Total health inspections
9
Hawaii average 4.4
Last Health inspection on Apr 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Hale Makua Health Services
Nursing Home in Kahului
Hale Makua Health Services
Nursing Home in Kahului
Overview of Hale Makua Health Services
Wonderfully nestled between Kahului Park and Kahului Disc Golf Course in Kahului, HI, Hale Makua Health Services is an outstanding community offering a wide range of care, including adult day health, residential care, home health, long-term care, and rehabilitation. The community strives to meet residents’ needs with a compassionate and well-trained team attending to their needs around the clock. Whether at home or in our stress-free setting, residents can keep their peace of mind and receive exceptional care.
Aside from their healthcare needs, residents’ leisure and wellness are also taken into consideration, so fun recreational activities and enriching programs are also conducted. The community also provides physical, occupational, and speech therapy to enhance residents’ living experiences. With continuum of care services, residents age with dignity wherever they prefer.
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 7th out of 26 homes in Hawaii.
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 7th out of 26 homes in Hawaii.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.
4h 47m per day
vs Hawaii avg
Standout metric
Total Nursing (Weekend) is +5% above state avg
| Staff type | Hours / day | 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 18m per day | ▼ 20% State avg: 1h 38m per day · National avg: 41m 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.
| 2h 50m per day | ▲ 4% State avg: 2h 44m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 23m per day | ▲ 5% State avg: 4h 11m per day · National avg: 3h 26m 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.
| 4m per day | ▼ 20% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 54m per day | ▼ 27% State avg: 1h 14m per day · National avg: 29m per day |
Capacity and availability
High-capacity home
May provide extensive amenities, services and programs.
Total beds
254
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
91.7%
Avg. Length of Stay
142 days
Occupancy rate
91.7%
Avg. Length of Stay
142 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
22% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
68% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
10% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Voluntary non-profit community
Home revenue
$62.4M
Operating deficit
-$1.9M
Voluntary non-profit community
Home revenue
$62.4M
Operating deficit
-$1.9M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$16.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$47.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$64.3M
Walk Score: 27 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Rehabilitation Services
Respite Care
Skilled Nursing
Specific ProgramsAdult Day Health, Care Homes, Home Health, Rehab
What does this home offer?
Housing Options: Private / Semi-Private
Building Type: Single-story
Dining Services
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Types of Care at Hale Makua Health Services
Nursing Home
Memory Care
Health Inspection History
Inspections
Total health citations
63
Hawaii average 35.5
Citations per inspection
7
Hawaii average 8.23
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
34 of 63 citations resulted from standard inspections; 19 of 63 resulted from complaint investigations; and 10 of 63 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
900% worse than Hawaii averageHawaii average: 0.1
Serious Health citations
6
6
500% worse than Hawaii averageHawaii average: 1
1 critical citation
6 serious citations
56 moderate citations
0 minor citations
Citations history (last 3 years)
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 11, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 11, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 14, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 14, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 14, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 14, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 14, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 14, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. 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.
Compare Nursing Homes around Kahului The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
Filter by care type
| Lanai Community Hospital |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Lanai City (7Th Street) | 10 | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | 10 | - | 58 | - | - | - | - | 125023 | |||
| Kula Hospital |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Kula (Keokea Place) | 105 | - | - | 5.73 | - | +36% | 0 | 0 | 0.0 | 0 | 92 | - | 25 | - | - | - | - | 125003 | ||||
| Hale Makua Health Services | - |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Kahului (Kaulana Street) | 254 | 91.7% | +24% | 4.78 | - | - | - | -29% | +14% | 4 | 63 | 7.0 | 7 | 201 | - | 27 | Chun, Grant | $59.0M | $16.7M | 28.3% | 125007 |
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Places of interest near Hale Makua Health Services
1.2 miles from city center
Estimated distance in miles from Kahului's city center to Hale Makua Health Services's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
288
Employees
208
Contractors
80
Staff to resident ratio
1.41:1
14% worse than Hawaii averageHawaii average ratio: 1.64:1
Avg staff/day
138
Average shift
8.2 hours
5% better than Hawaii averageHawaii average: 7.8 hours
Total staff hours (quarter)
103,422
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
42
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
47
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
120
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
20%
20,676 contractor hours this quarter
Certified Nursing Assistant: 25
Licensed Practical Nurse: 22
Respiratory Therapy Technician: 7
Physical Therapy Assistant: 7
Physical Therapy Aide: 4
Registered Nurse: 3
Qualified Social Worker: 3
Speech Language Pathologist: 3
Occupational Therapy Assistant: 3
Administrator: 1
Other Physician: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 95 | 25 | 120 | 49,236 | 91 | 100% | 8.1 |
