Total health inspections
5
Hawaii average 4.4
Last Health inspection on Oct 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Hale O Meleana
Luxury Senior Living, Assisted Living, Memory Care & Respite Care · Honolulu
CMS overall rating
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 O Meleana
Luxury Senior Living, Assisted Living, Memory Care & Respite Care · Honolulu
CMS overall rating
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 O Meleana accepts Medicare and private pay.
Overview of Hale O Meleana
Hale O Meleana is a compassionate assisted living community in Honolulu, HI, that offers residential care, memory care, and respite care. With its island-style living, the community is dedicated to providing older adults with a familiar environment. Chef-prepared meals, fun recreational activities, and therapy services are among the community’s high-quality services that aim to keep older adults well taken care of. The community’s dedication to enhancing older adults’ living experiences is anchored to their passion for maintaining their happiness and wellness.
Fitness activities, social events, and various programs tailored to residents’ interests are conducted for residents’ holistic wellness. A movie room, serene walking paths, and Lanai-themed gardens are among the community’s beautiful amenities, ensuring residents have a place to lounge and spend their free time. Located near St. Francis Medical Center and public transportation, the community ensures residents have easy access to their necessities. This senior living community is a trusted choice for retirement in Hawaii, especially with its dedicated services and extensive amenities.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 4th out of 25 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.
This home is ranked 4th out of 25 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.
5h 12m per day
Rank #4 / 25Nurse hours — state benchmarkedThis home is ranked 4th out of 25 homes in Hawaii.Shows adjusted nurse hours per resident per day benchmarked to the Hawaii average, with a ranking across 25 Hawaii SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Hawaii avg
+23%
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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.
| 5h 20m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
55%
Rank #22 / 24Occupancy rate — state benchmarkedThis home is ranked 22nd out of 24 homes in Hawaii.Shows this facility's occupancy rate versus the Hawaii average, with its statewide rank out of 24. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
26 days
Occupancy rate
55%
Rank #22 / 24Occupancy rate — state benchmarkedThis home is ranked 22nd out of 24 homes in Hawaii.Shows this facility's occupancy rate versus the Hawaii average, with its statewide rank out of 24. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
26 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
36% of new residents, usually for short-term rehab.
Typical stay
26 days
Private pay
64% of new residents, often for short stays.
Typical stay
24 days
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$41.8M
Operating loss
-$1.1M
Privately-owned community
Operated by a business corporation.
Home revenue
$41.8M Rank #3 / 24Revenue — state benchmarkedThis home is ranked 3rd out of 24 homes in Hawaii.Shows this facility's annual revenue compared to the Hawaii SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$1.1M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #12 / 24Payroll — state benchmarkedThis home is ranked 12th out of 24 homes in Hawaii.Shows total annual staff payroll benchmarked to the Hawaii average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$9.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #12 / 24Payroll — state benchmarkedThis home is ranked 12th out of 24 homes in Hawaii.Shows total annual staff payroll benchmarked to the Hawaii average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$33.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$42.8M
176-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score: 37 / 100 Rank #16 / 27Walk Score — state benchmarkedThis home is ranked 16th out of 27 homes in Hawaii.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Hawaii SNFs. Higher scores benefit residents, families, and staff.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeType Ii Expanded Adult Residential Care Home
StatusActive
ExpirationNovember 30, 2026
License Number1618-C
Approved for WheelchairYes
IslandOahu
Hale O Meleana is legally operated by Kelly Davis.
Male Residents
110 available
Female Residents
110 available
Ambulatory Type: Ambulatory
Diet Type: Special
Rehabilitation Services
Respite Care
Short-Term Rehab
Licensed Nurses/CNAs
24-Hour Staffing
Hospice
Specific ProgramsHome Health, Adult Day Health, Care Management
What does this home offer?
Room Sizes: Studio / 1 Bed
Building Type: Mid-rise
Fitness and Recreation
Types of Care at Hale O Meleana
Assisted Living
Memory Care
Respite Care
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.
