5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Hi’olani Assisted Living Center at Kahala Nui is a continuing care retirement community in Honolulu, Hawaii, offering independent living, assisted living, memory care, and skilled nursing. Independent living provides private living with community services and no daily care, while assisted living helps with daily tasks such as bathing, dressing, and medication management.
Memory care provides a secured setting with supervision for someone at risk of wandering. Skilled nursing provides licensed nursing care on site around the clock. Because several care levels are available, a resident whose needs grow over time may be able to move between levels without leaving the community.
The community has 20 beds, which can allow staff and residents to become familiar with one another. Private and semi-private rooms are available, offering either an individual room or a shared living arrangement. A Walk Score of 71 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently.
Medicare, Medicaid, and private pay are accepted. Medicare applies to short-term skilled care after a hospital stay, Medicaid may help cover a longer stay when savings are limited, and private pay allows a family to pay directly. Total nurse staffing is 6h 57m per resident per day, representing the daily hands-on nursing time allocated to each resident. The Memory Support program and the range of care levels may make the community a good fit for someone living with dementia whose care needs may change over time.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 2nd out of 25 nursing homes we track in Hawaii for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
6h 57mStandout metric: Certified nursing assistant is +59% above Hawaii average
1 of 5 metrics below Hawaii average
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 30 total: 22 of the facility's own employees and 8 agency contractors.
30 staff · 2.7-hour shifts
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 3 are the facility's own employees; no agency contractors work in this role.
3 staff · 3.2-hour shifts
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 55 are the facility's own employees; no agency contractors work in this role.
55 staff · 2.4-hour shifts
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
125
97 employees · 28 contractors · 51 on an average day
125 total staff / 16 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
7.81 : 1
↑ 389% · HI 1.60This facility: 7.81 staff per resident, 389% above the Hawaii average of 1.60 (among Hawaii facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
125 staff ÷ 16 residents
See full Hawaii ranking →
Average hours one staff member works on a day they are on shift, across every role.
2.4 h
↓ 69% · HI 7.8 hThis facility: 2.4 h, 69% below the Hawaii average of 7.8 h (among Hawaii facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
11,182 staff hours this quarter
See full Hawaii ranking →87.6% of staff hours were worked by the facility's own employees
Hawaii average: 87.1% · Contractors this quarter: Registered Nurse (8), Respiratory Therapy Technician (7), Qualified Social Worker (3), Physical Therapy Assistant (2), Physical Therapy Aide (2), Speech Language Pathologist (2), Other Physician (2), Occupational Therapy Assistant (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
20
Rank #27 / 30Bed count — State benchmarked This nursing home is ranked 27th out of 30 nursing homes we track in Hawaii for bed count. Shows this facility's certified or reported bed count compared to other Hawaii facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #9 / 32Walk Score — State benchmarked This nursing home is ranked 9th out of 32 nursing homes we track in Hawaii for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Hawaii facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #18 / 22Occupancy rate — State benchmarked This nursing home is ranked 18th out of 22 nursing homes we track in Hawaii for occupancy. Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 22. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on residents per day and 20 beds.
Lower than the Hawaii average: 83.3%
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
Source: CMS Provider Information, average daily residents (data as of Aug 2026)
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
In Hawaii, the Department of Health, Office of Health Care Assurance performs regular inspections and unannounced surveys to verify that healthcare facilities maintain high standards of resident care.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Hawaii state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | HI Average | vs. HI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 24 | 26.0 | This facility has 8% fewer total deficiencies than a typical Hawaii nursing home (24 vs. HI avg 26).↓ 8% better |
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Deficiencies per inspection
Average deficiencies per inspection.