| Registered Nurse | 39 | 3 | 42 | 15,961 | 91 | 100% | 9 |
| Licensed Practical Nurse | 25 | 22 | 47 | 14,539 | 91 | 100% | 8.8 |
| Clinical Nurse Specialist | 15 | 0 | 15 | 6,571 | 91 | 100% | 8.1 |
| Other Dietary Services Staff | 7 | 0 | 7 | 2,804 | 90 | 99% | 8 |
| Dental Services Staff | 5 | 0 | 5 | 2,446 | 78 | 86% | 7.9 |
| RN Director of Nursing | 8 | 0 | 8 | 2,414 | 83 | 91% | 8.5 |
| Dietitian | 3 | 0 | 3 | 1,408 | 69 | 76% | 7.9 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 1,253 | 79 | 87% | 7.2 |
| Nurse Aide in Training | 6 | 0 | 6 | 1,221 | 78 | 86% | 7.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 1,092 | 85 | 93% | 6.9 |
| Occupational Therapy Aide | 2 | 0 | 2 | 1,008 | 64 | 70% | 8 |
| Physical Therapy Aide | 0 | 4 | 4 | 726 | 73 | 80% | 6.3 |
| Physical Therapy Assistant | 0 | 7 | 7 | 632 | 85 | 93% | 5.1 |
| Administrator | 1 | 1 | 2 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 482 | 62 | 68% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 404 | 51 | 56% | 7.9 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 149 | 39 | 43% | 3.3 |
| Medical Director | 0 | 1 | 1 | 60 | 23 | 25% | 2.6 |
| Other Physician | 0 | 1 | 1 | 11 | 5 | 5% | 2.2 |
120 Certified Nursing Assistant
% of Days
100%
42 Registered Nurse
% of Days
100%
47 Licensed Practical Nurse
% of Days
100%
15 Clinical Nurse Specialist
% of Days
100%
7 Other Dietary Services Staff
% of Days
99%
5 Dental Services Staff
% of Days
86%
8 RN Director of Nursing
% of Days
91%
3 Dietitian
% of Days
76%
7 Respiratory Therapy Technician
% of Days
87%
6 Nurse Aide in Training
% of Days
86%
3 Speech Language Pathologist
% of Days
93%
2 Occupational Therapy Aide
% of Days
70%
4 Physical Therapy Aide
% of Days
80%
7 Physical Therapy Assistant
% of Days
93%
2 Administrator
% of Days
69%
1 Nurse Practitioner
% of Days
69%
3 Qualified Social Worker
% of Days
68%
1 Mental Health Service Worker
% of Days
56%
3 Occupational Therapy Assistant
% of Days
43%
1 Medical Director
% of Days
25%
1 Other Physician
% of Days
5%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
204
Medicare
29
14.2% of residents
Medicaid
136
66.7% of residents
Private pay or other
39
19.1% 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.
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.
16.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.3
60% worse than Hawaii averageHawaii average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.2
46% worse 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
24.6%
Percent of long-stay residents whose need for help with daily activities has increased
24.6%
40% worse than Hawaii averageHawaii average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
43.4%
Percent of long-stay residents whose ability to move independently worsened
43.4%
68% worse 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
19.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.5%
7% worse than Hawaii averageHawaii average: 18.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
In line with Hawaii averageHawaii average: 2.1%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.2%
Percent of long-stay high risk residents with pressure ulcers
3.2%
11% better than Hawaii averageHawaii average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.4%
Percent of long-stay residents with a urinary tract infection
2.4%
In line with Hawaii averageHawaii average: 2.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.0%
Percent of long-stay residents who lose too much weight
8.0%
70% worse than Hawaii averageHawaii average: 4.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.2%
Percent of long-stay residents who have depressive symptoms
0.2%
86% better than Hawaii averageHawaii average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.0%
Percent of long-stay residents who received an antipsychotic medication
11.0%
9% worse than Hawaii averageHawaii average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
In line with Hawaii averageHawaii average: 96.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
In line with Hawaii averageHawaii average: 95.4%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.17
Number of hospitalizations per 1,000 long-stay resident days.
1.17
13% better than Hawaii averageHawaii average: 1.34
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.99
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.99
124% worse than Hawaii averageHawaii average: 0.89
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.9%
10% better than Hawaii averageHawaii average: 83.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
9% better than Hawaii averageHawaii average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
8% better than Hawaii averageHawaii average: 84.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.0%
In line with Hawaii averageHawaii average: 19.6%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
18.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.6%
71% worse than Hawaii averageHawaii average: 10.9%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Hawaii averageHawaii average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
56.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.0%
In line with Hawaii averageHawaii average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
70.2%
Rate of successful return to home or community from a skilled nursing facility.
70.2%
39% better than Hawaii averageHawaii average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
$170K
351% higher than Hawaii averageHawaii average: $38K
Number of fines
3
97% more 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
$170K
Hawaii average
$38K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 18, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 18, 2024
$71K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 12, 2024
$56K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 19, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 19, 2023
$44K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Hale Makua Health Services based on CMS SNF Cost Reports.
Occupancy Rate
91.7%
↓ 0.8pp vs 2022
Net Income
-$1.9M
↓ ~$6.4M vs 2022
Total Payroll
$20.7M
↑ ~$300.5K vs 2022
Profit Margin
-3.2%
↓ 11.4pp vs 2022
Loading trend charts...
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