Hale Makua Health Services

Nursing Home
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.

(808) 877-2761

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.

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
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

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs

Programs & Activities

Specific Programs
Adult Day Health, Care Homes, Home Health, Long-Term Care, Rehab

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private

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 Hale Makua Health Services

Nursing Home Memory Care
Contact Hale Makua Health Services

Compare Nursing Homes around Kahului

The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
Lanai Community Hospital
SNF

Nursing Homes 24/7 care needed

Lanai City
10
No
58
-
-
-
-
-
9.70
5/5
-
5/5
-
5/5
-
-
-
-
-
-
Private / Semi-Private
Kula Hospital
SNF

Nursing Homes 24/7 care needed

Kula
105
No
25
-
-
-
-
-
91.90
3/5
5.7305
2/5
4/5
5/5
-
-
-
-
+36%
-
Private / Semi-Private
Hale Makua Health Services
MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

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

Places of interest near Hale Makua Health Services

Address 1.2 miles from city center

Address 472 Kaulana St, Kahului, HI 96732

Calculate Travel Distance to Hale Makua Health Services

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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

Inspections
Total health inspections 9

Hawaii average 4.4


Last Health inspection on Apr 2025

Total health citations 63
Citations per inspection
7

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 More info 1
900% worse than Hawaii average

Hawaii average: 0.1


Serious Health citations More info 6
500% worse than Hawaii average

Hawaii average: 1

1 critical citation More info Hawaii average: 0.1

6 serious citations More info Hawaii average: 1

56 moderate citations More info Hawaii average: 34.2

0 minor citations More info Hawaii average: 0.1
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 Info 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 average

Hawaii average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 29.2
46% worse than Hawaii average

Hawaii average: 20.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 24.6%
40% worse than Hawaii average

Hawaii average: 17.6%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 43.4%
68% worse than Hawaii average

Hawaii average: 25.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 19.5%
7% worse than Hawaii average

Hawaii average: 18.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.2%
In line with Hawaii average

Hawaii average: 2.1%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.2%
11% better than Hawaii average

Hawaii average: 3.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.4%
In line with Hawaii average

Hawaii average: 2.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.0%
70% worse than Hawaii average

Hawaii average: 4.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.2%
86% better than Hawaii average

Hawaii average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 11.0%
9% worse than Hawaii average

Hawaii average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.6%
In line with Hawaii average

Hawaii average: 96.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.7%
In line with Hawaii average

Hawaii average: 95.4%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.17
13% better than Hawaii average

Hawaii average: 1.34

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.99
124% worse than Hawaii average

Hawaii average: 0.89

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.9%
10% better than Hawaii average

Hawaii average: 83.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.1%
9% better than Hawaii average

Hawaii average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 91.5%
8% better than Hawaii average

Hawaii average: 84.7%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 20.0%
In line with Hawaii average

Hawaii average: 19.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 18.6%
71% worse than Hawaii average

Hawaii average: 10.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Hawaii average

Hawaii average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 56.0%
In line with Hawaii average

Hawaii average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 70.2%
39% better than Hawaii average

Hawaii average: 50.6%

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 average

Hawaii average: $38K

Number of fines 3
97% more fines than Hawaii average

Hawaii average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Hawaii average

Hawaii 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 18, 2024
$71K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 12, 2024
$56K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 19, 2023
$44K

Last updated: Jan 2026

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Financial Aid for Hawaii Seniors

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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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