Honolulu, HI

Hi'olani Care Center at Kahala Nui

5-star overall rating with 3-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

4389 Malia Street, Honolulu, HI

(808) 218-7052

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

20

Certified beds

Average residents

18

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2005-11-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.91

Registered nurse staffing

LPN hours / resident day

0.29

Licensed practical nurse staffing

Aide hours / resident day

3.55

Nurse aide staffing

Weekend hours

5.32

Weekend nurse staffing

RN turnover

44%

Annual RN turnover

Total nurse turnover

23%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.9%
96.3%
1.6 pts better
93.4%
4.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
1.9%
1.9 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
1.4%
1.4 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 22.2%
4.9%
17.3 pts worse
5.4%
16.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 0.0%
8.2%
8.2 pts better
19.6%
19.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 0.0%
11.3%
11.3 pts better
16.7%
16.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.3%
0.3 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.0%
16.8%
4.8 pts better
14.9%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.3%
1.3%
4 pts worse
1.0%
4.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 6.4%
2.4%
4 pts worse
1.7%
4.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 34.9%
17.8%
17.1 pts worse
19.8%
15.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.5%
3.6%
0.1 pts better
5.1%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.5%
82.8%
5.7 pts better
81.7%
6.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 5.0%
10.9%
5.9 pts better
12.0%
7 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.0%
1 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96.7%
84.7%
12 pts better
79.7%
17 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 29.2%
19.6%
9.6 pts worse
23.9%
5.3 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-27 · Fire 2024-06-27

8 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-08-10 · Fire 2023-08-10

13 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-09-23 · Fire 2022-09-23

3 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-06-27

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-07-18

D · Potential for more than minimal harm 2024-06-27

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-07-18

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-06-27

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-07-31

D · Potential for more than minimal harm 2024-06-27

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-07-31

D · Potential for more than minimal harm 2024-06-27

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-07-31

D · Potential for more than minimal harm 2024-06-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-07-31

D · Potential for more than minimal harm 2024-06-27

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-07-31

D · Potential for more than minimal harm 2024-06-27

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-07-31

D · Potential for more than minimal harm 2024-06-27

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-07-31

D · Potential for more than minimal harm 2024-06-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-31

F · Potential for more than minimal harm 2023-08-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-08-10

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-08-10

F584 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-08-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-08-10

F688 · Quality of Life and Care Deficiencies

Health

Provide 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.

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-08-10

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-08-10

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-08-10

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-08-10

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-08-10

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-08-10

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-09-11

D · Potential for more than minimal harm 2023-08-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-11

C · Minimal harm 2023-08-10

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-09-11

F · Potential for more than minimal harm 2022-09-23

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-10-03

F · Potential for more than minimal harm 2022-09-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-10-03

D · Potential for more than minimal harm 2022-09-23

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-10-03

Penalties and ownership

What sits behind the stars

Ownership

Camp, Christine

Corporate Officer · Individual

0% 1 facilities 2015-03-01
Chong, Shiela

Corporate Director · Individual

0% 1 facilities 2020-03-01
Courts, Craig

Operational/Managerial Control · Individual

0% 1 facilities 2021-10-01
Courts, Craig

Corporate Officer · Individual

0% 1 facilities 2021-10-01
Kelley, Charles

Corporate Officer · Individual

0% 1 facilities 2020-03-01
Masaki, Kamal

Corporate Director · Individual

0% 1 facilities 2016-03-01
Mckenna, Jon

Corporate Officer · Individual

0% 1 facilities 2016-03-01
Murakami, Ross

Corporate Director · Individual

0% 1 facilities 2020-03-01
Paik, Son-Jai

Corporate Officer · Individual

0% 1 facilities 2014-03-01
Phillips, Raymond

Corporate Officer · Individual

0% 1 facilities 2022-03-01
Price, Susan

Corporate Director · Individual

0% 1 facilities 2022-03-01
Tokioka, Frank

Corporate Officer · Individual

0% 1 facilities 2016-03-01
Tsukamoto, Kent

Corporate Director · Individual

0% 1 facilities 2020-03-01
Yoshikara, Adrienne

Corporate Director · Individual

0% 1 facilities 2015-03-01

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Staffing
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