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.
Maunalani Nursing and Rehabilitation Center provides an exemplary approach to skilled nursing; it has pioneered as the home for comprehensive rehabilitation and nursing. One of the longest continuum of care centers in Oahu, the long-term healthcare center gives attention to all levels of care, as well even the complex medical conditions. Maunlani Nursing Center boasts a comfortable and secure environment for a speedy recovery.
The nursing home is rehabilitative and focuses on receiving results in the services they offer; services include 24-hour nursing available, physicians available, and therapists– all provided to ensure residents all receive their holistic wellness. Therapy services include speech, occupational, and physical that sustain and strengthen daily skills.
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.
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.
This home is ranked 16th out of 33 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.
| 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.
| 6m per day | ▼ 94% 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.
| 6m per day | ▼ 73% State avg: 21m 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.
| 24m per day | ▼ 85% State avg: 2h 44m per day · National avg: 2h 21m 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.
| 31m per day | ▼ 87% 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.
| 7m per day | ▲ 39% State avg: 5m 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.
| 5m per day | ▼ 93% State avg: 1h 14m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
69% fewer staff per resident than Hawaii average
6% worse than Hawaii average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 3 RN Staff are contractors.
3
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
All 4 LPN Staff are contractors.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 16 CNA Staff are contractors.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
9,983 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 0 | 16 | 16 | 3,349 | 92 | 100% | 7.9 |
| Physical Therapy Aide | 0 | 5 | 5 | 1,414 | 71 | 77% | 8.1 |
| Speech Language Pathologist | 0 | 6 | 6 | 1,170 | 72 | 78% | 7 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 957 | 77 | 84% | 7.5 |
| Physical Therapy Assistant | 0 | 6 | 6 | 848 | 77 | 84% | 6.1 |
| Registered Nurse | 0 | 3 | 3 | 833 | 63 | 68% | 8.9 |
| Licensed Practical Nurse | 0 | 4 | 4 | 785 | 66 | 72% | 8.8 |
| Qualified Social Worker | 0 | 3 | 3 | 627 | 66 | 72% | 7.9 |
| Medical Director | 1 | 0 | 1 | 132 | 66 | 72% | 2 |
Includes penalties issued in 2024-2025
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)
15% lower than Hawaii averageHawaii average: $38K
32% more fines than Hawaii averageHawaii average: 1.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 18, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.6
23% worse than Hawaii averageHawaii average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.7
14% worse than Hawaii averageHawaii average: 20.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
In line with Hawaii averageHawaii average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
29.3%
13% worse than Hawaii averageHawaii average: 25.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
16% worse than Hawaii averageHawaii average: 18.3%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
83% worse than Hawaii averageHawaii average: 2.1%
Percent of long-stay high risk residents with pressure ulcers
3.8%
In line with Hawaii averageHawaii average: 3.6%
Percent of long-stay residents with a urinary tract infection
4.8%
99% worse than Hawaii averageHawaii average: 2.4%
Percent of long-stay residents who lose too much weight
8.1%
72% worse than Hawaii averageHawaii average: 4.7%
Percent of long-stay residents who have depressive symptoms
0.5%
66% better than Hawaii averageHawaii average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
7.5%
26% better than Hawaii averageHawaii average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
In line with Hawaii averageHawaii average: 96.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Hawaii averageHawaii average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
1.46
9% worse than Hawaii averageHawaii average: 1.34
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.80
10% better than Hawaii averageHawaii average: 0.89
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.5%
9% better than Hawaii averageHawaii average: 83.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
20% better than Hawaii averageHawaii average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.7%
7% better than Hawaii averageHawaii average: 84.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.6%
15% worse than Hawaii averageHawaii average: 19.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.3%
51% better than Hawaii averageHawaii average: 10.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
22% better than Hawaii averageHawaii average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
23.5%
56% worse than Hawaii averageHawaii average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
73.0%
44% 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.
37% of new residents, usually for short-term rehab.
61% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
100Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
Historical financial and operational data for Maunalani Nursing and Rehabilitation Center from 2012–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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 #7 / 29Payroll — State benchmarkedThis home is ranked 7th out of 29 homes in Hawaii. Shows total annual staff payroll benchmarked to the Hawaii average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Hawaii that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #7 / 29Payroll % — State benchmarkedThis home is ranked 7th out of 29 homes in Hawaii. Shows payroll as a percentage of revenue versus the Hawaii average. Well-run Hawaii facilities typically land around 52–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Hawaii that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
Elaine P. Johnson was Maunalani Nursing and Rehabilitation Center’s first administrator, setting the foundation and pace for the community since it opened in 1950. Her leadership helped shape the facility’s commitment to compassionate senior care, establishing a lasting legacy that continues to influence Maunalani’s mission and culture today.
4.5 miles from city center
Estimated distance in miles from Honolulu's city center to Maunalani Nursing and Rehabilitation Center's address, calculated via Google Maps.
