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
Nursing Home, Assisted Living, Memory Care & Respite Care · Honolulu, HI
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
Nursing Home, Assisted Living, Memory Care & Respite Care · Honolulu, HI
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 6th 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.
This home is ranked 6th 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.
5h 12m per day
Rank #6 / 32Nurse hours — State benchmarkedThis home is ranked 6th out of 32 homes in Hawaii. Shows adjusted nurse hours per resident per day benchmarked to the Hawaii average, with a ranking across 32 Hawaii SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Hawaii avg
+23%
Standout metric
Weekend Total Nursing is +34% above state avg
| 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.
| 5h 20m per day | ▲ 34% State avg: 3h 59m per day · National avg: 3h 25m per day |
Types of Care at Hale O Meleana
Assisted Living
Memory Care
Respite Care
Capacity and availability
This home usually has availability
Occupancy rate
55%
Rank #22 / 27Occupancy rate — State benchmarkedThis home is ranked 22nd out of 27 homes in Hawaii. Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 27. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
26 days
176-bed community Rank #7 / 87Bed count — State benchmarkedThis home is ranked 7th out of 87 homes in Hawaii. Shows this facility's certified or reported bed count compared to other Hawaii SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score: 37 / 100 Rank #108 / 178Walk Score — State benchmarkedThis home is ranked 108th out of 178 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.
Current Vacancies
Vacancy counts may overlap or be gender-specific depending on the community.
Current Vacancies
Vacancy counts may overlap or be gender-specific depending on the community.Male Residents
110 available
Female Residents
110 available
Ambulatory Type: Ambulatory
Diet Type: Special
Rehabilitation Services
Respite Care
Short-Term Rehab
24-Hour Staffing
Hospice
Specific ProgramsHome Health, Adult Day Health, Care Management
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
| 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 nursing home (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 nursing home (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.
Health Inspection History
Inspections
Total health citations
37
Rank #19 / 33Health citations — State benchmarkedThis home is ranked 19th out of 33 homes in Hawaii. Shows this facility's total health deficiency citations benchmarked to the Hawaii State average, with a ranking across all 33 HI SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Hawaii average 35.5
Citations per inspection
7.4
Rank #19 / 33Citations per inspection — State benchmarkedThis home is ranked 19th out of 33 homes in Hawaii. Shows average deficiency citations per CMS inspection for this facility versus the Hawaii mean across 33 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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
100% better than Hawaii averageHawaii average: 1
Citations history (last 4 years)
Infection Control moderate citation
Oct 09, 2025
Pharmacy moderate citation
Oct 09, 2025
Quality of Care moderate citation
Oct 09, 2025
Care Planning moderate citation
Oct 09, 2025
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
306
Employees
235
Contractors
71
Staff to resident ratio
2.32:1
40% better than Hawaii average
Avg staff/day
130
Average shift
8 hours
0% compared with Hawaii average
Total staff hours (quarter)
95,587
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
All 58 RN Staff are full-time employees. No contractors work on this role.
58
All 58 RN Staff are full-time employees. No contractors work on this role.
58
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 19 LPN Staff are full-time employees. No contractors work on this role.
19
All 19 LPN Staff are full-time employees. No contractors work on this role.
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 126 CNA Staff are full-time employees. No contractors work on this role.
126
All 126 CNA Staff are full-time employees. No contractors work on this role.
126
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 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
15.9%
15,208 contractor hours this quarter
Respiratory Therapy Technician: 17
Physical Therapy Aide: 16
Speech Language Pathologist: 14
Physical Therapy Assistant: 11
Qualified Social Worker: 10
Other Dietary Services Staff: 3
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 126 | 0 | 126 | 39,579 | 92 | 100% | 7.8 |
| Registered Nurse | 58 | 0 | 58 | 24,873 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 19 | 0 | 19 | 7,442 | 92 | 100% | 8.7 |
| Clinical Nurse Specialist | 16 | 0 | 16 | 5,564 | 81 | 88% | 8.3 |
| Respiratory Therapy Technician | 0 | 17 | 17 | 3,799 | 91 | 99% | 7.8 |
| Physical Therapy Aide | 0 | 16 | 16 | 3,473 | 89 | 97% | 7.8 |
| Speech Language Pathologist | 0 | 14 | 14 | 2,831 | 92 | 100% | 7.2 |
| Physical Therapy Assistant | 0 | 11 | 11 | 2,586 | 92 | 100% | 7.6 |
| Nurse Aide in Training | 10 | 0 | 10 | 1,730 | 91 | 99% | 7 |
| Qualified Social Worker | 0 | 10 | 10 | 1,494 | 75 | 82% | 8.3 |
| Other Dietary Services Staff | 0 | 3 | 3 | 1,025 | 73 | 79% | 7.7 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 376 | 47 | 51% | 8 |
| Dental Services Staff | 4 | 0 | 4 | 344 | 11 | 12% | 8 |
126 Certified Nursing Assistant
% of Days
100%
58 Registered Nurse
% of Days
100%
19 Licensed Practical Nurse
% of Days
100%
16 Clinical Nurse Specialist
% of Days
88%
17 Respiratory Therapy Technician
% of Days
99%
16 Physical Therapy Aide
% of Days
97%
14 Speech Language Pathologist
% of Days
100%
11 Physical Therapy Assistant
% of Days
100%
10 Nurse Aide in Training
% of Days
99%
10 Qualified Social Worker
% of Days
82%
3 Other Dietary Services Staff
% of Days
79%
1 Administrator
% of Days
64%
1 Nurse Practitioner
% of Days
51%
4 Dental Services Staff
% of Days
12%
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.
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.
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
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.
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
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 #5 / 28Revenue — State benchmarkedThis home is ranked 5th out of 28 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 %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #10 / 28Payroll — State benchmarkedThis home is ranked 10th out of 28 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$9.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #10 / 28Payroll — State benchmarkedThis home is ranked 10th out of 28 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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
What does this home offer?
Room Sizes: Studio / 1 Bed
Building Type: Mid-rise
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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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Financial Assistance for
Nursing Home in Hawaii
Hale O Meleana is located in Honolulu, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
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.
How many beds does Hale O Meleana have?
Hale O Meleana has 176 beds.
Are there photos of Hale O Meleana?
Yes — there are 5 photos of Hale O Meleana in the photo gallery on this page.
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