Total staff
103
Employees
91
Contractors
12
Hale Nā Koa ‘O Hanakahi
Nursing Home & Independent Living · Hilo, HI
CMS overall rating
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.
Hale Nā Koa ‘O Hanakahi
Nursing Home & Independent Living · Hilo, HI
CMS overall rating
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.
Hale Na Koa ‘O Hanakahi is an idyllic haven nestled near Lokahi Park and Botanical Garden at the University of Hawaii – Hilo on West Kawili Street, Hilo, HI, that offers independent living. Residents, especially those 62+, experience the best of their golden years with the community’s beautifully furnished and cozy one-bedroom floor plans, designed for better comfort and safety. The community promotes a warm and friendly environment, ensuring residents feel at ease during their stay.
Residents can spend their days as they please with the community’s ideal location near recreation sites and delightful amenities, making it easier to access their needs and wants. The community accommodates those with incomes ranging from 30% to 80% of the median income, maintaining their independence without financial constraints. Amenities include a lounge, a coffee bar, a multi-purpose room, and an exercise room, creating the perfect setting for a blissful retirement.
Quality ratings
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 2nd out of 32 homes 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.
This home is ranked 2nd out of 32 homes 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.
5h 30m per day
Rank #2 / 32Nurse hours — State benchmarkedThis home is ranked 2nd out of 32 homes in Hawaii. Shows adjusted nurse hours per resident per day benchmarked to the Hawaii average, with a ranking across 32 Hawaii facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Hawaii avg
+31%
Standout metric
LPN / LVN is +105% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 1h 37m per day | ■ Avg State avg: 1h 38m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 42m per day | ▲ 105% State avg: 20m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 3h 27m per day | ▲ 29% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 4h 55m per day | ▲ 20% State avg: 4h 6m per day · National avg: 3h 27m per day |
|
Physical Therapist
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.
| 0m per day | ▼ 100% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
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.
| 1h 9m per day | ▼ 7% State avg: 1h 14m per day · National avg: 29m per day |
Walk Score: 48 / 100 Rank #90 / 178Walk Score — State benchmarkedThis home is ranked 90th out of 178 homes in Hawaii. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Hawaii facilities. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.84 : 1
11% more staff per resident than Hawaii average
Avg staff/day
44
Average shift
8 hours
0% compared with Hawaii average
Total staff hours (quarter)
32,437
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
24 total: 16 full-time employees and 8 contractors.
24
24 total: 16 full-time employees and 8 contractors.
24
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
9 total: 5 full-time employees and 4 contractors.
9
9 total: 5 full-time employees and 4 contractors.
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 56 CNA Staff are full-time employees. No contractors work on this role.
56
All 56 CNA Staff are full-time employees. No contractors work on this role.
56
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
13%
4,230 contractor hours this quarter
Registered Nurse: 8
Licensed Practical Nurse: 4
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 56 | 0 | 56 | 18,423 | 92 | 100% | 8.2 |
| Registered Nurse | 16 | 8 | 24 | 6,168 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 5 | 4 | 9 | 3,694 | 92 | 100% | 8.2 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,941 | 68 | 74% | 7.9 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,263 | 89 | 97% | 6.9 |
| Administrator | 2 | 0 | 2 | 485 | 63 | 68% | 4.1 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
56 Certified Nursing Assistant
% of Days
100%
24 Registered Nurse
% of Days
100%
9 Licensed Practical Nurse
% of Days
100%
5 Clinical Nurse Specialist
% of Days
74%
6 Other Dietary Services Staff
% of Days
97%
2 Administrator
% of Days
68%
1 Nurse Practitioner
% of Days
63%
Penalties and fines
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 (Data as of Jan 2026)
Total fines amount
$17K Rank #24 / 33Federal fines — State benchmarkedThis home is ranked 24th out of 33 homes in Hawaii. Shows this facility's cumulative CMS federal fine dollars versus the Hawaii average among facilities with fines, and where it ranks among 33 facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
55% lower than Hawaii averageHawaii average: $38K
Number of fines
1
34% fewer fines than Hawaii averageHawaii average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Hawaii averageHawaii average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$17K
Hawaii average
$38K
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.9
32% better than Hawaii averageHawaii average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.8
26% better than Hawaii averageHawaii average: 20.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
10.7%
Percent of long-stay residents whose need for help with daily activities has increased
10.7%
39% better than Hawaii averageHawaii average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.1%
Percent of long-stay residents whose ability to move independently worsened
18.1%
30% better than Hawaii averageHawaii average: 25.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.6%
15% better than Hawaii averageHawaii average: 18.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
60% better than Hawaii averageHawaii average: 2.1%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.2%
Percent of long-stay high risk residents with pressure ulcers
1.2%
67% better than Hawaii averageHawaii average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.3%
Percent of long-stay residents with a urinary tract infection
1.3%
46% better than Hawaii averageHawaii average: 2.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.6%
Percent of long-stay residents who lose too much weight
3.6%
24% better than Hawaii averageHawaii average: 4.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Hawaii averageHawaii average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.5%
Percent of long-stay residents who received an antipsychotic medication
12.5%
24% worse than Hawaii averageHawaii average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Hawaii averageHawaii average: 96.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Hawaii averageHawaii average: 95.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
15% better than Hawaii averageHawaii average: 83.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Hawaii averageHawaii average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
18% better than Hawaii averageHawaii average: 84.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56
Medicaid
56
100% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
What does this home offer?
Minimum Age: 62 Years Old
Housing Options: 1 Bed Apartments
Building Type: 2-story
Parking Available
Places of interest near Hale Nā Koa ‘O Hanakahi
1.7 miles from city center
Estimated distance in miles from Hilo's city center to Hale Nā Koa ‘O Hanakahi's address, calculated via Google Maps.
Calculate Travel Distance to Hale Nā Koa ‘O Hanakahi
Add your location
Financial Assistance for
Nursing Home in Hawaii
Hale Nā Koa ‘O Hanakahi is located in Hilo, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Frequently Asked Questions about Hale Nā Koa ‘O Hanakahi
Is Hale Nā Koa ‘O Hanakahi in a walkable area?
Hale Nā Koa ‘O Hanakahi has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Are there photos of Hale Nā Koa ‘O Hanakahi?
Yes — there are 6 photos of Hale Nā Koa ‘O Hanakahi in the photo gallery on this page.
What is the address of Hale Nā Koa ‘O Hanakahi?
Hale Nā Koa ‘O Hanakahi is located at 118 W Kawili St, Hilo, HI 96720.
What is the phone number of Hale Nā Koa ‘O Hanakahi?
(808) 466-8615 will put you in contact with the team at Hale Nā Koa ‘O Hanakahi.
Is Hale Nā Koa ‘O Hanakahi Medicare or Medicaid certified?
Yes — Hale Nā Koa ‘O Hanakahi is a CMS-certified provider of Medicare and Medicaid.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Contact Us
Updated on
Feedback
Write a review for Hale Nā Koa ‘O Hanakahi
Rate your overall experience with this community
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Need Help?
Let us help you or a loved one find the perfect senior home.
