Hale Kupuna Heritage Home, LLC

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 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 84 beds and averages 45.3 residents a day — about 54% occupied, or roughly 39 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 4.17 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 is below 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 3.72 hrs/resident/day on weekends vs 4.35 on weekdays — 15% thinner on weekends. RN hours go from 1.75 to 1.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% 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 unchanged from the previous inspection. 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.

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.

• Actual harm · Gcited beforedisputed · IDR2026-03-12 · 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 reviews. The facility failed to provide supervision based on the individual resident's assessed needs and the risks identified in the environment to prevent accidents for three of three Residents (R) 7, R5 and R54. The deficient practices resulted in falls with major injuries for two (R5 and R54) of three residents sampled for free of accident hazards/supervision/devices, and an injury for one resident, R7. Findings Include: Cross reference to F725 sufficient nursing staff. Observation and interview with R7 sitting in a chair at the dining room table on [DATE] at 11:14 AM in the dining area on C wing. Observed an adhesive bandage on top of his head. Asked R7 what happened to his head. R7 said he fell in the bathroom last Saturday and went to the emergency room (ER). R7 added that they did all the tests and he passed but he is still having some pain. Asked if he is taking any pain medicine for his head and R7 replied that he is currently having some pain and the nurse…

  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 · E2026-03-12 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to ensure that its response to a Resident Council grievance was implemented and sustained in practice for one of four identified concerns. The Resident Council requested that the daily menu boards in the units be updated regularly to reflect current meal offerings. Although the facility developed action plans in response to the grievances, the facility failed to implement and sustain the interventions, resulting in menu boards that were not updated timely, or accessible to residents on a consistent basis. The deficient practice affected the resident's ability to make informed choices about their meals. Findings Include: On 03/09/26 at 10:49 AM, observed the posted daily menu in the building 1, B Wing. The breakfast and dinner menus posted were not updated. The lunch menu was not posted in the designated area but was found on a side table in front of the menu board and reflected a turkey sandwich for the previous day (03/08/26). Additionally, the A Wing did not have a menu board to post the daily menus.On…

  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 · Ecited before2026-03-12 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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 assure that there were sufficient numbers of qualified nursing staff available in areas of the facility where vulnerable residents with high fall risk reside, to provide the supervision needed to promote safety and prevent unwitnessed falls for two of three residents (Resident (R) 7 and R54) sampled for Accident Hazards/Supervision/Devices and sufficient nurse staffing. The deficient practice resulted in pain, hospitalization and decline in function due to injuries that resulted from the falls. Cross reference to F689 Free of Accident Hazards/Supervision/Devices. Findings include: Observation on 03/09/26 at 08:45 AM. The facility has two buildings (1 and 2) each with two wings where the Residents reside. (A & B and C & D).R54 had an unwitnessed fall on the B wing on 02/06/26, that resulted in a hip fracture, transfer to the emergency room (ER) for evaluation and surgery to repair the right hip fracture. The daily schedule assignments for Friday 02/06/26, were reviewed. One licensed nurse worked from 06:30…

  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 · E2026-03-12 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to serve food at a preferable temperature for one lunch tray sampled. The foods that were to be kept cold were not served at the preferred temperature of 40 degrees Fahrenheit. The deficient practice may affect good nutrition and hydration status to help prevent, or aid in the recovery from, illness or injury. Findings include:Observation and interview with Resident (R) 7 on 03/09/26 at 10:30 AM. Asked how the food at the facility was. R7 replied, that some dishes are better than others. It, depends. Alot of the time the food tastes bland. Observation and interview with R5 on 03/09/26 at 12:05 PM. When asked how the food was, R5 said, the food is bland and sometimes the food is late. Observation and interview with R25 on 03/09/26 at 12:32 PM. R25 said the food sucks. It doesn't have any taste. The meatloaf is good but the fish and the chicken sucks.A test tray from the tray line was requested on 03/11/26 at 12:15 PM to taste the food and check the temperatures. Temperatures of the foods on the tray were checked with Dietary…

  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 · Ecited before2026-03-12 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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, interview, and policy review, the facility stored items in the walk-in refrigerator that were past the expired date; an open container was not labeled with an open or expiration date. The deficient practice placed residents at risk for foodborne illness. Findings include: Brief tour of the kitchen on 03/09/26 at approximately 09:15 AM. In the walk-in refrigerator, observed a clear plastic container of hot dogs with a prep date of 03/02/26 and an expiration date of 03/08/26 and an open container of yogurt about 1/3 full without a label. Interviewed the cook (5) at 09:25 AM. Asked the cook5 to verify the items found in the walk-in refrigerator to determine if they were expired. The cook5 pulled the hot dogs and the yogurt from the walk-in and discarded them saying they should have been thrown away. Observation in the walk-in refrigerator on 03/11/26 at 11:15 PM revealed a clear container of mayonnaise labeled with an expiration date of 03/09/26. Asked the Dietary Aide (DA) 2 to check the expiration date. Verified with DA2 the mayonnaise had expired on 03/09/26.…

