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

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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.
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.
May offer a more intimate, personalized care environment.
Occupancy is moderate, suggesting balanced demand.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
22% of new residents, usually for short-term rehab.
68% of new residents, often for short stays.
10% of new residents, often for long-term daily care.
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.
Care Homes By Hale Makua is legally operated by Trisha Akahi.
Building Type: Single-story
Dining Services
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
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.
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
1.2 miles from city center
472 Kaulana St, Kahului, HI 96732
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Source: CMS Payroll-Based Journal (Q2 2025)
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 42 | 9 | Yes |
| Licensed Practical Nurse | 47 | 8.8 | Yes |
| Certified Nursing Assistant | 120 | 8.1 | Yes |
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Source: CMS Health Citations (Jul 2022 – Apr 2025)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Apr 11, 2025 | D | Resident Rights | F0550 | Corrected |
| Jan 14, 2025 | E | Quality of Care | F0689 | Corrected |
| Jan 14, 2025 | D | Care Planning | F0656 | Corrected |
| Jan 14, 2025 | D | Care Planning | F0657 | Corrected |
| Jan 14, 2025 | D | Resident Rights | F0584 | Corrected |
| Oct 18, 2024 | G | Abuse/Neglect | F0600 | Corrected |
| Oct 18, 2024 | D | Environmental | F0921 | Corrected |
| Oct 18, 2024 | D | Infection Control | F0880 | Corrected |
| Oct 18, 2024 | D | Nutrition | F0812 | Corrected |
| Oct 18, 2024 | D | Pharmacy | F0755 | Corrected |
| Oct 18, 2024 | D | Pharmacy | F0758 | Corrected |
| Oct 18, 2024 | E | Pharmacy | F0761 | Corrected |
| Oct 18, 2024 | D | Quality of Care | F0684 | Corrected |
| Oct 18, 2024 | D | Quality of Care | F0690 | Corrected |
| Oct 18, 2024 | G | Quality of Care | F0697 | Corrected |
| Oct 18, 2024 | D | Care Planning | F0656 | Corrected |
| Oct 18, 2024 | D | Care Planning | F0657 | Corrected |
| Oct 18, 2024 | D | Resident Rights | F0552 | Corrected |
| Oct 18, 2024 | D | Resident Rights | F0558 | Corrected |
| Aug 12, 2024 | D | Quality of Care | F0677 | Corrected |
| Aug 12, 2024 | D | Quality of Care | F0684 | Corrected |
| Aug 12, 2024 | G | Quality of Care | F0689 | Corrected |
| Aug 12, 2024 | D | Care Planning | F0657 | Corrected |
| Aug 12, 2024 | D | Resident Rights | F0563 | Corrected |
| Oct 19, 2023 | D | Abuse/Neglect | F0604 | Corrected |
| Oct 19, 2023 | E | Infection Control | F0880 | Corrected |
| Oct 19, 2023 | D | Infection Control | F0883 | Corrected |
| Oct 19, 2023 | D | Nursing Services | F0726 | Corrected |
| Oct 19, 2023 | L | Nutrition | F0812 | Corrected |
| Oct 19, 2023 | D | Pharmacy | F0761 | Corrected |
| Oct 19, 2023 | E | Quality of Care | F0684 | Corrected |
| Oct 19, 2023 | D | Quality of Care | F0688 | Corrected |
| Oct 19, 2023 | G | Quality of Care | F0689 | Corrected |
| Oct 19, 2023 | D | Quality of Care | F0690 | Corrected |
| Oct 19, 2023 | G | Quality of Care | F0692 | Corrected |
| Oct 19, 2023 | D | Quality of Care | F0693 | Corrected |
| Oct 19, 2023 | D | Quality of Care | F0695 | Corrected |
| Oct 19, 2023 | D | Quality of Care | F0699 | Corrected |
| Oct 19, 2023 | E | Care Planning | F0656 | Corrected |
| Oct 19, 2023 | E | Care Planning | F0657 | Corrected |
| Oct 19, 2023 | D | Care Planning | F0842 | Corrected |
| Oct 19, 2023 | D | Resident Rights | F0550 | Corrected |
| Oct 19, 2023 | D | Resident Rights | F0558 | Corrected |
| Oct 19, 2023 | D | Resident Rights | F0561 | Corrected |
| Oct 19, 2023 | E | Resident Rights | F0574 | Corrected |
| Oct 19, 2023 | E | Resident Rights | F0577 | Corrected |
| Oct 19, 2023 | E | Resident Rights | F0583 | Corrected |
| Oct 19, 2023 | E | Resident Rights | F0584 | Corrected |
| Oct 19, 2023 | D | Resident Rights | F0623 | Corrected |
| Apr 13, 2023 | D | Abuse/Neglect | F0600 | Corrected |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Composite score based on ADL decline, walking ability decline, and incontinence
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Measures for residents who stay 100 days or less (typically rehabilitation patients).
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)
Showing all 3 penalties (Oct 2023 - Oct 2024)
Historical financial and operational data for Care Homes By Hale Makua based on CMS SNF Cost Reports.
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