Kulana Malama

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.02 therapist hours per resident per day in 2026Q1 — more than 1% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 46% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 33 beds and averages 33.5 residents a day — about 102% occupied, or roughly -0 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 9.84 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 5.38 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 4.26 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 9.24 hrs/resident/day on weekends vs 10.08 on weekdays — 8% thinner on weekends. RN hours go from 5.57 to 4.92 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 11 most serious are shown; the remaining 14 are one tap away and print in full.

• Immediate jeopardy · Jdisputed · IDR2025-06-18 · tag F0726 — failed to have competent, trained nursing staff — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, medical record review and document review, the facility failed to assure that all nursing staff possessed the competencies and skill sets necessary to provide nursing care to meet residents' needs in a safe manner. Specifically, the licensed staff did not demonstrate 1) competency to perform and document neurological (neuro) assessments on a Resident whose baseline was neurologically impaired, 2) competency to identify a medical emergency that required timely response and transfer to a higher level of care, and 3) critical thinking to recognize the need to conduct and document a thorough physical and neurological assessment after a fall with potential head/neck injury, to determine if the Resident could be safely transferred from the floor to the bed. Due to the serious nature of this citation, and the fact that multiple licensed staff were involved, and did not demonstrate competency, this deficient practice was determined to be an immediate jeopardy (IJ). The survey team approved the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-26 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview the facility failed to assure one of seven residents (R) 25, sampled for Respiratory Care, had documentation of two unplanned decannulations of her tracheostomy tube. The deficient practice does not reflect R25's health status when there was a change in her condition which required prompt staff intervention to maintain her airway. This deficient practice could affect all residents in the facility who have a tracheostomy tube and experience an unplanned decannulation that staff are not documenting a change with the resident in the resident's Electronic Health Record (EHR). Findings Include:On 09/25/25 lead surveyor requested and received a list of adverse events that occurred within the last six months from the Administrator. Review of the incident log provided revealed R25 had two unplanned decannulations on 06/18/25. Requested copies of incident reports and root cause analysis for decannulation that occurred with R25 on 06/18/25 from the administrator which she was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-18 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, medical record review and document review, the facility failed to develop a person-centered comprehensive care plan (CP) to meet the needs of one Resident (R)1 of a sample size of six. R1 had cognitive impairment and was nonverbal. His CP did not include how to communicate with him. As a result of this deficient practice, there was the potential not all staff were aware of how to communicate with him in a consistent manner. If Resident Care Plans are not comprehensive, Residents may not reach their highest medical, mental and psychosocial potential. Findings include: 1) R1 was a [AGE] year old male admitted to the facility on [DATE] after a traumatic brain injury (TBI). He had a tracheostomy (hole in neck to breathe), and a PEG (tube into the stomach through the abdominal wall for feeding). R1 had cognitive impairment (deficit from head injury, i.e. memory, understanding), quadriplegic (permanent paralysis of all limbs from the neck down) and nonverbal. 2) Review of R1's medical record…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure 1 of 6 residents sampled (Resident 1) was free from accident hazards. Despite being completely dependent on staff for all activities of daily living (ADLs), including toileting, bed mobility, and transfer, staff failed to ensure Resident (R)1's safety rails were secure and in place before walking away from his bed. As a result of this deficient practice, R1 experienced an avoidable fall. This deficient practice has the potential to affect all residents at the facility who are dependent on staff for ADLs and safety. Findings include: Resident (R)1 was a [AGE] year-old male admitted to the facility on [DATE] with a history of traumatic brain injury (TBI). R1's admitting diagnoses include, but are not limited to, quadriplegia (loss of motor and/or sensory function in all four limbs and the torso) and contractures (a permanent tightening of muscles, tendons, skin, and other tissues around a joint, leading to stiffness and reduced range of motion).…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Ddisputed · IDR2025-06-18 · tag F0713 — isolated
  Provide or arrange emergency care by a doctor 24 hours a day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility failed to ensure availability of a physician for emergency care for one Resident (R)1 of a sample size of three. R1 had a fall with a change of condition, and the facility was unable to reach the physician (MD)1 for over four and a half hours. In addition, the staff failed to transport R1 to the emergency room (ER) in a timely manner to obtain physician evaluation when they were unable to reach MD1. As a result of this deficient practice, there was a delay in transferring R1 to a higher level of care. Not having a physician available 24 hours a day could affect any resident who had an emergency, which could put them at risk of negative outcomes. Findings include: 1) R1 was a [AGE] year old male with history of traumatic brain injury (TBI) with subdural hematoma (bleeding inside the head). He had a decompression craniotomy (part of the skull is removed to reduce pressure on the brain and allow swelling), with post traumatic hydrocephalus (too much cerebrospinal fluid) that requires a shunt (catheter)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-18 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, medical record and document review, the facility failed to systematically analyze one Resident's (R1) adverse event (fall) and two unplanned hospitalizations for altered mental status. In addition, leadership received staff feedback