care foster family
homes
Developmental disabilities
0
1
43
0
43
1
domiciliary homes
Adult foster homes
280
0
0
0
280
0
Adult residential care homes
17
19
202
81
219
100
Expanded adult residential
0
0
255
113
255
113
care homes
Assisted living facilities
0
1
7
0
7
1
Intermediate care facilities
0
0
0
17
0
17
Nursing facilities (NF) and
0
0
2
67
2
67
Skilled nursing facilities (SNF)
Special treatment facilities
1
27
27
1
Total
297
71
1,507
279 1,804
350
Ann = Announced
Unann = Unannounced
Counts include initial licensure inspections and investigations of unlicensed activities.

Total

1
45
975
44
280
319
368
8
17
69
28
2,154

General Outcomes and Corrective Actions:
Overall, most inspections result in citations for non-compliance with regulations and all
citations are required to be corrected by the facility before the facility receives their
renewed license or certification.
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