Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
125
91 employees · 34 contractors · 52 on an average day Hi’olani Assisted Living Center at Kahala Nui
Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living, Memory Care & Skilled Nursing · Honolulu, HI
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Hi’olani Assisted Living Center at Kahala Nui
Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living, Memory Care & Skilled Nursing · Honolulu, HI
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Hi’olani Assisted Living Center at Kahala Nui accepts Medicare, Medicaid, and private pay.
Overview of Hi’olani Assisted Living Center at Kahala Nui
Hi’olani Assisted Living Center at Kahala Nui is a continuing care retirement community in Honolulu, Hawaii, offering independent living, assisted living, memory care, and skilled nursing. Independent living provides private living with community services and no daily care, while assisted living helps with daily tasks such as bathing, dressing, and medication management.
Memory care provides a secured setting with supervision for someone at risk of wandering. Skilled nursing provides licensed nursing care on site around the clock. Because several care levels are available, a resident whose needs grow over time may be able to move between levels without leaving the community.
The community has 20 beds, which can allow staff and residents to become familiar with one another. Private and semi-private rooms are available, offering either an individual room or a shared living arrangement. A Walk Score of 71 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently.
Medicare, Medicaid, and private pay are accepted. Medicare applies to short-term skilled care after a hospital stay, Medicaid may help cover a longer stay when savings are limited, and private pay allows a family to pay directly. Total nurse staffing is 6h 46m per resident per day, representing the daily hands-on nursing time allocated to each resident. The Memory Support program and the range of care levels may make the community a good fit for someone living with dementia whose care needs may change over time.
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
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 2nd out of 25 nursing homes we track in Hawaii for nurse hours. 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.
6h 46m
This nursing home is ranked 2nd out of 25 nursing homes we track in Hawaii for nurse hours. 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.
6h 46mStandout metric: RN, weekends is +55% above Hawaii average
1 of 5 metrics below Hawaii average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 30 total: 19 of the facility's own employees and 11 agency contractors.
30 staff · 2.6-hour shifts
2h 19m
↑ 42% · HI 1h 38mThis facility: 2h 19m per resident per day, 42% above the Hawaii average of 1h 38m (among Hawaii facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 30 total: 19 of the facility's own employees and 11 agency contractors.
30 staff · 2.6-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 2 are the facility's own employees; no agency contractors work in this role.
2 staff · 3.3-hour shifts
16m
↓ 25% · HI 21mThis facility: 16m per resident per day, 25% below the Hawaii average of 21m (among Hawaii facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 2 are the facility's own employees; no agency contractors work in this role.
2 staff · 3.3-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 49 are the facility's own employees; no agency contractors work in this role.
49 staff · 2.4-hour shifts
4h 11m
↑ 53% · HI 2h 44mThis facility: 4h 11m per resident per day, 53% above the Hawaii average of 2h 44m (among Hawaii facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 49 are the facility's own employees; no agency contractors work in this role.
49 staff · 2.4-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
44m
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
6h 11m
↑ 48% · HI 4h 11mThis facility: 6h 11m per resident per day, 48% above the Hawaii average of 4h 11m (among Hawaii facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
1h 54m
↑ 55% · HI 1h 14mThis facility: 1h 54m per resident per day, 55% above the Hawaii average of 1h 14m (among Hawaii facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
125
91 employees · 34 contractors · 52 on an average day
125 total staff / 16 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
7.81 : 1
↑ 383% · HI 1.62This facility: 7.81 staff per resident, 383% above the Hawaii average of 1.62 (among Hawaii facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
125 staff ÷ 16 residents
See full Hawaii ranking →
Average hours one staff member works on a day they are on shift, across every role.
