Care Homes By Hale Makua

Care Homes By Hale Makua is an Assisted Living Home in Hawaii

Care Homes By Hale… is an Assisted Living Home in Hawaii

Care Homes By Hale Makua

472 Kaulana St, Kahului, HI 96732 View Map

Care Homes By Hale Makua is an Assisted Living Home in Hawaii

Care Homes By Hale… is an Assisted Living Home in Hawaii

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Overview of Care Homes by Hale Makua

Serenely tucked between Kahului Community Center Park and Kahului Park at Kaulana Street, Kahului, HI, Care Homes by Hale Makua is an outstanding community that offers assisted living. Residents experience exceptional care with a responsible and highly skilled team attending to their personal needs 24/7. The community also handles housekeeping and laundry, so residents can enjoy hassle-free living.

Residents spend their days as they please with a well-thought-out calendar of recreational activities and group events, highlighting their interests and capabilities. Delicious and well-balanced meals, alongside delightful snacks, are served to satisfy residents’ dietary needs and preferences. The community also provides medication management and arrangements for medical and dental appointments for residents’ convenience and safety. Residents do not have to worry about their special needs amidst the community’s well-maintained amenities and beautiful setting.

(808) 877-2761

Managed by Roseanna Akina

Kahului Administrator

Roseanna Akina serves as the Kahului Administrator at Care Homes By Hale Makua. She oversees daily operations and ensures the community provides compassionate and high-quality care to its residents. Roseanna's leadership supports a warm and welcoming environment tailored to the needs of seniors.

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 20

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Hawaii average
Occupancy rate 91.7%
Residents per day (avg) 201
Occupancy rate
91.7%
Residents per day (avg)
201

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

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 home
Other
Home revenue
$62.4M
Operating deficit
-$1.9M
Voluntary non-profit home Other
Home revenue
$62,436,942.00
Operating deficit
$-1,883,634.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$16.7M
26.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$47.6M
Total costs $64.3M
Bed community size
20-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score
Walk Score: 27 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

About the Community

Beautifully appointed indoor-outdoor, single level living environment with around the clock supervision for individuals who need minimal to moderate assistance with personal care needs.

Facility Type
Type II Adult Residential Care Home
License Expiration
January 31, 2026

Additional licensing details

License number: 1509-C
Approved for Wheelchair: Yes
Island: Maui

Ownership & operating entity

Care Homes By Hale Makua is legally operated by Trisha Akahi.

Current Vacancies

Male Residents
10 available
Female Residents
10 available

Care & Accommodations

Ambulatory Type: Ambulatory
Diet Type: Special

Safety & Compliance

Additional Policies & Features

Admission Criteria: Come Visit, Physician Referral, Trial Stay

Amenities & Lifestyle

Assistance with daily personal care and hygiene
Ongoing monitoring of physical
mental
and emotional health status
Tasty
nutritious meals and snacks
Housekeeping and laundry service
Washer and dryer for those who wish to do their own laundry
Individual and group activities
Implementation of physician orders
including prescription medication and treatments
Vital sign checks
Arrangement for medical and dental appointments
Personal banking services
Newly refurbished bedrooms
dining room
and library
Private bathroom with shower in each room.

Programs & Activities

Specific Programs
Assistance with daily personal care and hygiene, Ongoing monitoring of physical, mental, and emotional health status, Implementation of physician orders, including prescription medication and treatments, Vital sign checks, Arrangement for medical and dental appointments, Personal banking services, Individual and group activities.

Pricing & Financial Information

Dining & Nutrition

Food Description
Tasty, nutritious meals and snacks

What does this home offer?

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Types of Care at Care Homes By Hale Makua

Assisted Living
Contact Care Homes By Hale Makua

Inspection History

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.

