Hi'olani Care Center at Kahala Nui

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.

68.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 42 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 40.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 25 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 1.05 therapist hours per resident per day in 2026Q1 — more than 97% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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 20 beds and averages 15.5 residents a day — about 78% occupied, or roughly 4 beds typically open. It usually has some room. 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 6.39 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.13 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 4.01 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 5.99 hrs/resident/day on weekends vs 6.56 on weekdays — 9% thinner on weekends. RN hours go from 2.27 to 1.78 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 24% is below 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 fewer than at the previous inspection — improving. 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.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · Fcited before2024-06-27 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews the facility failed to dispose of food items that have passed the use by date, failed to assure food items were stored in accordance with professional standards, failed to test temperatures of all food on the trayline and stored clean pots and pans on a rack that had rusty colored debris. This deficient practice puts all the residents and staff at risk for foodborne illnessess. Findings Include: 1) On 06/24/24 at 08:30 AM an initial tour of kitchen was done with dietician and Head Chef (HC). The following food items were found in the kitchen: expired chicken base found with a use by date of 6/2/24, pork with a prep date of 6/9 but no use by date, three containers of cooked pork in metal containers with use by date of 6/23/24. The following items were found in the dry storage area opened with no open on and discard by date label: Almond Flour manufactures best by date of 3/17/24 with 5-18 written on front of package. Gelatine leaf gelatine open in box with the lid open, not sealed closed. Soup stock powder packet which was left open. Bottle of…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-27 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  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 and record review, the facility failed to provide written notification to resident or resident's representative and the Long-Term Care Ombudsman (LTCO) forone of one sampled residents for hospitalizations, (Resident (R) 13). This deficient practice has the potential to affect all residents that are transferred to an acute care hospital. Findings Include: R13 is a [AGE] year-old female who was transferred and admitted to the hospital on [DATE]. A review of R13's Electronic Health Record (EHR) was conducted, and it did not contain any documentation that R13's family representative and the LTCO was provided with a written notification of R13's transfer to an acute care hospital. Interview was conducted on 06/26/24 at 01:44 PM with Social Worker (SW) 1. SW1 stated that during a transfer to the hospital, the nursing staff calls the resident's family and informs the representative that the resident is being transferred to the hospital. SW1 added that a written notification of the resident's…

  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 · Dcited before2024-06-27 · 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 and record review, the facility failed to implement a comprehensive person-centered care plan for one of 16 sampled residents (Resident (R) 168). This deficient practice has the potential to negatively affect the resident's physical and overall well-being. Findings Include: R168 is a [AGE] year-old female admitted to the facility on [DATE]. R168 has a medical history including, but not limited to dementia, kidney disease, and poor food intake by mouth. A review of R168's Electronic Health Record (EHR) was conducted on 6/24/24. R168's EHR contained information on her measured weights. On 05/22/24, R168's weight was 89.8 pounds (lbs). On 05/28/24, R168's weight was 89.8 lbs. On 06/04/24, R168's weight was measured 0 lbs. On 06/11/24, R168's weight was 80.0 lbs. No other weights were documented since 06/10/24. A review of R168's care plan was conducted. R168's care plan noted, Monitor weekly weights x 4 weeks (from admission) then monthly thereafter if weight is stable. Start: 05/29/24.…

  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 before2024-06-27 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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, interview and record review, the facility failed to ensure a resident received treatment and care in accordance with professional standard of practice for one of 16 residents sampled (Resident (R) 15). The facility did not follow the physician ordered bowel instruction. This failure could place the resident at risk of adverse consequences from diarrhea. Findings include: R15 was admitted to the facility on [DATE] with diagnoses, not limited to, weakness, presence of foley catheter for urinary retention, severe protein-calorie malnutrition, pressure ulcer of sacral region, history of sepsis, history of urinary tract infection, impaired mobility, self-care disability, and constipation. On 06/24/24 at 10:06 AM, an observation and interview with R15 was done. R15 reported he has constipation all the time and receives a suppository twice a day. R15 further reported he needs assistance when he has loose stools and makes a mess. After the interview, R15 was observed going to the restroom to have a…

