22 health deficiencies
Top issue: Resident Rights (7 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Honolulu, HI
2-star overall rating with 2-star inspections with $12,735 in total fines with 22 recent health deficiencies
2459 10th Avenue, Honolulu, HI
(808) 737-2555
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
113
Certified beds
Average residents
97
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2008-06-13
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
RN hours / resident day
1.49
Registered nurse staffing · state 1.63 · national 0.68
LPN hours / resident day
0.06
Licensed practical nurse staffing · state 0.36 · national 0.87
Aide hours / resident day
2.70
Nurse aide staffing · state 2.73 · national 2.35
Total nurse hours
4.25
All reported nurse hours · state 4.71 · national 3.89
Licensed hours
1.55
RN + LPN hours · state 1.97 · national 1.54
Weekend hours
3.89
Weekend nurse staffing · state 4.19 · national 3.43
Weekend RN hours
1.26
Weekend registered nurse coverage · state 1.23 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.55
CMS adjusted RN staffing hours
Adjusted total hours
4.41
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
51%
Annual RN turnover · state 33% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 37% · national 46%
SNF VBP
Program rank
1,058
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
60.39
Composite VBP score used to determine payment impact.
Payment multiplier
1.0155
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
9.24
Baseline 20.57% · Performance 17.15% · Measure score 9.24 · Achievement 9.24 · Improvement 9
Healthcare-associated infections
6.16
Baseline 6.71% · Performance 5.99% · Measure score 6.16 · Achievement 6.16 · Improvement 3.67
Total nurse turnover
3.55
Baseline 54.39% · Performance 49.15% · Measure score 3.55 · Achievement 3.55 · Improvement 1.27
Adjusted total nurse staffing
5.20
Baseline 4.76 hours · Performance 4.56 hours · Measure score 5.20 · Achievement 5.20 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.63% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 129 · Observed rate 7.75% · Lower 95% interval 6.5% |
| Discharge to community | 74.23% |
50.57%
23.7 pts better
|
Better than the National Rate · Eligible stays 124 · Observed rate 66.13% · Lower 95% interval 64.24% |
| Medicare spending per beneficiary | 0.76 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 80% |
95.27%
15.3 pts worse
|
Numerator 60 · Denominator 75 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 75 |
| Discharge self-care score | 31.03% |
53.69%
22.7 pts worse
|
Numerator 18 · Denominator 58 |
| Discharge mobility score | 41.38% |
50.94%
9.6 pts worse
|
Numerator 24 · Denominator 58 |
| Pressure ulcers or injuries, new or worsened | 8% |
2.29%
5.7 pts worse
|
Numerator 6 · Denominator 75 · Adjusted rate 8.1% |
| Healthcare-associated infections requiring hospitalization | 5.99% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 3.13% · Lower 95% interval 3.38% |
| Staff COVID-19 vaccination coverage | 11.39% |
8.2%
3.2 pts better
|
Numerator 18 · Denominator 158 |
| Staff flu vaccination coverage | 48.99% |
42%
7 pts better
|
Numerator 97 · Denominator 198 |
| Discharge function score | 25.86% |
56.45%
30.6 pts worse
|
Numerator 15 · Denominator 58 |
| Transfer of health information to provider | 80% |
95.95%
16 pts worse
|
Numerator 16 · Denominator 20 |
| Transfer of health information to patient | 90.48% |
96.28%
5.8 pts worse
|
Numerator 38 · Denominator 42 |
| Resident COVID-19 vaccinations up to date | 53.19% |
25.2%
28 pts better
|
Numerator 25 · Denominator 47 |
Quality measures
| 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 | 1.4 |
0.9
0.5 pts worse
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.0 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
96.3%
0.6 pts better
|
93.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.3% · Q2 95.9% · Q3 98.6% · Q4 98.6% · 4Q avg 96.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
95.4%
3.4 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% |
1.9%
1.2 pts worse
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.7% · Q3 2.8% · Q4 4.1% · 4Q avg 3.1% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
4.9%
1.3 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.1% · Q3 4.0% · Q4 0.0% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.5% |
8.2%
2.7 pts better
|
19.6%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.0% · Q3 8.0% · Q4 3.8% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.6% |
11.3%
3.7 pts better
|
16.7%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 5.0% · Q3 7.1% · Q4 4.3% · 4Q avg 7.6% · 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 | 53.2% |
23.4%
29.8 pts worse
|
16.3%
36.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 53.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.0% |
16.8%
4.2 pts worse
|
14.9%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 12.5% · Q3 19.0% · Q4 22.2% · 4Q avg 21.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
1.3%
About the same
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 2.2% · Q4 2.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
2.4%
1 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.7% · Q3 1.4% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.9% |
17.8%
3.1 pts worse
|
19.8%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 21.5% · Q3 15.2% · Q4 21.8% · 4Q avg 20.9% |
| Percentage of long-stay residents with pressure ulcers | 1.8% |
3.6%
1.8 pts better
|
5.1%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.4% · Q3 2.8% · Q4 1.3% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.7% |
82.8%
9.1 pts worse
|
81.7%
8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 63.2% · Q2 75.2% · Q3 82.4% · Q4 75.6% · 4Q avg 73.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 1.5% |
10.9%
9.4 pts better
|
12.0%
10.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 1.5% · Observed 1.4% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.0%
0.4 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.1% · Q3 0.0% · Q4 1.3% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.7% |
84.7%
About the same
|
79.7%
5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.9% |
19.6%
0.7 pts better
|
23.9%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.9% · Observed 16.9% · Expected 21.4% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (7 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Infection Control (3 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-04-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-03
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-03
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2023-04-21
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-06-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-08
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-09
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-10-09
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-06-13
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-06-13
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-06-13
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-13
Health
Respond appropriately to all alleged violations.
Corrected 2025-06-13
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-06-02
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-05-28
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-06-02
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 2025-05-30
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 2025-05-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-30
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 2025-05-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-30
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 2025-05-30
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 2025-05-30
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 2025-05-30
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-05-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-30
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-30
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-30
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-03-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-28
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 2024-03-28
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-28
Health
Keep all essential equipment working safely.
Corrected 2024-03-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-21
Health
Report COVID19 data to residents and families.
Corrected 2023-04-21
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-04-21
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 2023-04-21
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-04-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-21
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 2023-04-21
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-04-21
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-04-21
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-21
Health
Perform COVID19 testing on residents and staff.
Corrected 2023-04-21
Penalties and ownership
Fine · fine $12,735
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Honolulu, HI
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Honolulu, HI
5-star overall rating with 3-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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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