2.4 h
↓ 69% · HI 7.8 hThis facility: 2.4 h, 69% below the Hawaii average of 7.8 h (among Hawaii facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
11,353 staff hours this quarter
See full Hawaii ranking →83.4% of staff hours were worked by the facility's own employees
Hawaii average: 88.1% · Contractors this quarter: Registered Nurse (11), Respiratory Therapy Technician (8), Qualified Social Worker (4), Physical Therapy Assistant (3), Physical Therapy Aide (2), Other Physician (2), Speech Language Pathologist (2), Medical Director (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
20
Rank #27 / 30Bed count — State benchmarked This nursing home is ranked 27th out of 30 nursing homes we track in Hawaii for bed count. Shows this facility's certified or reported bed count compared to other Hawaii facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
20
Rank #27 / 30Bed count — State benchmarked This nursing home is ranked 27th out of 30 nursing homes we track in Hawaii for bed count. Shows this facility's certified or reported bed count compared to other Hawaii facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #9 / 32Walk Score — State benchmarked This nursing home is ranked 9th out of 32 nursing homes we track in Hawaii for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Hawaii facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #9 / 32Walk Score — State benchmarked This nursing home is ranked 9th out of 32 nursing homes we track in Hawaii for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Hawaii facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
71
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #20 / 22Occupancy rate — State benchmarked This nursing home is ranked 20th out of 22 nursing homes we track in Hawaii for occupancy. Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 22. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #20 / 22Occupancy rate — State benchmarked This nursing home is ranked 20th out of 22 nursing homes we track in Hawaii for occupancy. Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 22. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
72.5%
This home usually has availability
Based on residents per day and 20 beds.
Lower than the Hawaii average: 83.8%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
15
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
317
days
About This Community
Facility TypeAssisted Living Facility
StatusActive
ExpirationMay 31, 2027
License Number10-ALF
IslandOahu
Housekeeping
Transportation
Pets not allowed
Continuing Care Retirement Community (CCRC)
Minimum Age62
Building TypeMid-rise
Room Types
Private
Semi-Private Rooms
CMS Health Inspection History
Total health inspections
3
↓ 30% · HI 4.3This facility: 3, 30% below the HI average of 4.3 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
24
Rank #7 / 26Health citations — State benchmarked This nursing home is ranked 7th out of 26 nursing homes we track in Hawaii for health citations. Shows this facility's total health deficiency citations benchmarked to the Hawaii State average, with a ranking across all 26 HI facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 28% · HI 33.5This facility: 24, 28% below the HI average of 33.5 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
8
Rank #16 / 26Citations per inspection — State benchmarked This nursing home is ranked 16th out of 26 nursing homes we track in Hawaii for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Hawaii mean across 26 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 4% · HI 7.71This facility: 8, 4% above the HI average of 7.71 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
24 of 24 citations corrected
Critical
J–L
0
↓ 100% · HI 0.2This facility: 0, 100% below the HI average of 0.2 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · HI 1This facility: 0, 100% below the HI average of 1 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
23
↓ 29% · HI 32.4This facility: 23, 29% below the HI average of 32.4 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
1
State avg 0 (Worse than State average)
No harm, minimal riskState avg 0 (Worse than State average)Latest inspection: Jun 27, 2024 · 8 citations, all corrected
Most cited category: Quality of Life & Care, 6 of 24 citations · 7 categories in total
Citations history
Most recent first
Jun 27, 2024
8 citations
Nutrition moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Aug 10, 2023
13 citations
Nutrition moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nursing Services minor citation
Corrected
Corrected
Sep 23, 2022
3 citations
Care Planning moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Top deficiency categories
Share of 24 citations
Quality of Life & Care
6 deficiencies (25%)
Pharmacy Services
5 deficiencies (21%)
Resident Assessment & Care Planning
4 deficiencies (17%)
Resident Rights
3 deficiencies (13%)
Nutrition & Dietary
3 deficiencies (13%)
Infection Control
2 deficiencies (8%)
Nursing & Physician Services
1 deficiency (4%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 24 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data 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.