Since 2022 · 4 years of data
54 deficiencies
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Hawaii state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2022 vs. Hawaii state average
Overall vs. HI average
2 Worse
Metrics worse than Hawaii average:
• Total deficiencies (116% above)
• Deficiencies per year (114% above) 0 Better No metrics in this bucket.
• Total deficiencies (116% above)
• Deficiencies per year (114% above) 0 Better No metrics in this bucket.
Latest Inspection
August 1, 2024
Annual Inspection
Deficiencies
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | HI Average | vs. HI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 54 | 25 | This facility has 116% more total deficiencies than a typical Hawaii assisted living residence (54 vs. HI avg 25).↑ 116% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 13.5 | 6.3 | This facility has 114% more deficiencies per year than a typical Hawaii assisted living residence (13.5 vs. HI avg 6.3).↑ 114% worse |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on August 1, 2024, identified multiple deficiencies related to staff background checks, physical exams, tuberculosis clearances, first-aid and CPR certifications, medication labeling and orders, care plans, documentation, and fire drills. Earlier inspections showed similar issues with staff certifications, medication management, and care planning, indicating recurring themes in personnel qualifications and resident care documentation. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Complaint investigations were not noted in any of the reports. The pattern of deficiencies has remained consistent over time without a clear trend of improvement or worsening.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
37
Rank #12 / 26Health citations — state benchmarkedThis home is ranked 12th out of 26 homes in Hawaii.Shows this facility's total health deficiency citations benchmarked to the Hawaii state average, with a ranking across all 26 HI SNFs. Lower citation counts earn a better rank.
Hawaii average 35.5
Citations per inspection
7.4
Rank #14 / 26Citations per inspection — state benchmarkedThis home is ranked 14th out of 26 homes in Hawaii.Shows average deficiency citations per CMS inspection for this facility versus the Hawaii mean across 26 SNFs with citation data. Lower is better.
Hawaii average 8.23
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
26 of 37 citations resulted from standard inspections; 6 of 37 resulted from complaint investigations; and 5 of 37 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 4 years)
Critical Health citations
0
100% better than Hawaii averageHawaii average: 0.1
Serious Health citations
0
0
100% better than Hawaii averageHawaii average: 1
0 critical citations
0 serious citations
37 moderate citations
0 minor citations
Citations history (last 4 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 09, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 09, 2025
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 09, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 09, 2025
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 09, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 09, 2025
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 09, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 09, 2025Data 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.
Financial Assistance for
Luxury Senior Living in Hawaii
Hale O Meleana is located in Honolulu, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Places of interest near Hale O Meleana
1.9 miles from city center
Estimated distance in miles from Honolulu's city center to Hale O Meleana's address, calculated via Google Maps.
