Kauai Care Center

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.

72.0% 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 34 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.31 therapist hours per resident per day in 2026Q1 — more than 50% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 53 beds and averages 46.8 residents a day — about 88% occupied, or roughly 6 beds typically open. It runs fairly full. 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 4.03 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.66 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.76 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 3.52 hrs/resident/day on weekends vs 4.24 on weekdays — 17% thinner on weekends. RN hours go from 0.76 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% 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 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.

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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · D2026-02-20 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/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 interviews, document and record review, the facility failed to provide and document sufficient preparation to ensure that one Resident (R)1 of a sample size of three had the resources and support to meet his needs when discharged to the community. R1 had a Provider order for 24 hour supervision, but was discharged with a Private Hire (PH) two hours a day. There was lack of evidence that R1 was informed of the need for more supervision, or that the risks of refusing ordered services were discussed and understood. The post-discharge plan did not address resident limitations in ability to care for himself, which increased the risk of complications, and readmission to the hospital. This deficient practice could affect all Resident's being discharged to the community. Findings Include:1) On 10/15/25, the Office of Health Care Assurance received a concern that R1: 1) lived alone and did not have a caregiver, 2) due to physical or mental impairment, or both, could not perform essential tasks to care for…

  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 · D2025-07-10 · 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 protect the rights of one Resident (R) 198 of one resident sampled by ensuring the resident was treated with respect and dignity. R198 was receiving therapy from a staff member who spoke to her in a manner that R198 felt was disrespectful and demeaning, leaving R198 very upset. Findings Include:Facility Reported Incident (FRI) reviewed on 07/09/25 at 12:17 PM, intake #11576 for an incident that occurred on 03/12/25 at 02:41 PM involving a Physical Therapist (PT) 5 and R198. R198 reported to the facility staff that she was made to feel uncomfortable by PT5 regarding the way she spoke to her. R198 stated I was going to the toilet, and she came into my room and opened the curtain and stated, you are going to do therapy today, R198 told the PT5 that she was given a water pill and now must go to the bathroom more often. R198 stated that PT5 said you are always crying wolf, every morning you have an excuse. R198 said this is not the first time this has happened, but she did not want to say anything to get anyone in…

  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 · Past Non-Compliance
• Potential for harm · F2024-04-05 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, observation, and document review, the facility failed to meet regulatory requirement for having a designated Full-time (working 40 or more hours a week) director of nursing. The individual identified by the facility as the DON was also designated as the infection preventionist, and responsible for the Infection Prevention and Control Program (IPCP). As a result of the designated DON not being able to allocate 40 hours or more a week to oversee the nursing department, there is the potential the quality of care provided, and resident outcomes may be impacted and could affect all residents living at the facility. Findings include: The facility is licensed for 52 beds, Review of the facility assessment included: B.2. Acuity - Care Requirements (page (pg.)15): Staff/Personnel required: . DON . Infection Preventionist, . C.1. Cognitive - Care Requirements (pg. 18): Staff/Personnel required: .DON, . D.4. Cultural - Care Requirements (pg. 22) : Staff/Personnel required: .DON.Infection Preventionist. Reviewed the survey binder provided on entrance. The binder included…

  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 · Fcited before2024-04-05 · 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 an interview and document review, the facility failed to establish a water management program as part of an infection prevention and control program to prevent the transmission of disease associated with water-borne pathogen. The facility was unable to demonstrate its measures to minimize the risk of Legionella and other water borne opportunistic pathogens in building water systems in a documented water management program. This program must be based on nationally accepted standards and include an assessment to identify where Legionella and other water borne pathogens could grow and spread and measures to prevent the growth of opportunistic water borne pathogens and how to monitor for pathogens. As a result of this deficiency, resident are potentially at risk for infections related to water-borne pathogens. Findings include: Definition of Legionellosis refers to two clinically and epidemiologically distinct illnesses: Legionnaires' disease which is typically characterized by fever, myalgia, cough, and clinical or radiographic pneumonia; and Pontiac fever, a milder illness…