| 8.0 | 6.8 | This facility has 18% more deficiencies per inspection than a typical Hawaii nursing home (8 vs. HI avg 6.8).↑ 18% worse |
Inspections
| This Facility | HI Average | vs. HI Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 3 | 4.0 | This facility has had 25% fewer total inspections than the Hawaii average (3 vs. HI avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer |
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
100% corrected
24 of 24 citations corrected Latest inspection: Jun 27, 2024 · 8 citations, all corrected
Most cited category: Quality of Life & Care, 6 of 24 citations · 7 categories in total
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
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Corrected
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 24 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
How residents at this home fare on health outcomes and preventive care, compared with the Hawaii average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 14% · HI 4.4This facility: 5.0, 14% above the HI average of 4.4 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 69% · HI 3.0This facility: 5.0, 69% above the HI average of 3.0 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
8.4
Score · lower is better
↓ 7% · HI 9.0This facility: 8.4, 7% below the HI average of 9.0 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
16.4
Score · lower is better
↓ 8% · HI 17.9This facility: 16.4, 8% below the HI average of 17.9 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.9 long-stay measures: 4 better, 5 worse
7 short-stay measures: 4 better, 1 worse, 2 compared with US only
People who live at the home · 9 measures
Percent of long-stay residents whose need for help with daily activities has increased
7.1%
↓ 57% · HI 16.8This facility: 7.1, 57% below the HI average of 16.8 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.7%
↑ 46% · HI 17.6This facility: 25.7, 46% above the HI average of 17.6 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
4.6%
↑ 88% · HI 2.4This facility: 4.6, 88% above the HI average of 2.4 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · HI 1.9This facility: 0.0, 100% below the HI average of 1.9 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
12.3%
↑ 260% · HI 3.4This facility: 12.3, 260% above the HI average of 3.4 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
14.3%
↑ 193% · HI 4.9This facility: 14.3, 193% above the HI average of 4.9 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · HI 1.2This facility: 0.0, 100% below the HI average of 1.2 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
0.0%
↓ 100% · HI 11.9This facility: 0.0, 100% below the HI average of 11.9 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.1%
↓ 5% · HI 96.1This facility: 91.1, 5% below the HI average of 96.1 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 7 measures
Rate of successful return to home or community from a skilled nursing facility.
68.5%
↑ 35% · US 50.6This facility: 68.5, 35% above the US average of 50.6 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · HI 1.4This facility: 0.0, 100% below the HI average of 1.4 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.8%
↑ 11% · HI 82.7This facility: 91.8, 11% above the HI average of 82.7 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.7%
↑ 14% · HI 84.7This facility: 96.7, 14% above the HI average of 84.7 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.2%
↑ 49% · HI 19.6This facility: 29.2, 49% above the HI average of 19.6 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
5.0%
↓ 54% · HI 10.9This facility: 5.0, 54% below the HI average of 10.9 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
38% of new residents, usually for short-term rehab.
61% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
16Part of a Continuing Care Retirement Community offering multiple care levels
