Kapolei, HI

Ka Punawai Ola

5-star overall rating with 4-star inspections with 9 recent health deficiencies

91-575 Farrington Highway, Kapolei, HI

(808) 674-9262

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Life Care Centers Of America

Operator or chain grouping

Approved since

2000-07-19

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

194 facilities

Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.68

Registered nurse staffing · state 1.63 · national 0.68

LPN hours / resident day

0.38

Licensed practical nurse staffing · state 0.36 · national 0.87

Aide hours / resident day

2.06

Nurse aide staffing · state 2.73 · national 2.35

Total nurse hours

4.11

All reported nurse hours · state 4.71 · national 3.89

Licensed hours

2.05

RN + LPN hours · state 1.97 · national 1.54

Weekend hours

3.46

Weekend nurse staffing · state 4.19 · national 3.43

Weekend RN hours

1.15

Weekend registered nurse coverage · state 1.23 · national 0.47

Physical therapist

0.22

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.53

CMS adjusted RN staffing hours

Adjusted total hours

3.75

CMS adjusted total nurse staffing hours

Case-mix index

1.50

Higher values indicate more complex resident acuity

RN turnover

21%

Annual RN turnover · state 33% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 37% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,550

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

49.10

Composite VBP score used to determine payment impact.

Payment multiplier

1.0030

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 15.76% · Performance 21.37% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

9.31

Baseline 4.52% · Performance 5.05% · Measure score 9.31 · Achievement 9.31 · Improvement 0

Total nurse turnover

7.90

Baseline 33.77% · Performance 31.37% · Measure score 7.90 · Achievement 7.90 · Improvement 2.18

Adjusted total nurse staffing

2.43

Baseline 3.79 hours · Performance 3.77 hours · Measure score 2.43 · Achievement 2.43 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.71%	10.72% About the same	No Different than the National Rate · Eligible stays 246 · Observed rate 9.76% · Lower 95% interval 8.17%
Discharge to community	69.06%	50.57% 18.5 pts better	Better than the National Rate · Eligible stays 277 · Observed rate 65.34% · Lower 95% interval 63.65%
Medicare spending per beneficiary	1.07	1.02 0.1 pts worse
Drug regimen review with follow-up	98.3%	95.27% 3 pts better	Numerator 173 · Denominator 176
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 176
Discharge self-care score	67.44%	53.69% 13.8 pts better	Numerator 87 · Denominator 129
Discharge mobility score	65.89%	50.94% 15 pts better	Numerator 85 · Denominator 129
Pressure ulcers or injuries, new or worsened	4.55%	2.29% 2.3 pts worse	Numerator 8 · Denominator 176 · Adjusted rate 5.03%
Healthcare-associated infections requiring hospitalization	5.05%	7.12% 2.1 pts better	No Different than the National Rate · Eligible stays 167 · Observed rate 2.4% · Lower 95% interval 3.19%
Staff COVID-19 vaccination coverage	35.23%	8.2% 27 pts better	Numerator 68 · Denominator 193
Staff flu vaccination coverage	68.45%	42% 26.5 pts better	Numerator 141 · Denominator 206
Discharge function score	65.89%	56.45% 9.4 pts better	Numerator 85 · Denominator 129
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 34 · Denominator 34
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 128 · Denominator 128
Resident COVID-19 vaccinations up to date	34.41%	25.2% 9.2 pts better	Numerator 32 · Denominator 93

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	1.3 0.7 pts worse	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.4 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	0.9 0.2 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	96.3% 3.7 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.2%	95.4% 0.8 pts better	95.5% 0.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.2%
Percentage of long-stay residents experiencing one or more falls with major injury	0.5%	1.9% 1.4 pts better	3.3% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.1%	1.4% 0.3 pts better	11.4% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 2.4% · 4Q avg 1.1%
Percentage of long-stay residents who lose too much weight	4.6%	4.9% 0.3 pts better	5.4% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 5.1% · Q3 2.9% · Q4 5.4% · 4Q avg 4.6%
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who received an antipsychotic medication	5.2%	11.3% 6.1 pts better	16.7% 11.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 3.1% · Q3 6.1% · Q4 6.2% · 4Q avg 5.2% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	28.3%	23.4% 4.9 pts worse	16.3% 12 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 28.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.4%	16.8% 0.6 pts worse	14.9% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 12.9% · Q3 18.5% · Q4 10.3% · 4Q avg 17.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	1.3% 0.8 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.5%	2.4% 0.9 pts better	1.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 2.2% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.7%	17.8% 6.9 pts worse	19.8% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 25.3% · Q3 26.5% · Q4 26.5% · 4Q avg 24.7%
Percentage of long-stay residents with pressure ulcers	2.0%	3.6% 1.6 pts better	5.1% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.1% · Q3 1.1% · Q4 1.2% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.7%	82.8% 8.9 pts better	81.7% 10 pts better	Short Stay · 2024Q4-2025Q3 · Q1 93.7% · Q2 92.7% · Q3 91.8% · Q4 88.6% · 4Q avg 91.7%
Percentage of short-stay residents who had an outpatient emergency department visit	9.9%	10.9% 1 pts better	12.0% 2.1 pts better	Short Stay · 20240701-20250630 · Adjusted 9.9% · Observed 9.2% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.5%	1.0% 0.5 pts better	1.6% 1.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 1.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.6%	84.7% 0.9 pts better	79.7% 5.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.6%	19.6% 1 pts worse	23.9% 3.3 pts better	Short Stay · 20240701-20250630 · Adjusted 20.6% · Observed 18.5% · Expected 21.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-03 · Fire 2025-04-03

9 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-26 · Fire 2024-04-26

12 health deficiencies

Top issue: Resident Rights (5 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-05-05 · Fire 2023-05-05

13 health deficiencies

Top issue: Resident Rights (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-04-26

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-06-07

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-03

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-04-03

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-04-03

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-04-03

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-04-03

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-04-03

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-04-03

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 2025-05-16

D · Potential for more than minimal harm 2025-04-03

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-04-03

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-05-16

F · Potential for more than minimal harm 2024-04-26

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 2024-06-07

E · Potential for more than minimal harm 2024-04-26

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-20

E · Potential for more than minimal harm 2024-04-26

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-26

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-26

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-26

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 2024-06-07

D · Potential for more than minimal harm 2024-04-26

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 2024-06-07

D · Potential for more than minimal harm 2024-04-26

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-26

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 2024-06-20

D · Potential for more than minimal harm 2024-04-26

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 2024-06-07

F · Potential for more than minimal harm 2023-05-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-09

E · Potential for more than minimal harm 2023-05-05

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2023-06-09

E · Potential for more than minimal harm 2023-05-05

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 2023-06-09