  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 · E2024-04-05 · tag F0908 — failed to keep essential equipment working — pattern
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and document review, the facility did not ensure the wrist blood pressure (BP) patient care monitor was used according to manufacturer's recommendations. Specifically, the monitor is recommended for in-home use only. To ensure accuracy, it should be used according to manufacturer's guidelines. This has the potential to affect any resident that had their BP taken with the wrist monitor. Findings include: On 04/03/2024 at 10:10 AM, observed a wrist blood pressure (BP) monitor on the top of the medication cart. At that time interviewed the Resident Care Manager (RCM), who was administering medications. She said they keep the piece of equipment on the cart and use it to check resident BP prior to administering hypertension medications with range limits. The unit is used on multiple residents and wiped down between residents. On 04/04/2024 at 10:00 AM, observed CN11 use the wrist BP monitor on R5 prior to administering her BP medication. On 04/03/2024 at 11:20 AM, during an interview with DON, inquired what the manufacturers recommendations were for use…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-05 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 (RR), staff interview, and review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, the facility failed to ensure that information populated in the Minimum Data Set (MDS) was accurate for one of two residents sampled (Resident (R)51). R51's electronic health record (EHR) documented the resident was discharged home. Review of R51's discharge MDS documented the resident was discharged to an acute hospital. Failure to complete the MDS assessment accurately could potentially lead to missed opportunities for generating appropriate care plans and possibly not providing needed services, which could result in harm to the resident. Findings include: During record review of R51's discharge MDS, Assessment Reference Date 02/05/24, Section A Identification Information, A2105. Discharge Status, documented 04. Short-Term General Hospital (acute hospitals, IPPS) indicating R51 was discharged from the facility to acute hospital. Review of R51's progress notes…

  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 before2024-04-05 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 RR, the facility failed to revise the care plan for one of 14 residents sampled (R12). R12's care plan (CP) was not revised to include an updated oxygen administration order. R12's care plan did not include a new order to maintain R12's oxygen saturation be maintained between 88%-92%. Failure to revise care plans to reflect new orders could potentially lead to resident's not receiving appropriate nursing and medical care which has the potential to harm resident(s). Findings include: Cross Reference F-684: Quality of Care R12 is a [AGE] year-old female with diagnosis that include but not limited to severe persistent asthma, muscle weakness, acute and chronic respiratory failure, hypertension, pulmonary hypertension (increased blood pressure in the arteries of lungs, which causes shortness of breath, and swelling of legs), anxiety disorder, seizure disorder and gastrointestinal hemorrhage. On 04/01/2024 at 10:20 AM, observed R12 resting with her eyes closed, in 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-05 · 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 observations, interviews, and RR, the facility failed to provide the needed care within the professional standards of practice that met the needs for three of 14 residents sampled (R8, R12, and R17). As a result of this deficient practice, all residents at the facility are at risk of the potential for harm due to not achieving their highest practicable physical, mental, and psychosocial well-being. Findings include: 1) R17 is a [AGE] year-old female transferred to the facility on [DATE]. Her diagnosis included, but not limited to Type 2 diabetes mellitus with diabetic chronic kidney disease, major depressive disorder, spinal stenosis, and morbid obesity. She is bedbound and uses a Hoyer lift with two staff assistance for transfers and positioning in bed. R17 is alert and oriented. Her active medications for diabetes management include Levemir Flex Pen subcutaneous 100 unit/ml (milliliters), 3 units in the evening, Novolog Flex Pen subcutaneous 100 unit/ml, 2 units before meals, Jardiance 10 mg (oral)…

  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 · D2024-04-05 · 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 observation, interviews, and RR, the facility failed to ensure drug records are in order and an account of all controlled drugs is maintained and periodically reconciled. As a result of this deficient practice, there is the potential for diversion of controlled medication(s). Findings include: 1) On 04/03/24 at 09:21 AM, conducted a concurrent observations and interview of the controlled medication reconciliation for the medication cart with the RCM1. The facility implemented a Narcotic Count sheet (located in the medication cart binder) which is used by licensed nursing staff to document the reconciliation of controlled medication(s) between shift to account for all controlled mediations and to mitigate the diversion of controlled medications. Review of the facility's Narcotic Count sheet documented it was not signed/initialed on 04/01/24 and 04/02/24 for the On 0700-1900 and OFF 07/1900 portion of the sheet. Inquired with RCM1 regarding the blank portion of the Narcotic Count sheet. RCM1 confirmed the Narcotic Count sheet should have been signed with the off-going 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-05 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  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, observation, and RR, the facility failed to ensure a resident (R)12 is free from an unnecessary drug (antibiotic). R12 was prescribed an antibiotic (Levaquin) by a consultant at the time of an off-site office visit. Neither the prescribing consultant or facility provider documented adequate indications for the antibiotics use. As a result of this deficient practice, the antibiotic may be unnecessary and increase R12's resistance to antibiotics and put her at risk for adverse reactions to the medication. Findings include: R12 is a [AGE] year-old female with upper extremity weakness and right shoulder pain. She does not ambulate due to unsteady gate. R12 uses a wheelchair and requires one person assist for dressing, toileting, bathing, and transfers. Her diagnosis includes, but not limited to severe persistent asthma, muscle weakness, acute and chronic respiratory failure, hypertension, pulmonary hypertension (increased blood pressure in the arteries of lungs, which causes shortness of breath,…

  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

“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.

Part of a chain

This home belongs to REGENCY PACIFIC MANAGEMENT — 27 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

The source lists no ownership percentage for any party here — 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 76% 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 $332K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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