Cycle 1
Health 2024-08-29 · Fire 2024-08-29
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Honolulu, HI
Maunalani Nursing And Rehabilitation Center
5-star overall rating with 5-star inspections with $32,133 in total fines with 3 recent health deficiencies
5113 Maunalani Circle, Honolulu, HI
(808) 732-0771
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
100
Certified beds
Average residents
88
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
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
1.21
Registered nurse staffing · state 1.63 · national 0.68
LPN hours / resident day
0.35
Licensed practical nurse staffing · state 0.36 · national 0.87
Aide hours / resident day
3.35
Nurse aide staffing · state 2.73 · national 2.35
Total nurse hours
4.91
All reported nurse hours · state 4.71 · national 3.89
Licensed hours
1.56
RN + LPN hours · state 1.97 · national 1.54
Weekend hours
4.24
Weekend nurse staffing · state 4.19 · national 3.43
Weekend RN hours
0.84
Weekend registered nurse coverage · state 1.23 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.11
CMS adjusted RN staffing hours
Adjusted total hours
4.49
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
1,295
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57.92
Composite VBP score used to determine payment impact.
Payment multiplier
1.0131
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.69
Baseline 18.21% · Performance 19.26% · Measure score 4.69 · Achievement 4.69 · Improvement 0
Healthcare-associated infections
6.34
Baseline 6.07% · Performance 5.94% · Measure score 6.34 · Achievement 6.34 · Improvement 0.73
Total nurse turnover
7.18
Baseline 38.21% · Performance 34.31% · Measure score 7.18 · Achievement 7.18 · Improvement 2.42
Adjusted total nurse staffing
4.95
Baseline 4.64 hours · Performance 4.49 hours · Measure score 4.95 · Achievement 4.95 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.3% |
10.72%
2.4 pts better
|
No Different than the National Rate · Eligible stays 270 · Observed rate 4.81% · Lower 95% interval 6.19% |
| Discharge to community | 72.98% |
50.57%
22.4 pts better
|
Better than the National Rate · Eligible stays 274 · Observed rate 63.87% · Lower 95% interval 67.14% |
| Medicare spending per beneficiary | 0.77 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 167 · Denominator 167 |
| Falls with major injury | 0.6% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 167 |
| Discharge self-care score | 23.45% |
53.69%
30.2 pts worse
|
Numerator 34 · Denominator 145 |
| Discharge mobility score | 51.72% |
50.94%
0.8 pts better
|
Numerator 75 · Denominator 145 |
| Pressure ulcers or injuries, new or worsened | 4.19% |
2.29%
1.9 pts worse
|
Numerator 7 · Denominator 167 · Adjusted rate 3.9% |
| Healthcare-associated infections requiring hospitalization | 5.94% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 150 · Observed rate 4% · Lower 95% interval 4.14% |
| Staff COVID-19 vaccination coverage | 4.95% |
8.2%
3.2 pts worse
|
Numerator 9 · Denominator 182 |
| Staff flu vaccination coverage | 25.21% |
42%
16.8 pts worse
|
Numerator 59 · Denominator 234 |
| Discharge function score | 31.03% |
56.45%
25.4 pts worse
|
Numerator 45 · Denominator 145 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 20 · Denominator 20 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 134 · Denominator 134 |
| Resident COVID-19 vaccinations up to date | 51.22% |
25.2%
26 pts better
|
Numerator 42 · Denominator 82 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.3
0.2 pts worse
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.0 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
0.9
0.1 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.5 · Expected 1.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
96.3%
2.4 pts better
|
93.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 96.5% · Q3 100.0% · Q4 100.0% · 4Q avg 98.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.4%
4.6 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
1.9%
2.5 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.3% · Q3 5.5% · Q4 1.9% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
1.4%
0.9 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 8.0% |
4.9%
3.1 pts worse
|
5.4%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 11.4% · Q3 11.6% · Q4 0.0% · 4Q avg 8.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.4% |
8.2%
4.8 pts better
|
19.6%
16.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 2.2% · Q3 2.3% · Q4 4.7% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.7% |
11.3%
4.6 pts better
|
16.7%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 7.4% · Q3 7.1% · Q4 3.8% · 4Q avg 6.7% · 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 | 27.8% |
23.4%
4.4 pts worse
|
16.3%
11.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.2% |
16.8%
1.6 pts better
|
14.9%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 30.0% · Q3 11.8% · Q4 12.9% · 4Q avg 15.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
1.3%
1.3 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 2.8% · Q3 1.4% · Q4 1.5% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.9% |
2.4%
2.5 pts worse
|