Calculate Travel Distance to Hale O Meleana
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
300
Employees
224
Contractors
76
Staff to resident ratio
2.27:1
38% better than Hawaii averageHawaii average ratio: 1.64:1
Avg staff/day
134
Average shift
7.9 hours
0% compared with Hawaii averageHawaii average: 7.8 hours
Total staff hours (quarter)
96,394
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
68
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
112
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
17.1%
16,468 contractor hours this quarter
Respiratory Therapy Technician: 19
Physical Therapy Aide: 18
Speech Language Pathologist: 16
Physical Therapy Assistant: 10
Qualified Social Worker: 6
Registered Nurse: 4
Other Dietary Services Staff: 3
Staff by category
| Certified Nursing Assistant | 112 | 0 | 112 | 37,560 | 91 | 100% | 7.8 |
| Registered Nurse | 64 | 4 | 68 | 26,468 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 22 | 0 | 22 | 8,373 | 91 | 100% | 8.5 |
| Clinical Nurse Specialist | 14 | 0 | 14 | 6,019 | 79 | 87% | 8.1 |
| Respiratory Therapy Technician | 0 | 19 | 19 | 3,665 | 91 | 100% | 7.4 |
| Physical Therapy Aide | 0 | 18 | 18 | 3,665 | 91 | 100% | 7.5 |
| Speech Language Pathologist | 0 | 16 | 16 | 3,302 | 91 | 100% | 7.1 |
| Physical Therapy Assistant | 0 | 10 | 10 | 2,500 | 91 | 100% | 7.1 |
| Other Dietary Services Staff | 0 | 3 | 3 | 1,315 | 74 | 81% | 7.9 |
| Nurse Aide in Training | 10 | 0 | 10 | 1,306 | 86 | 95% | 6.6 |
| Qualified Social Worker | 0 | 6 | 6 | 1,245 | 70 | 77% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
112 Certified Nursing Assistant
% of Days
100%
68 Registered Nurse
% of Days
100%
22 Licensed Practical Nurse
% of Days
100%
14 Clinical Nurse Specialist
% of Days
87%
19 Respiratory Therapy Technician
% of Days
100%
18 Physical Therapy Aide
% of Days
100%
16 Speech Language Pathologist
% of Days
100%
10 Physical Therapy Assistant
% of Days
100%
3 Other Dietary Services Staff
% of Days
81%
10 Nurse Aide in Training
% of Days
95%
6 Qualified Social Worker
% of Days
77%
1 Nurse Practitioner
% of Days
68%
1 Administrator
% of Days
66%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
132
Medicare
92
69.7% of residents
Medicaid
3
2.3% of residents
Private pay or other
37
28% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, 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.
11.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.8
16% 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.
21.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.5
8% 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
22.2%
Percent of long-stay residents whose need for help with daily activities has increased
22.2%
26% worse than Hawaii averageHawaii average: 17.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.8%
13% worse than Hawaii averageHawaii average: 18.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Hawaii averageHawaii average: 2.1%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
16.1%
Percent of long-stay high risk residents with pressure ulcers
16.1%
341% worse than Hawaii averageHawaii average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
8.3%
Percent of long-stay residents with a urinary tract infection
8.3%
247% worse than Hawaii averageHawaii average: 2.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.1%
Percent of long-stay residents who lose too much weight
9.1%
92% worse than Hawaii averageHawaii average: 4.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Hawaii averageHawaii average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
0.0%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than Hawaii averageHawaii average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Hawaii averageHawaii average: 96.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
18% better than Hawaii averageHawaii average: 83.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
72% better than Hawaii averageHawaii average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.2%
17% 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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Compare Luxury Senior Living around Honolulu
The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
Filter by care type
| Hale O Meleana |
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| Manoa Senior Care |
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| The Plaza Moanalualani |
LSL Luxury Senior Living
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Honolulu (Moanalua) | - | No | 19 | - | 16 | A+ | - | 3 | 15 |
Financial Trends
Historical financial and operational data for Hale O Meleana based on CMS SNF Cost Reports.
Occupancy Rate
55.0%
↓ 2.5pp vs 2022
Net Income
-$1.1M
↑ ~$718.8K vs 2022
Total Payroll
$9.7M
↑ ~$822.1K vs 2022
Profit Margin
-2.5%
↑ 2.6pp vs 2022
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Frequently Asked Questions about Hale O Meleana
What neighborhood is Hale O Meleana in?
Hale O Meleana is in the Liliha - Kapalama neighborhood of Honolulu.
Who is the owner of Hale O Meleana?
The legal owner and operator of Hale O Meleana is Kelly Davis.
Is Hale O Meleana in a walkable area?
Hale O Meleana has a walk score of 37. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Hale O Meleana?
According to HI state health department records, Hale O Meleana's license number is 1618-C.
When does Hale O Meleana's license expire?
According to HI state health department records, Hale O Meleana's license expires on November 30, 2026.
Who is the administrator of Hale O Meleana?
field_administrator is the administrator of Hale O Meleana.
How many beds does Hale O Meleana have?
Hale O Meleana has 176 beds.
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