  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 · Ecited before2026-03-12 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  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 ensure the staff followed infection control and prevention measures while providing care for residents. Staff observed not performing hand hygiene as meals were being served to seven residents. This deficient practice placed the residents at risk for the potential spread of preventable infections and other adverse health complications. Findings Include:On 03/09/26 at 12:03 PM, observed Dietary Staff (DS) 3 bring the meal cart to the unit. Seven residents were in the common area and were waiting for their lunch. DS3 opened the cart and pulled out a tray with the residents' meals. After placing all the food items and drinks on the table in front of the residents, DS3 went back to the cart and immediately pulled another tray for the next resident. DS3 was not observed performing hand hygiene as he served lunch for all seven residents in the common area.Review of facility policy titled Meal Service with an effective date of 01/05/26 reviewed. The policy stated, . Prepare the room or serving area for mealtime . and…

  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 · D2026-03-12 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 provide proper notification of transfer/discharge for one of three residents sampled for closed records review. The facility did not send written notification to the office of the State Long Term Care Ombudsman (LTCO) when Resident (R) 53 was discharged . This deficient practice has the potential to affect all residents at the facility who are discharged or transferred. Findings Include:R53 was a [AGE] year-old resident admitted to the facility for short-term rehabilitation services following the removal of internal fixation device (metal implant used to stabilize broken bones). Diagnoses included but not limited to acute osteomyelitis and infection and inflammatory reaction due to internal right hip prosthesis. Review of Electronic Health Records (EHR) under Progress Notes revealed that R53 was discharged and placed under the custody of the police department on 11/05/25 for an out-of-state warrant of arrest. No documentation was found in the EHR 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-12 · 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

  Based on record review and interviews, the facility failed to implement the person-centered intervention to provide stand by assist in the care plan to prevent falls for one resident (R) 54 sampled for Free of accident hazards/Supervision/Devices Develop/Implement Comprehensive Care Plan. The deficient practice resulted in an unsupervised fall that resulted in a major injury which caused pain and suffering for the resident. Findings include:Cross reference to F689.Electronic Health Record (EHR) reviewed. R54 had an unwitnessed fall in building 1 on the B unit on 02/06/26, that resulted in a hip fracture, transfer to the emergency room (ER) for evaluation and surgery to repair the right hip fracture. Cross reference to F689.Care plan reviewed: Revision on 01/23/2026. Focus: The resident is at risk for falls related to debility, legally blind, congestive heart failure, Diabetes Mellitus, medication side effects and fall history. Prior to the fall on 02/06/26, R54 had two falls in the facility on 12/29/25; witnessed fall-fell onto buttocks while fixing clothing by mirror; and on…

  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 · Fcited before2024-09-06 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and staff interviews, the facility failed to: 1 and 2) ensure food were stored and frozen food thawed in a manner that avoids foodborne illness to the residents and 3) perform hand hygiene when distributing food trays to residents. As a result of these deficiencies, the facility put the residents at risk for foodborne illness. Findings include: 1) On 09/03/24 at 09:42 AM, initial observation of kitchen, thawing individually wrapped salmon fillets in water in a sink. Inquired with Kitchen Staff (KS)2 about the thawing salmon. KS2 stated they are having miso salmon for dinner and confirmed the salmon has been in the water for about one hour. Requested for KS2 to take the temperature of the salmon and the internal temperature of a larger fillet was 62.8 degrees Fahrenheit (F). 09/04/24 12:00 PM Conducted and interview with [NAME] (Food service Director and Dietician) shared observation with her of staff defrosting salmon and salmon was 62.8 degrees F. [NAME] confirmed temperature is out 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 · Fcited before2024-09-06 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and policy review, the facility failed to ensure staff followed the Infection Prevention and Control policies and procedures for proper use of personal protective equipment (PPE) to follow proper infection control practices. Staff working with residents on isolation precautions did not correctly doff (remove) their PPE after providing care to Covid-19 positive residents in both resident care units in the facility. The same staff were also caring for residents who were not Covid-19 positive. The deficient practice places all residents in the facility at risk for healthcare associated infections that can result in significant adverse consequences. Findings include: Facility matrix and Electronic Health Record (EHR) reviewed. Resident (R)13 is a resident in room D3 documented with Covid-19 and on isolation precautions. A second Resident in room D2 was on transmission-based precautions due to an exposure to Covid-19. A third Resident, R33 in room B1 was documented Covid-19 positive and is also on isolation precautions. Observation on Makalapua unit on…

  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 · D2024-09-06 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  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 ensure the resident's right to be informed of the risk and benefits of proposed care for one Resident (R42) sampled. R42 had a decline in cognition due to the resident's health status. R42's cognition was not re-assessed for the resident's capacity to consent to medication(s)/treatment. The resident signed a consent for the use of antidepressant and antipsychotic medications. As a result of this deficient practice, residents with changes in condition which affect the resident's ability to understand the information required to make an informed decision are at risk for the potential of harm. Findings include: Review of the facility's policy and procedure, Psychotropic Medication (Original Effective Date 05/01/2021), use of documented, 5. Residents and/or representatives shall be educated on the risk and benefits of psychotropic drug use, as well as alternative treatments/non-pharmacological interventions. R42 was admitted to the facility on [DATE] with…

  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.

“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

$10,628 in federal fines across 1 penalty.

• $10,628 — penalty dated 2026-03-12

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.

Part of a chain

This home belongs to OHANA PACIFIC MANAGEMENT CO. — 6 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 22 rows in the source record cover these 12 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.

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 81% 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 $887K 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.

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