3 visits/inspections

Results

3 with issues

0 without issues

Latest inspection

Date:October 2, 2024
Type:Annual Inspection

17 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Compare Assisted Living around Kahului

The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
Care Homes By Hale Makua
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Kahului
254
No
-
27
CHUN, GRANT
91.7%
$59,012,113.00
$16,679,270.00
28.3%
201.20
4.7811
4
63
7
-29%
+14%
+24%
Private / Semi-Private / 3 Bed
The Plaza at Pearl City
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Pearl City
158 Residents
No
A+
69
-
-
-
-
-
-
-
-
-
-
-
-
-
Studio / 1 Bed / Suite
Gutierrez ARCH
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Honolulu (Kaimuki)
5
No
-
73
Ruby Gutierrez Brister
-
-
-
-
-
-
-
-
-
-
-
-
-
Aina Haina ARCH
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Honolulu (Kuliouou - Kalani Iki)
5
No
-
39
Lan Chen
-
-
-
-
-
-
-
-
-
-
-
-
Private / Shared Rooms
The Ivy at Hawaii Kai
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

Honolulu (Hawaii Kai)
-
Yes
-
6
-
-
-
-
-
-
-
-
-
-
-
-
-
Studio / 1 Bed / 2 Bed / 3 Bed

Places of interest near Care Homes By Hale Makua

Address 1.2 miles from city center

Address 472 Kaulana St, Kahului, HI 96732

Calculate Travel Distance to Care Homes By Hale Makua

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

288
Total Staff
208
Employees
80
Contractors
103,422
Total Hours (Quarter)
138
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse429 Yes
Licensed Practical Nurse478.8 Yes
Certified Nursing Assistant1208.1 Yes
Staff by Category
Administration
3 staff
6.6hs shift avg
Nursing Staff
223 staff
8.4hs shift avg
Physicians & Practitioners
17 staff
8.1hs shift avg
Therapy Services
26 staff
6.5hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
3 staff
7.5hs shift avg
Dietary Services
10 staff
8hs shift avg
Other Services
6 staff
7.9hs shift avg
Contractor Analysis
20%
of total hours from contractors
20,676 contractor hours this quarter
Certified Nursing Assistant: 25 Registered Nurse: 3 Licensed Practical Nurse: 22 Qualified Social Worker: 3 Speech Language Pathologist: 3 Respiratory Therapy Technician: 7 Physical Therapy Assistant: 7 Physical Therapy Aide: 4 Administrator: 1 Other Physician: 1 Occupational Therapy Assistant: 3 Medical Director: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant952512049,23691100%8.1
Registered Nurse3934215,96191100%9
Licensed Practical Nurse25224714,53991100%8.8
Clinical Nurse Specialist150156,57191100%8.1
Other Dietary Services Staff7072,8049099%8
Dental Services Staff5052,4467886%7.9
RN Director of Nursing8082,4148391%8.5
Dietitian3031,4086976%7.9
Respiratory Therapy Technician0771,2537987%7.2
Nurse Aide in Training6061,2217886%7.9
Speech Language Pathologist0331,0928593%6.9
Occupational Therapy Aide2021,0086470%8
Physical Therapy Aide0447267380%6.3
Physical Therapy Assistant0776328593%5.1
Administrator1125046369%8
Nurse Practitioner1015046369%8
Qualified Social Worker0334826268%7.5
Mental Health Service Worker1014045156%7.9
Occupational Therapy Assistant0331493943%3.3
Medical Director011602325%2.6
Other Physician0111155%2.2

Health Inspection History

Total Health inspections 9
105% above Hawaii average
Hawaii average: 4.4

Last Health inspection on Apr 2025

Total Health citations 63
77% above Hawaii average
Hawaii average: 35.5

7 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 44 citations
Complaint investigations 29 citations
Breakdown of citations
Critical Health citations 1
900% above Hawaii average
Hawaii average: 0.1
Serious Health citations 6
500% above Hawaii average
Hawaii average: 1.0
Moderate Health citations 56

Minor Health citations 0
Citations history (last 3 years)
Resident Rights moderate citation Apr 11, 2025
Corrected