  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 · D2024-06-27 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and records review, the facility failed to determine that drug records are in order and that an account of all controlled drugs is maintained and reconciled for two of two medication carts sampled. This deficient practice increases the risk of diversion of residents' medications. Findings Include: A review of the facility's records titled, Controlled Drug Count Record 4th Floor Cart A, dated June 2024 was conducted on 06/25/24. The record lacked documentation of licensed nurse signatures for two shifts on 06/24/24 and one shift on 06/25/24. A review of the facility records titled, Controlled Drug Count Record 4th Floor Cart B, dated June 2024 was conducted on 06/25/24. The record lacked documentation of licensed nurse signatures for one shift on 06/15/24, and one shift on 06/16/24. Interview was conducted with the Director of Nursing (DON) on 06/25/24 at 10:20 AM. DON explained the process for controlled medications count, an outgoing nurse and an incoming nurse for the shift will count the controlled medications together. After verifying the accuracy of 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-27 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview with staff member, the facility failed to ensure the attending physician reviewed an identified irregularity from the pharmacist's monthly medication review (MRR) for one of five residents sampled (Resident (R) 8). This failure had the potential for medication error and adverse consequences; the potential for R8 administered an as needed (PRN) medication without a frequency indicated in the physician's order. Findings include: Review of R8's MRR for the month of March, dated 03/16/24 documented Please add a frequency of administration to the prn Tylenol 325m [milligrams] tablet order. Follow-Through in the MRR was left blank. Review of R8's physician's order for Tylenol 325 mg tablet, GIVE 650 mg (2 TABS) by Mouth As Needed (NTE [not too exceed] 3 GMS [grams] APAP [acetaminophen]/DAY) For .BACK PAIN starting 09/22/23. The frequency was not included in the order. On 06/26/24 at 02:31 PM, an interview with Registered Nurse (RN) 5 was done. Concurrent record review of the MRR for March and physician's order, RN5 confirmed the MRR was not addressed,…

  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 · Deficient, Provider has date of correction
• Potential for harm · D2024-06-27 · 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 interviews and record review, the facility failed to maintain complete medical records for two of 16 sampled residents (Resident (R) 168 and R4). This deficient practice has the potential to affect all the residents in the facility. Findings Include: A review of R168's Electronic Health Record (EHR) was conducted on 06/24/24. During the review, R168's EHR only had weights documented on 05/22/24 at 89.8 pounds (lbs.), 05/28/24 at 89.8 lbs., 06/04/24 at 0 lbs., and 06/11/24 at 80.0 lbs. A telephone interview was conducted on 06/26/24 at 11:10 AM with Director of Nursing (DON), regarding R168's documented significant weight loss. DON stated that with a significant weight loss, the assigned nurse would let the facility dietician know as soon as possible. DON agreed that based on the weight documented, R168's weight loss was significant, and the nurse should have notified the dietician. An second interview was conducted with DON on 06/26/24 at 01:00 PM. DON showed State Agency (SA) a piece of paper dated…

  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 before2024-06-27 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  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, interview and record review the facility failed to provide a safe, sanitary, and comfortable environment to prevent the development and transmission of communicable diseases and infections for one of four residents sampled for infection control (Resident (R) 118). R118's humidifier bottle was not properly secured to the oxygen concentrator. This failure could place the resident at risk for infection. Findings include: R118 was admitted to the facility on [DATE] with Hospice and diagnoses, not limited to, bronchiectasis (a chronic lunch condition where the wall of your airways widen and are thickened from inflammation and infection) and chronic obstructive pulmonary disease (COPD) (a chronic inflammatory lunch disease that causes obstructed airflow from the lungs.) Review of R118's Electronic Health Record (EHR) found R118 uses an oxygen contractor at 1.5 - 2 liters per minute for COPD and bronchiectasis. On 06/24/24 at 09:33 AM, during an observation of R118's room, observed R118 on oxygen,…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-08-10 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to ensure food items were stored under sanitary conditions and the sanitizing solution was at the appropriate concentration for the three compartments sink. Findings include: On 08/08/23 at 08:05 AM an initial tour of the kitchen was done with Registered Dietitian (RD). In the walk-in refrigerator observed food items were stored without a cover: tray of cooked salmon, one pie atop clear wrap of a metal container, and metal container of cooked pearl onions (labeled as prepared on 08/07/23). Observation in another walk-in refrigerator found a rack storing several metal pans with a total of 12 blueberry pies and a rack with four trays of cooked beef with a label documented preparation date of 08/07/23 (there were three refrigeration fans above the rack) that were not covered. RD reported the items that were not covered was placed in the refrigerator to cool down after cooking. Noted cooked onion and beef were labeled with a preparation date of 08/07/23 and there were no labels of when the other food items were…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-10 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview with staff members the facility failed to ensure R263's personal medical information was secured for confidentiality. Findings include: On 08/08/23 at 09:01 AM observed Registered Nurse (RN)5 enter R263's room and stated she was going to give R263 his insulin. Outside of R5's room, in the hallway shared by staff, residents, and visitors, the insulin cap that included R263's name and medication he was taking was left on the Personal Protective Equipment (PPE) cart unattended and easily assessable for anyone to pick up and read the information. On 08/10/23 at 09:16 AM interview with Director of Nursing (DON) was done. Inquired if it was standard of practice and acceptable to leave an empty medication bottle with resident's information on it out in the open unattended, DON stated no. Review of the facility's policy and procedure number DR-140 effective 06/15/12 Protected Health Information & HIPA documented This policy and procedure outlines the responsibility of Associates and other .[facility] .stakeholders to protect and safeguard individuals…

  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

“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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

This home reported $3.4M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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