Show Inspection Reports
Enforcement
Penalties and fines
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 Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
HI avg $39KHawaii average: $38,848. Average among the 21 Hawaii facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
HI avg 1.52Hawaii average: 1.52. Average among the 21 Hawaii facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Hawaii average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 14% · HI 4.4This facility: 5.0, 14% above the HI average of 4.4 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 69% · HI 3.0This facility: 5.0, 69% above the HI average of 3.0 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
6.4
Score · lower is better
↓ 27% · HI 8.7This facility: 6.4, 27% below the HI average of 8.7 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
11.9
Score · lower is better
↓ 31% · HI 17.1This facility: 11.9, 31% below the HI average of 17.1 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.9 long-stay measures: 4 better, 5 worse
7 short-stay measures: 4 better, 1 worse, 2 compared with US only
Long-stay residents
People who live at the home · 9 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
3.7%
↓ 78% · HI 16.9This facility: 3.7, 78% below the HI average of 16.9 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
3.7%
↓ 78% · HI 16.9This facility: 3.7, 78% below the HI average of 16.9 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.0%
↑ 17% · HI 17.1This facility: 20.0, 17% above the HI average of 17.1 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.0%
↑ 17% · HI 17.1This facility: 20.0, 17% above the HI average of 17.1 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.4%
↑ 9% · HI 2.2This facility: 2.4, 9% above the HI average of 2.2 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.4%
↑ 9% · HI 2.2This facility: 2.4, 9% above the HI average of 2.2 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · HI 2.0This facility: 0.0, 100% below the HI average of 2.0 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · HI 2.0This facility: 0.0, 100% below the HI average of 2.0 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
14.6%
↑ 321% · HI 3.5This facility: 14.6, 321% above the HI average of 3.5 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
14.6%
↑ 321% · HI 3.5This facility: 14.6, 321% above the HI average of 3.5 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
7.4%
↑ 39% · HI 5.3This facility: 7.4, 39% above the HI average of 5.3 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
7.4%
↑ 39% · HI 5.3This facility: 7.4, 39% above the HI average of 5.3 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · HI 1.3This facility: 0.0, 100% below the HI average of 1.3 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · HI 1.3This facility: 0.0, 100% below the HI average of 1.3 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
0.0%
↓ 100% · HI 12.4This facility: 0.0, 100% below the HI average of 12.4 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
0.0%
↓ 100% · HI 12.4This facility: 0.0, 100% below the HI average of 12.4 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.5%
↓ 6% · HI 96.3This facility: 90.5, 6% below the HI average of 96.3 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.5%
↓ 6% · HI 96.3This facility: 90.5, 6% below the HI average of 96.3 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 7 measures
Daily care & independence
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
68.5%
↑ 35% · US 50.6This facility: 68.5, 35% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
68.5%
↑ 35% · US 50.6This facility: 68.5, 35% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · HI 1.5This facility: 0.0, 100% below the HI average of 1.5 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · HI 1.5This facility: 0.0, 100% below the HI average of 1.5 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.7%
↑ 14% · HI 83.1This facility: 94.7, 14% above the HI average of 83.1 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.7%
↑ 14% · HI 83.1This facility: 94.7, 14% above the HI average of 83.1 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
↑ 15% · HI 84.7This facility: 97.2, 15% above the HI average of 84.7 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
↑ 15% · HI 84.7This facility: 97.2, 15% above the HI average of 84.7 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.2%
↑ 49% · HI 19.6This facility: 29.2, 49% above the HI average of 19.6 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.2%
↑ 49% · HI 19.6This facility: 29.2, 49% above the HI average of 19.6 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
5.0%
↓ 54% · HI 10.9This facility: 5.0, 54% below the HI average of 10.9 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
