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Assisted Living in Kahala

CMS overall rating Info 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.

Hi’olani Assisted Living Center at Kahala Nui

Assisted Living in Kahala

CMS overall rating Info 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.

Hi’olani Assisted Living Center at Kahala Nui

Overview of Hi’olani Assisted Living Center at Kahala Nui

Enjoy a better quality of life with Hi’olani Assisted Living Center at Kahala Nui, an outstanding community surrounded by delightful local amenities in Malia Street, Honolulu, HI, that offers assisted living, memory care, and nursing care. With a respectful and highly skilled team available around the clock, residents receive the highest quality of care tailored to their needs. The community also handles housekeeping and maintenance, ensuring residents can enjoy a worry-free lifestyle.

Residents can meet new friends and gain meaningful experiences with plenty of fun recreational activities and exciting trips. Dietitian-approved dining options are served to satisfy residents’ dietary needs and preferences. The community also provides medication administration, mobility assistance, and scheduled transportation for residents’ comfort and convenience. Residents are guaranteed to spend their golden years comfortably with the community’s dedicated care and inviting setting.

(808) 218-7200

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
5/5
Hawaii average: 3.4/5
Health Inspection Info 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.
3/5
Hawaii average: 2.7/5
Staffing Info 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.
5/5
Hawaii average: 3.9/5
Quality Measures Info 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.
5/5
Hawaii average: 4.2/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 22m per day

This home provides 27% more nursing time per resident than the Hawaii average.

Hawaii average: 4h 13m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 60

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Hawaii average
Occupancy rate 92.2%
Residents per day (avg) 18
Occupancy rate
92.2%
Residents per day (avg)
18

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

39% of new residents, usually for short-term rehab.

Typical stay 28 days

Private pay

59% of new residents, often for short stays.

Typical stay 1 years

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Finances and operations

Voluntary non-profit community
Home revenue
$60.5M
Surplus of revenue
$17.6M
Voluntary non-profit community
Home revenue
$60.5M
Surplus of revenue
$17.6M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$12.1M
20.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$30.8M
Total costs $43.0M
Walk Score
Walk Score: 71 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

License Details

Facility TypeAssisted Living Facility
StatusActive
ExpirationMay 31, 2027

Additional Licensing Details

License Number10-ALF
IslandOahu

Staffing & Medical

3 services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs

Additional Policies & Features

Minimum Age62

Amenities & Lifestyle

0 amenities
Specific ProgramsAssisted Living, Skilled Nursing, Memory Support

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Mid-rise

Dining services icon
Dining services icon

Dining Services

Transportation services icon
Transportation services icon

Transportation 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 Hi’olani Assisted Living Center at Kahala Nui

Assisted Living Memory Care Nursing Home

Contact Hi’olani Assisted Living Center at Kahala Nui

Health Inspection History

Inspections
Total health inspections 3

Hawaii average 4.4


Last Health inspection on Jun 2024

Total health citations 24

Hawaii average 35.5

Citations per inspection
8

Hawaii average 8.23


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 24 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Hawaii average

Hawaii average: 0.1


Serious Health citations More info 0
100% better than Hawaii average

Hawaii average: 1

0 critical citations More info Hawaii average: 0.1

0 serious citations More info Hawaii average: 1

23 moderate citations More info Hawaii average: 34.2

1 minor citation More info Hawaii average: 0.1
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jun 27, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jun 27, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jun 27, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jun 27, 2024
Corrected

Compare Assisted Living around Kahala The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.

Filter by care type
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 Rooms
Trisha Akahi
12
85
Hi’olani Assisted Living Center at Kahala Nui
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.

Honolulu (Waialae - Kahala)
60
No
71
Private / Semi-Private Rooms
-
0
0
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
Private / Semi-Private Rooms
Ruby Gutierrez Brister
3
39
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 / Semi-Private Rooms
Lan Chen
4
21
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
Private / Semi-Private Rooms
-
0
0

Places of interest near Hi’olani Assisted Living Center at Kahala Nui

Address 5.9 miles from city center

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 131
Employees 101
Contractors 30
Staff to resident ratio 8.19:1
399% better than Hawaii average

Hawaii average ratio: 1.64:1

Avg staff/day 51
Average shift 2.5 hours
68% worse than Hawaii average

Hawaii average: 7.8 hours

Total staff hours (quarter) 11,444
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 33
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 2.8 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 3.4 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 54
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 2.4 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

15.1%

1,730 contractor hours this quarter

Respiratory Therapy Technician: 10 Registered Nurse: 7 Qualified Social Worker: 4 Physical Therapy Aide: 2 Other Physician: 2 Speech Language Pathologist: 2 Physical Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant540545,48391100%2.4
Registered Nurse267332,40891100%2.8
Respiratory Therapy Technician010101,3147481%3.9
Licensed Practical Nurse3034938998%3.4
Clinical Nurse Specialist4044226571%2.6
Other Dietary Services Staff4042518897%1.2
Dietitian4042498998%1.3
Nurse Practitioner1011666369%2.6
Physical Therapy Assistant0111124549%2.5
Occupational Therapy Aide1011126066%1.9
Dental Services Staff1011033943%2.6
Physical Therapy Aide022936066%1.6
Administrator101806066%1.3
Mental Health Service Worker101612325%2.6
Qualified Social Worker044344853%0.7
Speech Language Pathologist022241213%2
Other Physician022182629%0.7
Medical Director01191314%0.7
Occupational Therapy Assistant01191314%0.7
Nurse Aide in Training101522%2.7
54 Certified Nursing Assistant
% of Days 100%
33 Registered Nurse
% of Days 100%
10 Respiratory Therapy Technician
% of Days 81%
3 Licensed Practical Nurse
% of Days 98%
4 Clinical Nurse Specialist
% of Days 71%
4 Other Dietary Services Staff
% of Days 97%
4 Dietitian
% of Days 98%
1 Nurse Practitioner
% of Days 69%
1 Physical Therapy Assistant
% of Days 49%
1 Occupational Therapy Aide
% of Days 66%
1 Dental Services Staff
% of Days 43%
2 Physical Therapy Aide
% of Days 66%
1 Administrator
% of Days 66%
1 Mental Health Service Worker
% of Days 25%
4 Qualified Social Worker
% of Days 53%
2 Speech Language Pathologist
% of Days 13%
2 Other Physician
% of Days 29%
1 Medical Director
% of Days 14%
1 Occupational Therapy Assistant
% of Days 14%
1 Nurse Aide in Training
% of Days 2%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
16 residents
Residents by payment source
Medicare
3 residents (18.8%)
Medicaid
3 residents (18.8%)
Private pay or other
10 residents (62.5%)
Programs & Services
CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

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. 8.3
19% better 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. 23.4
17% 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 12.0%
32% better than Hawaii average

Hawaii average: 17.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 34.9%
90% 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 0.0%
100% better than Hawaii average

Hawaii average: 2.1%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.3%
10% better than Hawaii average

Hawaii average: 3.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 8.0%
233% worse than Hawaii average

Hawaii average: 2.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 17.9%
277% worse than Hawaii average

Hawaii average: 4.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Hawaii average

Hawaii average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 2.0%
80% better than Hawaii average

Hawaii average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.0%
In line with Hawaii average

Hawaii average: 96.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.5%
7% better than Hawaii average

Hawaii average: 83.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Hawaii average

Hawaii average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.7%
14% better than Hawaii average

Hawaii average: 84.7%

Guides for Better Senior Living

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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.