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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Hale Na Koa ‘O Hanakahi is an idyllic haven nestled near Lokahi Park and Botanical Garden at the University of Hawaii – Hilo on West Kawili Street, Hilo, HI, that offers independent living. Residents, especially those 62+, experience the best of their golden years with the community’s beautifully furnished and cozy one-bedroom floor plans, designed for better comfort and safety. The community promotes a warm and friendly environment, ensuring residents feel at ease during their stay.
Residents can spend their days as they please with the community’s ideal location near recreation sites and delightful amenities, making it easier to access their needs and wants. The community accommodates those with incomes ranging from 30% to 80% of the median income, maintaining their independence without financial constraints. Amenities include a lounge, a coffee bar, a multi-purpose room, and an exercise room, creating the perfect setting for a blissful retirement.
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 2nd out of 32 homes in Hawaii. 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 |
|---|---|---|
|
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.
|
4h 25m per day | ▲ 11% State avg: 3h 59m per day · National avg: 3h 25m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
11% better than Hawaii average
0% compared with Hawaii average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
No contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,230 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 56 | 0 | 56 | 18,423 | 92 | 100% | 8.2 |
| Registered Nurse | 16 | 8 | 24 | 6,168 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 5 | 4 | 9 | 3,694 | 92 | 100% | 8.2 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,941 | 68 | 74% | 7.9 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,263 | 89 | 97% | 6.9 |
| Administrator | 2 | 0 | 2 | 485 | 63 | 68% | 4.1 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
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)
55% lower than Hawaii average
Hawaii average: $38K
34% fewer fines than Hawaii average
Hawaii 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 average
Hawaii average: 0.1
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
6.9
32% better than Hawaii average
Hawaii average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.8
26% better than Hawaii average
Hawaii average: 20.0
Percent of long-stay residents whose need for help with daily activities has increased
10.7%
39% better than Hawaii average
Hawaii average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
18.1%
30% better than Hawaii average
Hawaii average: 25.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.6%
15% better than Hawaii average
Hawaii average: 18.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
60% better than Hawaii average
Hawaii average: 2.1%
Percent of long-stay high risk residents with pressure ulcers
1.2%
67% better than Hawaii average
Hawaii average: 3.6%
Percent of long-stay residents with a urinary tract infection
1.3%
46% better than Hawaii average
Hawaii average: 2.4%
Percent of long-stay residents who lose too much weight
3.6%
24% better than Hawaii average
Hawaii average: 4.7%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Hawaii average
Hawaii average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
12.5%
24% worse than Hawaii average
Hawaii average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Hawaii average
Hawaii average: 96.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Hawaii average
Hawaii average: 95.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
15% better than Hawaii average
Hawaii average: 83.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Hawaii average
Hawaii average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
18% better than Hawaii average
Hawaii average: 84.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56
Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
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.
Minimum Age: 62 Years Old
Housing Options: 1 Bed Apartments
Building Type: 2-story
Parking Available
1.7 miles from city center
Estimated distance in miles from Hilo's city center to Hale Nā Koa ‘O Hanakahi's address, calculated via Google Maps.
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Hale Nā Koa ‘O Hanakahi is located in Hilo, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Hale Nā Koa ‘O Hanakahi has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Hale Nā Koa ‘O Hanakahi is located at 118 W Kawili St, Hilo, HI 96720.
(808) 466-8615 will put you in contact with the team at Hale Nā Koa ‘O Hanakahi.
Yes — Hale Nā Koa ‘O Hanakahi is a CMS-certified provider of Medicare and Medicaid.
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