regarding deficient practice related to this case and did not investigate the concerns. Due to this deficiency, system and process issues were not identified and addressed to ensure the nursing care met recognized standards of practice. Findings include: 1) Cross Reference F689 Free of Accident Hazards Despite being completely dependent on staff for all activities of daily living (ADLs), including toileting, bed mobility, and transfer, staff failed to ensure Resident (R)1's safety rails were secure and in place before walking away from his bed. As a result of this deficient practice, R1 experienced an avoidable fall. Reviewed the facility Incident Event report for the fall. The report was to be completed by Charge Nurse/Designee on Duty, and included The purpose of this report is to track and monitor patterns of incidents and to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-06 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to enhance one Resident (R)6 of 12 residents in the sample's quality of life while in her room in bed. Music, television, or other auditory stimulating activities were not provided to the resident. The deficient practice dishonored the residents right to a dignified existence. Findings include: Random observations of Resident (R)6 on the following dates and times: 06/03/24 at 08:35 AM and 3:00 PM; 06/04/24 at 09:35 AM and 2:35 PM; and 06/05/24 at 08:35 AM. Observed R6 in bed awake with eyes closed or sleeping. The room was quiet without television or music playing. On 06/04/24 at 11:26 AM a telephone interview was conducted with R6 family member (FM). During the interview, the FM said, it really bothers me that her room is so quiet, they need to put the television on with cartoons or something. I have spoken to them several times about it and half the time they turn the television on. On 06/05/24 at 2:46 PM, interviewed the Recreation Coordinator (RC). When asked when the residents are in their room in bed why…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-06 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interview, the facility failed to ensure a clean environment for one resident ((R)12) sampled. The mesh netting on the inside of R12's crib became soiled during care and staff did not change or clean the mesh. R12 regularly puts her legs vertically on the mesh which increases the resident's likelihood of encountering the soiled mesh. As a result of this deficient practice, residents with mesh on the inside of the crib have an increased potential for exposure to an unsanitary environment. Findings include: On 06/03/24 at 08:45 AM, conducted an observation of Certified Nurse Aide (CNA)25 and Registered Nurse (RN)99 providing peri-care for Resident R12. The resident had a large bowel movement (liquid consistency). Staff lowered the right bedrail and the mesh netting on the inside of the crib was in direct contact with the soiled bedsheet, which then soiled the mesh. Observations of R12 lying horizontally on the bed with her legs up against the mesh on 06/03/24 at 08:45 AM and 02:23 PM, 06/04/24 at 03:12 PM, 06/05/24 at 09:43 AM and 01:50 PM. On 06/06/24 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-06 · tag F0661 — isolated
  Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the following at the time of the resident's discharge for one resident (R) 32 of four in the sample: Communication of necessary information to one resident and the residents care giver; document a concise summary from the physician of the residents stay and course of treatment in the facility; and reconciliation of medications. Findings include: On 06/04/24 at 2:36 PM, Electronic Medical Record (EMR) reviewed. R32 is a [AGE] year-old male admitted to the facility on [DATE] and discharged on 04/29/24. Diagnosis includes spastic diplegic cerebral palsy, localization related (focal partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, acute respiratory failure with hypoxia, and tracheostomy. Physicians Discharge summary dated [DATE] reviewed. The Physician hand wrote a note that stated Had stable course. On 06/04/24 at 3:03 PM, confirmed with the Social Services Director (SSD) that R32 was a voluntary discharge. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to ensure a resident's environment remains free of accident hazards for one resident (R27) sampled. Past non-compliance was determined for an incident on 03/01/24, R27 had an unwitnessed fall from the crib. The facility was not in compliance for accident hazard at the time the fall occurred, the noncompliance happened after the last survey date and prior to this survey, and there was sufficient evidence that the facility corrected the noncompliance and was in substantial compliance at the time of the current survey related to falls. However, in response to the fall, the facility installed a crib canopy, but did not conduct a safety assessment or assess for potential accident hazards for R27 after the canopy was implemented. As a result of this deficient practice, residents with newly implemented equipment are at a potential risk of harm resulting from an accident hazard. Findings include: 1) Past non-compliance was determined for an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-06 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview the facility failed to assure Resident (R) 15's insulin was held when his blood glucose level was less than 80 as ordered by the physician. The facility was not in compliance for significant medication error at the time the significant medication error occurred, the noncompliance happened after the last survey and prior to this survey. There was sufficient evidence that the facility corrected the noncompliance and was in substantial compliance at the time of the current survey related to significant medication errors. Findings Include: On 06/06/24 at 09:30 AM during record review of R15's Electronic Health Record (EHR) found R15 was given Lantus Solostar Solution Peninjector 100 unit/ml (insulin Glargine) 55 units subcutaneously on 01/04/24 which is ordered to be given two times a day for R15's Type 2 Diabetes Mellitus with an order to hold (do not give the medication) for blood glucose (BG) less than 80. R15 had his blood glucose checked on 01/04/24 at 0730 (07:30 AM) and was documented at 79 mg/dl. Registered Nurse (RN) 25 gave R15 his 0900…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Past Non-Compliance

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

$14,069 in federal fines across 1 penalty.

• $14,069 — penalty dated 2025-06-18

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 10 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 96% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in HI