5.0%
↓ 54% · HI 10.9This facility: 5.0, 54% below the HI average of 10.9 (among HI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Hi’olani Assisted Living Center at Kahala Nui’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 22 Hawaii nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, but less than last year
−365.3% operating margin
+7.6 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($36.2M) turns it into a net profit to $3.1M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends more on payroll than most Hawaii homes
161.3% payroll share of revenue
HI average 60.5%Rank #1 / 22Payroll % of net patient revenue — State benchmarked This nursing home is ranked 1st out of 22 nursing homes we track in Hawaii for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Hawaii average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $1.2M while revenue rose $0.8M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Hawaii homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | HI median | Compared with HI homesRank in HI | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $9.0M | +$0.8M | Trend 20172024 | HI median $16.2M | Rank in HI Rank #19 / 22Net patient revenue — State benchmarked This nursing home is ranked 19th out of 22 nursing homes we track in Hawaii for net patient revenue. Shows this facility's net patient revenue compared to the Hawaii average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 14% of homes | Below HI median Higher net patient revenue than 14% of HI homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $42.1M | +$3.3M | Trend 20172024 | HI median $17.5M | Rank in HI Rank #2 / 22Operating expenses — State benchmarked This nursing home is ranked 2nd out of 22 nursing homes we track in Hawaii for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Hawaii homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 95% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$33.0M | −$2.5M | Trend 20172024 | HI median $0.0M | Rank in HI Rank #21 / 22Net patient income — State benchmarked This nursing home is ranked 21st out of 22 nursing homes we track in Hawaii for net patient income. Shows net patient revenue minus operating expenses, compared with other Hawaii homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 5% of homes | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −365.3% | +7.6 pts | Trend 20172024 | HI median −0.4% | Rank in HI Rank #21 / 22Operating margin — State benchmarked This nursing home is ranked 21st out of 22 nursing homes we track in Hawaii for operating margin. Shows net patient income as a share of net patient revenue, compared with other Hawaii homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 5% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $36.2M | — | Trend — | HI median $0.9M | Rank in HI Rank #1 / 22Other income — State benchmarked This nursing home is ranked 1st out of 22 nursing homes we track in Hawaii for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Hawaii homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 100% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | $3.1M | −$14.4M | Trend — | HI median $1.2M | Rank in HI Rank #6 / 22Net income — State benchmarked This nursing home is ranked 6th out of 22 nursing homes we track in Hawaii for net income. Shows the bottom line after other income, compared with other Hawaii homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 76% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends more of revenue on staff than most Hawaii homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | HI median | Compared with HI homesRank in HI | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $14.6M | +$1.2M | Trend 20172024 | HI median $9.3M | Rank in HI Rank #4 / 22Payroll costs — State benchmarked This nursing home is ranked 4th out of 22 nursing homes we track in Hawaii for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Hawaii average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 86% of homes | Above HI median Higher payroll than 86% of HI homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 161.3% | −2.5 pts | Trend 20172024 | HI median 51.9% | Rank in HI Rank #1 / 22Payroll % of net patient revenue — State benchmarked This nursing home is ranked 1st out of 22 nursing homes we track in Hawaii for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Hawaii average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Hawaii that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 100% of homes | 100.8 pts over HI average The HI average is 60.5% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · HI benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Hawaii payroll average.