1.7%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 7.1% · Q3 3.6% · Q4 5.6% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.4% |
17.8%
4.6 pts worse
|
19.8%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.3% · Q2 28.7% · Q3 14.5% · Q4 24.4% · 4Q avg 22.4% |
| Percentage of long-stay residents with pressure ulcers | 3.2% |
3.6%
0.4 pts better
|
5.1%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.4% · Q3 2.6% · Q4 1.6% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.3% |
82.8%
7.5 pts better
|
81.7%
8.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 89.5% · Q2 91.4% · Q3 92.5% · Q4 87.7% · 4Q avg 90.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.3% |
10.9%
5.6 pts better
|
12.0%
6.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.3% · Observed 4.6% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.0%
0.1 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 1.3% · Q4 1.2% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.7% |
84.7%
6 pts better
|
79.7%
11 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.6% |
19.6%
3 pts worse
|
23.9%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.6% · Observed 18.5% · Expected 19.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-31 · Fire 2023-08-31
11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2022-10-14 · Fire 2022-10-14
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2023-08-31
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 2023-09-29
E · Potential for more than minimal harm
2022-10-14
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-12-25
D · Potential for more than minimal harm
2022-10-14
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-12-25
Inspection history
Recent health citations
G · Actual harm
2025-08-14
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 2025-09-15
G · Actual harm
2024-10-18
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 2024-11-09
E · Potential for more than minimal harm
2024-10-18
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-10-18
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-11-09
D · Potential for more than minimal harm
2024-08-29
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 2024-09-23
D · Potential for more than minimal harm
2024-08-29
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-09-23
D · Potential for more than minimal harm
2024-08-29
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-23
E · Potential for more than minimal harm
2023-08-31
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 2023-09-24
E · Potential for more than minimal harm
2023-08-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-24
E · Potential for more than minimal harm
2023-08-31
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 2023-09-24
D · Potential for more than minimal harm
2023-08-31
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 2023-09-24
D · Potential for more than minimal harm
2023-08-31
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-09-24
D · Potential for more than minimal harm
2023-08-31
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 2023-09-24
D · Potential for more than minimal harm
2023-08-31
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 2023-09-24
E · Potential for more than minimal harm
2022-10-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-11-17
E · Potential for more than minimal harm
2022-10-14
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 2022-11-17
D · Potential for more than minimal harm
2022-10-14
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 2022-11-17
D · Potential for more than minimal harm
2022-10-14
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-11-17
D · Potential for more than minimal harm
2022-10-14
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-11-17
D · Potential for more than minimal harm
2022-10-14
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 2022-11-17
Penalties and ownership
What sits behind the stars
$24,115
2025-08-14
Fine
Fine · fine $24,115
Fine
$8,018
2024-10-18
Fine
Fine · fine $8,018
Fine
Ownership
The Maunalani Foundation
5% Or Greater Direct Ownership Interest · Organization
Blanchette, Patricia
Contracted Managing Employee · Individual
Chantavy, Sai
Operational/Managerial Control · Individual
Chantavy, Sai
Corporate Officer · Individual
Chantavy, Sai
W-2 Managing Employee · Individual
Choy, Mel
Corporate Director · Individual
Flores, Jerome
Corporate Officer · Individual
Flores, Jerome
W-2 Managing Employee · Individual
Goldcamp, Joseph
Corporate Director · Individual
Haseyama, Kevin
Corporate Director · Individual
Heirakuji, Lynn
Corporate Director · Individual
Peroff, Roderick
Corporate Director · Individual
Sombrero, Steve
Corporate Director · Individual
Todani, David
Corporate Director · Individual
Wriston, Arthur
Corporate Director · Individual
Yasuda, Neal
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Palolo Chinese Home
Honolulu, HI
2-star overall rating with 2-star inspections with $12,735 in total fines with 22 recent health deficiencies
#2
Hi'olani Care Center at Kahala Nui
Honolulu, HI
5-star overall rating with 3-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Leahi Hospital
Honolulu, HI
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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