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Hi’olani Assisted Living Center at Kahala Nui from 2011–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #4 / 20Payroll costs — State benchmarked This nursing home is ranked 4th out of 20 nursing homes we track in Hawaii. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Hawaii average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #1 / 20Payroll % of net patient revenue — State benchmarked This nursing home is ranked 1st out of 20 nursing homes we track in Hawaii. Shows payroll as a percentage of net patient revenue versus the Hawaii average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (61% of admissions), and a typical private pay stay runs around 1 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
5.9 miles from city center
Estimated distance in miles from Honolulu's city center to Hi’olani Assisted Living Center at Kahala Nui's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the HI Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Hawaii average is: 64.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hi’olani Assisted Living Center at Kahala Nui | MC AL CCRC IL NH SNF | Honolulu (Waialae - Kahala) | 20
Facility
20
HI AVG
84
Rank
#27 / 30 |
77.5%
Facility
77.5%
HI AVG
83.3%
Rank
#18 / 22 | -7% | 6.94
Facility
6.94
HI AVG
4.77
Rank
#2 / 25 | +16% | +45% | $0
Facility
$0
HI AVG
$36.8k
Rank
#1 / 26 | 24
Facility
24
HI AVG
34.7
Rank
#7 / 26 | 8.0
Facility
8.0
HI AVG
7.8
Rank
#16 / 26 | - | 16 | - |
71
Facility
71
HI AVG
46
Rank
#9 / 32 | Craig Courts | $9.0MFiscal year ending 12/2024
Facility
$9.0MFiscal year ending 12/2024
HI AVG
$17.9M
Rank
#18 / 20 | $14.6MFiscal year ending 12/2024
Facility
$14.6MFiscal year ending 12/2024
HI AVG
$10.1M
Rank
#4 / 20 | 161.3%Fiscal year ending 12/2024
Facility
161.3%Fiscal year ending 12/2024
HI AVG
64.3%
Rank
#1 / 20 | 125055 | ||||
| Kalākaua Gardens | MC AL CCRC IL NH RC SNF | Honolulu (Ala Moana) | 49
Facility
49
HI AVG
84
Rank
#18 / 30 |
78.6%
Facility
78.6%
HI AVG
83.3%
Rank
#16 / 22 | -6% | 6.07
Facility
6.07
HI AVG
4.77
Rank
#4 / 25 | -3% | +27% | $55.7k
Facility
$55.7k
HI AVG
$36.8k
Rank
#23 / 26 | 31
Facility
31
HI AVG
34.7
Rank
#11 / 26 | 5.2
Facility
5.2
HI AVG
7.8
Rank
#3 / 26 | 2 | 39 | - |
98
Facility
98
HI AVG
46
Rank
#1 / 32 | 1723 Kalakaua LLC | $21.9MFiscal year ending 12/2024
Facility
$21.9MFiscal year ending 12/2024
HI AVG
$17.9M
Rank
#5 / 20 | $9.7MFiscal year ending 12/2024
Facility
$9.7MFiscal year ending 12/2024
HI AVG
$10.1M
Rank
#9 / 20 | 44.2%Fiscal year ending 12/2024
Facility
44.2%Fiscal year ending 12/2024
HI AVG
64.3%
Rank
#18 / 20 | 125066 | ||||
| Ann Pearl Rehab & Nursing | MC ADC NH SNF | Kaneohe | 104
Facility
104
HI AVG
84
Rank
#9 / 30 |
55.4%
Facility
55.4%
HI AVG
83.3%
Rank
#22 / 22 | -33% | 3.85
Facility
3.85
HI AVG
4.77
Rank
#21 / 25 | +13% | -19% | $15.3k
Facility
$15.3k
HI AVG
$36.8k
Rank
#19 / 26 | 46
Facility
46
HI AVG
34.7
Rank
#20 / 26 | 6.6
Facility
6.6
HI AVG
7.8
Rank
#10 / 26 | 3 | 58 | - |
48
Facility
48
HI AVG
46
Rank
#16 / 32 | Rebecca Canon-Fratis | $8.9MFiscal year ending 12/2024
Facility
$8.9MFiscal year ending 12/2024
HI AVG
$17.9M
Rank
#17 / 20 | $4.3MFiscal year ending 12/2024
Facility
$4.3MFiscal year ending 12/2024
HI AVG
$10.1M
Rank
#20 / 20 | 48.7%Fiscal year ending 12/2024
Facility
48.7%Fiscal year ending 12/2024
HI AVG
64.3%
Rank
#14 / 20 | 125048 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other HI nursing home we track that reports that metric, not just the 3 on this page. See how we rank facilities
Hi’olani Assisted Living Center at Kahala Nui is located in Honolulu, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Hi’olani Assisted Living Center at Kahala Nui is in the Waialae - Kahala neighborhood of Honolulu.
Hi’olani Assisted Living Center at Kahala Nui has a walk score of 71. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to HI state health department records, Hi’olani Assisted Living Center at Kahala Nui's license number is 10-ALF.
According to HI state health department records, Hi’olani Assisted Living Center at Kahala Nui's license expires on May 31, 2027.
Hi’olani Assisted Living Center at Kahala Nui's occupancy is 77.5%.
No, Hi’olani Assisted Living Center at Kahala Nui has a no-pet policy.
Hi’olani Assisted Living Center at Kahala Nui is registered as a non-profit in HI.
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