ROOM & RECOURSE

Hawaii

Grounds stated in the sources
Not quotable from the sources reviewed, for a reason about the transport and not about the state. Hawaii states its nursing-facility rules in Chapter 11-94.2 of the Hawaii Administrative Rules, adopted September 16, 2022, which the Department of Health publishes only as a scanned image: the file's text layer covers the cover sheet alone, and the cover is all this page can quote — "Repeal of Chapter 11-94.1," and "Adoption of Chapter 11-94 .2," under the heading "Hawaii Administrative Rules" and the date "September 16, 2022", with a two-item summary stating that the old chapter is repealed and the new one adopted. The department's Title 11 index lists the chapter as "Nursing Facilities", administered by the "Office of Health Care Assurance", dated 09/16/22. The chapter's own statement of when a facility may transfer or discharge a resident sits in the scanned pages, which a reader can open and read at the link in the source map; this page does not reproduce it. The enumerated federal grounds for Medicare/Medicaid-certified facilities are assembled on the federal page, not here.
Notice stated in the sources
Not quotable from the sources reviewed, for the same reason: the notice provisions of Chapter 11-94.2 are in the scanned pages. No other Hawaii source captured states a notice period or the notice's required contents for a facility-initiated transfer or discharge.
Hearing office in these sources
Not stated in the sources reviewed, for a facility-initiated transfer or discharge. The Medicaid agency's appeals page addresses eligibility determinations and health-plan actions: "You must make your request for either an informal review or an administrative hearing in-person, by telephone, mail, or through other commonly available electronic means." "Your request must be received by our office within 90 calendar days from the date of this notice." Its form, DHS 1161 (Rev. 12/18), lists the actions it is for — "My application was denied." "My redetermination for continued medical assistance was terminated." "My coverage or service was denied or terminated." — and none names a nursing facility's decision. The division prints, for member grievances and appeals, "808-692-8094" and "Department of Human Services Med-QUEST Division Attention: Health Care Services Branch P.O. Box 700190 Kapolei, Hawaii 96709-0190". Whether any of that reaches a facility's transfer or discharge decision is not stated on the pages captured.
Ombudsman in these sources
The program's own page, on the Executive Office on Aging's site: "If you need information or assistance in the following areas, please contact the LTCO at 586-7268 (Oahu) or by email at john.mcdermott@doh.hawaii.gov." and, for volunteering, "please call the Executive Office on Aging at 586-0100 (Oahu)." The page prints no street address for the program and no toll-free number; the site's footer prints the department's "Info Line 808-586-4400".
Sources last checked
Sep 4, 2026

Reproduced from the agencies' own pages and documents quoted below — potentially relevant official sources, not a determination that any notice, ground, or deadline applies to any situation.

LedeWhat this page holds

Lede

This page assembles what Hawaii's own publishers state about involuntary transfer and discharge from a nursing facility, and it is unusual among these pages in that the fullest single source cannot be quoted. It is a baseline page: the docket rows and the source map are built; the grounds section and the published-process section are not yet written, as the change log records. The operative rule is Chapter 11-94.2 of the Hawaii Administrative Rules, Nursing Facilities, adopted by the Department of Health on September 16, 2022 in the same instrument that repealed its predecessor, 11-94.1. The department publishes it as a 66-page scanned image whose only text is the cover sheet, and no second publisher carries the chapter. This project quotes only text it can verify against a capture, and a machine's reading of a picture is not one, so the rule's grounds, notice and appeal provisions are recorded here as present and unquoted rather than as absent. The file is linked in the source map for a reader to open.

Two publishers hold what can be captured. The Department of Health publishes the chapter's index entry and cover, and, through its Executive Office on Aging, the Long-Term Care Ombudsman Program's contact. The Department of Human Services' Med-QUEST Division publishes Hawaii Medicaid's appeals route, which as published concerns eligibility and health-plan actions and does not mention a facility's transfer or discharge decision. The federal floor for Medicare/Medicaid-certified facilities is assembled separately on the federal page; nothing here fills a gap from federal law or another state. Confirm applicability with the agencies named in the sources: whether any provision applies to a particular facility, resident, or notice is for the hearing office to determine. Deadlines and periods on this page are quoted from the sources, not calculated for any case.