% of net patient revenue
Payroll share Operating margin HI payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $7.8M | $6.0M | $6.0M | $5.1M | $5.6M | $6.4M | $8.2M | $9.0M |
| Operating expenses | $32.3M | $33.6M | $33.7M | $34.7M | $36.5M | $37.9M | $38.7M | $42.1M |
| Net patient income | −$24.5M | −$27.7M | −$27.7M | −$29.6M | −$31.0M | −$31.5M | −$30.6M | −$33.0M |
| Operating margin | −312.4% | −464.4% | −462.1% | −575.9% | −556.1% | −491.4% | −373.0% | −365.3% |
| Net income | $5.8M | −$5.7M | $12.8M | $9.1M | $14.6M | −$23.3M | $17.6M | $3.1M |
| Payroll costs | $12.0M | $11.2M | $11.6M | $12.6M | $13.3M | $12.7M | $13.4M | $14.6M |
| Payroll share of revenue | 152.7% | 188.8% | 194.2% | 246.1% | 238.8% | 198.3% | 163.8% | 161.3% |
| Beds | 393 | 60 | 60 | 60 | 60 | 60 | 60 | 60 |
| Gross revenue | $8.9M | $10.9M | $11.3M | $11.0M | $11.0M | $11.1M | $12.4M | $13.8M |
| Salaries | $11.1M | $10.1M | $10.5M | $11.4M | $11.9M | $11.5M | $12.1M | $13.3M |
| Wage-related costs | $0.9M | $1.1M | $1.1M | $1.2M | $1.4M | $1.2M | $1.3M | $1.3M |
| Contract labor | $2.2M | $0.7M | $0.6M | $0.5M | $0.6M | $0.7M | $0.9M | $0.8M |
| Other operating costs | $20.3M | $22.4M | $22.0M | $22.1M | $23.2M | $25.2M | $25.3M | $27.5M |
| Net patient revenue per day | $384 | $302 | $293 | $259 | $1,248 | $1,289 | $406 | $426 |
| Cost per day | $1,582 | $1,706 | $1,646 | $1,752 | $8,187 | $7,621 | $1,920 | $1,984 |
| Average length of stay | 816.3 days | 334.0 days | 335.5 days | 380.9 days | 111.6 days | 160.6 days | 301.2 days | 316.6 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
74 admissions · FY2024
Residents admitted during the year.
Medicare
28 · 38%
Medicaid
1 · 1%
Private pay & other
45 · 61%
Resident snapshot
16 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
6 · 38%
Medicaid
2 · 13%
Private pay & other
8 · 50%
Leaving
67 discharges · FY2024
Residents discharged during the year.
Medicare
15 · 22%
Medicaid
1 · 1%
Private pay & other
51 · 76%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Places of interest near Hi’olani Assisted Living Center at Kahala Nui
5.9 miles from city center
Estimated distance in miles from Honolulu's city center to Hi’olani Assisted Living Center at Kahala Nui's address, calculated via Google Maps.
Calculate Travel Distance to Hi’olani Assisted Living Center at Kahala Nui
Add your location
Compare Memory Care around the area
Info below is compiled from CMS reports & the HI Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Hawaii average is: 60.5% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hi’olani Assisted Living Center at Kahala Nui | MC AL CCRC IL NH SNF | Honolulu (Waialae - Kahala) | 20
Facility
20
HI AVG
84
Rank
#27 / 30 |
72.5%
Facility
72.5%
HI AVG
83.8%
Rank
#20 / 22 | -14% | 6.76
Facility
6.76
HI AVG
4.74
Rank
#2 / 25 | +15% | +43% | $0
Facility
$0
HI AVG
$38.8k
Rank
#1 / 26 | 24
Facility
24
HI AVG
33.5
Rank
#7 / 26 | 8.0
Facility
8.0
HI AVG
7.7
Rank
#16 / 26 | - | 15 | - |
71
Facility
71
HI AVG
46
Rank
#9 / 32 | Craig Courts | $9.0MFiscal year ending 12/2024
Facility
$9.0MFiscal year ending 12/2024
HI AVG
$20.1M
Rank
#19 / 22 | $14.6MFiscal year ending 12/2024
Facility
$14.6MFiscal year ending 12/2024
HI AVG
$10.7M
Rank
#4 / 22 | 161.3%Fiscal year ending 12/2024
Facility
161.3%Fiscal year ending 12/2024
HI AVG
60.5%
