Facility type
Type Ii Adult Residential Care Home
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Assisted Living Home
Care Homes By Hale Makua
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.
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.
Occupancy rate
91.7%
Residents per day (avg)
201
Occupancy rate
91.7%
Residents per day (avg)
201
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
$62,436,942.00
Operating deficit
$-1,883,634.00
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
20-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
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.
License details
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
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: Single-story
Dining Services
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Types of Care at Care Homes By Hale Makua
Assisted Living
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.
12 visits/inspections
Show Inspection Reports
Latest inspection
Date:April 11, 2025
Type:Complaint Investigation
85 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Care Homes By Hale Makua
The most recent inspection on October 2, 2024, identified deficiencies related to medication orders and administration, including conflicting orders and documentation issues. Earlier inspections showed a pattern of deficiencies involving caregiver qualifications, medication management, and documentation of resident health changes, particularly weight monitoring. Prior reports noted issues such as unclear fitness determinations for substitute caregivers, missing nutritional assessments, and incomplete progress notes. No fines, enforcement actions, or substantiated complaints were listed in the available reports. The facility’s inspection history reflects recurring challenges with medication and documentation, with no clear indication of improvement or worsening over time.
Health Inspection History
Inspections
Total health inspections
9
Hawaii average 4.4
Last Health inspection on Apr 2025
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 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
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).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Kahului
254
No
-
27
Private / Semi-Private / 3 Bed
The Plaza at Pearl City
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Pearl City
158 Residents
No
A+
69
Studio / 1 Bed / Suite
Gutierrez ARCH
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Honolulu (Kaimuki)
5
No
-
73
-
Aina Haina ARCH
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Honolulu (Kuliouou - Kalani Iki)
5
No
-
39
Private / Shared Rooms
The Ivy at Hawaii Kai
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
Honolulu (Hawaii Kai)
-
Yes
-
6
Studio / 1 Bed / 2 Bed / 3 Bed
Places of interest near Care Homes By Hale Makua
1.2 miles from city center
472 Kaulana St, Kahului, HI 96732
Calculate Travel Distance to Care Homes By Hale Makua
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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 census
204 residents
Residents by payment source
Medicare
29 residents (14.2%)
Medicaid
136 residents (66.7%)
Private pay or other
39 residents (19.1%)
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%
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%
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 Care Homes By Hale Makua based on CMS SNF Cost Reports.
Occupancy Rate
91.7%
↓ 0.8pp vs 2022
Net Income
-$1,883,634
↓ ~$6.4M vs 2022
Total Payroll
$20,729,626
↑ ~$300K vs 2022
Profit Margin
-3.2%
↓ 11.4pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Hawaii Seniors
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