— 1.86 miles to nearest hospital (Lu0113u02bbahi Hospital)
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The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
| 15 Craigside | NH ADC AL HC IL | Honolulu (Nuuanu - Punchbowl) | 45
Facility
45
HI AVG
43
Rank
#26 / 87 |
97.7%
Facility
97.7%
HI AVG
74.2%
Rank
#2 / 28 | +32% | 5.04
Facility
5.04
HI AVG
4.20
Rank
#8 / 33 | +1% | +20% | $0
Facility
$0
HI AVG
$43.4k
Rank
#1 / 34 | 5
Facility
5
HI AVG
35.5
Rank
#1 / 34 | 2.5
Facility
2.5
HI AVG
8.2
Rank
#1 / 34 | - | 45 | A+ |
50
Facility
50
HI AVG
49
Rank
#85 / 178 | Bree Komagome | $7.7M
Facility
$7.7M
HI AVG
$20.8M
Rank
#27 / 29 | $5.2M
Facility
$5.2M
HI AVG
$7.1M
Rank
#24 / 29 | 67.8%
Facility
67.8%
HI AVG
38.9%
Rank
#1 / 29 | 125063 | ||||
| Maunalani Nursing and Rehabilitation Center | NH NC PC | Honolulu (Kaimuki) | 100
Facility
100
HI AVG
43
Rank
#13 / 87 |
87.7%
Facility
87.7%
HI AVG
74.2%
Rank
#8 / 28 | +18% | 4.19
Facility
4.19
HI AVG
4.20
Rank
#16 / 33 | -71% | 0% | $32.1k
Facility
$32.1k
HI AVG
$43.4k
Rank
#28 / 34 | 21
Facility
21
HI AVG
35.5
Rank
#4 / 34 | 4.2
Facility
4.2
HI AVG
8.2
Rank
#4 / 34 | 2 | 90 | - |
11
Facility
11
HI AVG
49
Rank
#153 / 178 | The Maunalani Foundation | $18.6M
Facility
$18.6M
HI AVG
$20.8M
Rank
#11 / 29 | $10.4M
Facility
$10.4M
HI AVG
$7.1M
Rank
#7 / 29 | 56%
Facility
56%
HI AVG
38.9%
Rank
#7 / 29 | 125013 | ||||
| Arcadia Retirement Residence | NH ADC HC IL NC | Honolulu (Makiki/Lower/ Punchbowl/Tantalus) | 91
Facility
91
HI AVG
43
Rank
#18 / 87 |
84.3%
Facility
84.3%
HI AVG
74.2%
Rank
#10 / 28 | +14% | 5.08
Facility
5.08
HI AVG
4.20
Rank
#7 / 33 | +26% | +21% | $12.9k
Facility
$12.9k
HI AVG
$43.4k
Rank
#23 / 34 | 36
Facility
36
HI AVG
35.5
Rank
#19 / 34 | 9.0
Facility
9.0
HI AVG
8.2
Rank
#27 / 34 | 2 | 85 | A+ |
86
Facility
86
HI AVG
49
Rank
#27 / 178 | Kathleen Yokouchi | $14.6M
Facility
$14.6M
HI AVG
$20.8M
Rank
#14 / 29 | $7.5M
Facility
$7.5M
HI AVG
$7.1M
Rank
#11 / 29 | 51.1%
Facility
51.1%
HI AVG
38.9%
Rank
#11 / 29 | 125014 | ||||
| Kalākaua Gardens | NH AL IL MC RC | Honolulu (Ala Moana) | 49
Facility
49
HI AVG
43
Rank
#24 / 87 |
71.4%
Facility
71.4%
HI AVG
74.2%
Rank
#20 / 28 | -4% | 0.37
Facility
0.37
HI AVG
4.20
Rank
#33 / 33 | -3% | -91% | $55.7k
Facility
$55.7k
HI AVG
$43.4k
Rank
#30 / 34 | 35
Facility
35
HI AVG
35.5
Rank
#18 / 34 | 5.8
Facility
5.8
HI AVG
8.2
Rank
#10 / 34 | 3 | 42 | - |
98
Facility
98
HI AVG
49
Rank
#3 / 178 | 1723 Kalakaua LLC | $21.3M
Facility
$21.3M
HI AVG
$20.8M
Rank
#10 / 29 | $9.5M
Facility
$9.5M
HI AVG
$7.1M
Rank
#8 / 29 | 44.8%
Facility
44.8%
HI AVG
38.9%
Rank
#16 / 29 | 125066 | ||||
| Avalon Care Center – Honolulu | NH | Honolulu (Kalihi Valley) | 108
Facility
108
HI AVG
43
Rank
#10 / 87 |
90.4%
Facility
90.4%
HI AVG
74.2%
Rank
#7 / 28 | +22% | 4.06
Facility
4.06
HI AVG
4.20
Rank
#17 / 33 | +24% | -3% | $0
Facility
$0
HI AVG
$43.4k
Rank
#1 / 34 | 53
Facility
53
HI AVG
35.5
Rank
#31 / 34 | 17.7
Facility
17.7
HI AVG
8.2
Rank
#34 / 34 | - | 96 | A+ |
47
Facility
47
HI AVG
49
Rank
#93 / 178 | Avalon Of Hawaii LLC | $22.2M
Facility
$22.2M
HI AVG
$20.8M
Rank
#7 / 29 | $10.7M
Facility
$10.7M
HI AVG
$7.1M
Rank
#6 / 29 | 48.4%
Facility
48.4%
HI AVG
38.9%
Rank
#23 / 29 | 125020 |
Maunalani Nursing and Rehabilitation Center is located in Honolulu, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Maunalani Nursing and Rehabilitation Center is in the Kaimuki neighborhood.
Maunalani Nursing and Rehabilitation Center has a walk score of 11. Car-dependent. Most errands require a car, with limited nearby walkable options.
Maunalani Nursing and Rehabilitation Center's occupancy is 87.7%.
Maunalani Nursing and Rehabilitation Center is registered as a non-profit.
Yes — there are 6 photos of Maunalani Nursing and Rehabilitation Center in the photo gallery on this page.
Maunalani Nursing and Rehabilitation Center is located at 5113 Maunalani Cir, Honolulu, HI 96816.
(808) 732-0771 will put you in contact with the team at Maunalani Nursing and Rehabilitation Center.
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