Rank
#1 / 22 | 125055 | ||||
| Kalākaua Gardens | MC AL CCRC IL NH RC SNF | Honolulu (Ala Moana) | 49
Facility
49
HI AVG
84
Rank
#18 / 30 |
88.4%
Facility
88.4%
HI AVG
83.8%
Rank
#10 / 22 | +5% | 5.42
Facility
5.42
HI AVG
4.74
Rank
#5 / 25 | -12% | +14% | $55.7k
Facility
$55.7k
HI AVG
$38.8k
Rank
#23 / 26 | 30
Facility
30
HI AVG
33.5
Rank
#11 / 26 | 6.0
Facility
6.0
HI AVG
7.7
Rank
#3 / 26 | 2 | 43 | - |
98
Facility
98
HI AVG
46
Rank
#1 / 32 | 1723 Kalakaua LLC | $21.9MFiscal year ending 12/2024
Facility
$21.9MFiscal year ending 12/2024
HI AVG
$20.1M
Rank
#6 / 22 | $9.7MFiscal year ending 12/2024
Facility
$9.7MFiscal year ending 12/2024
HI AVG
$10.7M
Rank
#11 / 22 | 44.2%Fiscal year ending 12/2024
Facility
44.2%Fiscal year ending 12/2024
HI AVG
60.5%
Rank
#18 / 22 | 125066 | ||||
| Ann Pearl Rehab & Nursing | MC ADC NH SNF | Kaneohe | 104
Facility
104
HI AVG
84
Rank
#9 / 30 |
54.5%
Facility
54.5%
HI AVG
83.8%
Rank
#22 / 22 | -35% | 3.65
Facility
3.65
HI AVG
4.74
Rank
#23 / 25 | +21% | -23% | $15.3k
Facility
$15.3k
HI AVG
$38.8k
Rank
#19 / 26 | 46
Facility
46
HI AVG
33.5
Rank
#20 / 26 | 6.6
Facility
6.6
HI AVG
7.7
Rank
#10 / 26 | 3 | 57 | - |
48
Facility
48
HI AVG
46
Rank
#16 / 32 | Rebecca Canon-Fratis | $8.9MFiscal year ending 12/2024
Facility
$8.9MFiscal year ending 12/2024
HI AVG
$20.1M
Rank
#21 / 22 | $4.3MFiscal year ending 12/2024
Facility
$4.3MFiscal year ending 12/2024
HI AVG
$10.7M
Rank
#22 / 22 | 48.7%Fiscal year ending 12/2024
Facility
48.7%Fiscal year ending 12/2024
HI AVG
60.5%
Rank
#13 / 22 | 125048 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other HI nursing home we track that reports that metric, not just the 3 on this page. See how we rank facilities
Financial Assistance for
Memory Care in Hawaii
Hi’olani Assisted Living Center at Kahala Nui is located in Honolulu, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Know before you visit
Frequently Asked Questions about Hi’olani Assisted Living Center at Kahala Nui
Quick answers from public records and the community's own listing.01 What neighborhood is Hi’olani Assisted Living Center at Kahala Nui in?
Hi’olani Assisted Living Center at Kahala Nui is in the Waialae - Kahala neighborhood of Honolulu.
02 Is Hi’olani Assisted Living Center at Kahala Nui in a walkable area?
Hi’olani Assisted Living Center at Kahala Nui has a walk score of 71. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
03 What is the license number of Hi’olani Assisted Living Center at Kahala Nui?
According to HI state health department records, Hi’olani Assisted Living Center at Kahala Nui's license number is 10-ALF.
04 When does Hi’olani Assisted Living Center at Kahala Nui's license expire?
According to HI state health department records, Hi’olani Assisted Living Center at Kahala Nui's license expires on May 31, 2027.
05 What is the occupancy rate at Hi’olani Assisted Living Center at Kahala Nui?
Hi’olani Assisted Living Center at Kahala Nui's occupancy is 72.5%.
06 Are pets allowed at Hi’olani Assisted Living Center at Kahala Nui?
No, Hi’olani Assisted Living Center at Kahala Nui has a no-pet policy.
07 Does Hi’olani Assisted Living Center at Kahala Nui operate as a for-profit or non-profit?
Hi’olani Assisted Living Center at Kahala Nui is registered as a non-profit in HI.
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