Quality of Care moderate citation Jan 14, 2025
Corrected

Care Planning moderate citation Jan 14, 2025
Corrected

Care Planning moderate citation Jan 14, 2025
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: Non-Profit Corporation
Part of: Hale Makua Health Services
Resident Census by Payment Source
204 Total Residents
Medicare 29 (14.2%)
Medicaid 136 (66.7%)
Private Pay/Other 39 (19.1%)
Programs & Services
Residents' Group
Family Member Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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 16.3
60% worse than Hawaii average
Hawaii average: 10.2
Functional decline score 29.2
46% worse than Hawaii average
Hawaii average: 20.0
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 24.6%
40% above Hawaii average.

Walking Ability Worsened 43.4%
68% above Hawaii average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 19.5%
7% above Hawaii average.
Safety & clinical stability

Falls with Major Injury 2.2%
3% above Hawaii average.

High Risk Residents with Pressure Ulcers 3.2%
11% below Hawaii average.

Urinary Tract Infection 2.4%
2% below Hawaii average.
Emotional & behavioral wellbeing

Depressive Symptoms 0.2%
86% below Hawaii average.

Antipsychotic Use 11.0%
9% above Hawaii average.
Preventive care

Pneumococcal Vaccine 96.6%
0% above Hawaii average.

Influenza Vaccine 95.7%
0% above Hawaii average.
Nutrition & physical health

Lost Too Much Weight 8.0%
70% above Hawaii average.
Short-stay resident measures
Pneumococcal Vaccine 91.9%

10% better than Hawaii average
Antipsychotic medication increase 1.1%

9% better than Hawaii average
Influenza Vaccine 91.5%

8% better than Hawaii average

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
This home paid 351% more in fines than the state average.
Hawaii average: $38K
Number of Fines 3
This home received 97% more fines than the state average.
Hawaii average: 1.5
Payment Denials 0
This home had 100% fewer payment denials than the state average.
Hawaii average: 0.1
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Oct 18, 2024
$71K
Civil Money Penalty Aug 12, 2024
$56K
Civil Money Penalty Oct 19, 2023
$44K

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for Hawaii Seniors

Get financial aid guidance

QUEST Integration

Hawaii Medicaid QUEST Integration

Age 65+ or disabled, Hawaii resident, Medicaid-eligible, long-term care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

High cost of living adjustments.

Kupuna Care

Hawaii Kupuna Care

Age 60+, Hawaii resident, unable to perform 2+ ADLs.

No strict limit; prioritizes low-income.

Not applicable.

Limited funding; island-specific delivery.

Program of All-Inclusive Care for the Elderly (PACE)

Hawaii Medicaid PACE

Age 55+, Hawaii resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR).

$2,000 (individual), $3,000 (couple).

Limited to Oahu (e.g., Maluhia in Honolulu); few providers.

Medicare Savings Program (MSP)

Hawaii Medicare Savings Program

Age 65+ or disabled, Hawaii resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Senior Community Service Employment Program (SCSEP)

Hawaii SCSEP (Federally Funded, State-Administered)

Age 55+, unemployed, low-income, Hawaii resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

~800 slots; prioritizes veterans, rural residents.

National Family Caregiver Support Program (NFCSP) Respite

Hawaii NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Hawaii resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

Four county AAAs; prioritizes low-income.

VA Aid and Attendance (A&A) and Housebound Benefits

Hawaii VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/surviving spouse, Hawaii resident, wartime service, need for aid with ADLs (A&A) or homebound status.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (2025 net worth limit).

Applies statewide; high demand due to veteran population.

Senior Companion Program (SCP)

Hawaii Senior Companion Program

Volunteers: 55+, low-income, Hawaii resident, able to work 20 hours/week. Recipients: Frail elders needing companionship.

Volunteers: ~$24,980/year (200% FPL); recipients: no limit.

Not specified for volunteers; need-based for recipients.

Statewide; managed by DHS Social Services.

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