03Source map

Source map

DocumentPublisher and locationSource's own dateRetrieved
Department of Health Administrative Rules, Title 11 (index of chapters)Hawaii Department of Health, Office of Planning, Policy and Program Developmenteach chapter row carries its own date; 11-94.2 is dated 09/16/222026-09-04
Chapter 11-94.2, Nursing Facilities, Hawaii Administrative Rules (PDF; scanned image, cover sheet text only)Hawaii Department of HealthSeptember 16, 20222026-09-04 (cover sheet only; the rule text is capture-blocked)
Long-Term Care Ombudsman ProgramExecutive Office on Aging, Hawaii Department of Healthnone stated on page2026-09-04
Grievance and AppealsMed-QUEST Division, Hawaii Department of Human Servicesnone stated on page2026-09-04
DHS 1161, Request for a Hearing (PDF)Med-QUEST Division, Hawaii Department of Human ServicesRev. 12/182026-09-04

Captured: all five, in tools/packets/hawaii-packet.txt. Pending: the text of Chapter 11-94.2 itself, including its admission, transfer and discharge section and its notice provisions (capture-blocked — see finding 1); any Hawaii statute or rule naming the office that hears a resident's appeal of a facility-initiated transfer or discharge; any Med-QUEST statement of payment for a held bed during a hospital stay; the Office of Health Care Assurance's own page for nursing facilities.

04Change log

Change log

2026-09-04 — Baseline page built from the first Hawaii packet: docket, lede, source map, change log. Not yet captured or written: section 01 (the grounds, as Hawaii describes them) and section 02 (the published process), both of which depend on the rule text this packet cannot hold. Transports: every source was fetched by curl with a browser user-agent through the capture recipe (tools/recipes/hawaii.json); the two PDFs were read with pdftotext in layout mode, the three pages by tag-stripping the body, with Cloudflare's email obfuscation decoded by the shared capture reader on the department's pages. No browser or session-fetch transport was needed. Findings: (1) Chapter 11-94.2 is published by the Department of Health only as a scanned image. The 66-page file's text layer covers the cover sheet, and pdftotext returns seventeen lines; the department's Title 11 index links only this file, the Lieutenant Governor's administrative-rules page links back to the department, and the Legislature publishes statutes rather than rules, so no second first-party publisher exists. Under PROVENANCE.md a machine's reading of a picture of the text is not a capture, and none was made. The grounds and notice rows therefore record the rule as present and unquoted, which is a finding about the transport and not about Hawaii, and link the file. The page is to be rebuilt from text if the department posts a text version; a request for a text-format copy was sent on 2026-09-04 to the Office of Health Care Assurance contact the department's Title 11 index names for the chapter. (2) The scanned file's cover sheet, which is quotable, prints the chapter number as "11-94 .2" with a space; that is the document's own typesetting and is preserved where quoted. (3) The Medicaid agency's appeals page and its DHS 1161 form address eligibility determinations and health-plan actions and do not mention nursing facilities or a facility's transfer or discharge decision; the hearing row quotes what they state and records that their reach to a facility-initiated move is not stated. (4) The Long-Term Care Ombudsman Program's page prints an Oahu telephone number and a named staff member's email and no street address or toll-free number; that is what the program publishes on the page captured. (5) This is the first page in this index whose operative rule is present but unquoted rather than absent; the docket's standing language "Not quotable from the sources reviewed" is used for it, distinct from "Not stated in the sources reviewed", so that a reader is not told Hawaii publishes nothing. Capture pending: per the source map. Internet Archive: not yet submitted. Reviewer: Carrie Schluter, reviewed 2026-09-04. Corrections: hello@fieldassembly.net.