Kahala Nui

Assisted Living Home
Overview of Kahala Nui

Experience an island-like living with Kahala Nui located at Malia Street, Honolulu, HI. A one-of-a-kind senior living community offering independent living, assisted living, memory support, and comprehensive nursing. With its in-campus Hi’olani Care Center, the community ensures seniors’ needs are heard and well-taken care of. Providing aesthetic and warm floor plans including one-bedroom, two-bedroom, and three-bedroom units, residents enjoy relaxing and safe accommodation.

The community focuses on the wellness of the seniors, utilizing a holistic view in conducting activities and programs related to arts, dance, entertainment, education, and fitness. As a person-centered life plan community, Kahala Nui fosters a family-like environment centered on its core belief ‘ohana. Residents enjoy island-style cuisine and casual dining with flexible meal plans three times daily. Sitting on an aesthetically landscaped land, the community includes a variety of fabulous amenities including a jacuzzi, a pool, a fitness center, Hatsunes garden, and spacious common areas for the seniors’ leisure and wellness.

(808) 218-7001

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
Hawaii average: 3.4/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
Hawaii average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
5/5
Hawaii average: 4.0/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
Hawaii average: 4.2/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
5h 22m per day

This home provides 28% more nursing time per resident than the state average.

Hawaii average: 4h 12m 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 home
Other
Home revenue
$60.5M
Surplus of revenue
$17.6M
Voluntary non-profit home Other
Home revenue
$60,549,541.00
Surplus of revenue
$17,571,019.00
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
Years in operation
21 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 71 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating
BBB Rating: A+ (Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

License Status
Active
Facility Type
Assisted Living Facility
License Expiration
May 31, 2027

Additional licensing details

License number: 10-ALF
Island: Oahu

Staffing

Key information about the people who lead and staff this community.

Leadership

Contact: Mr. Craig Courts, President

What does this home offer?

Minimum age icon
Minimum age icon

Minimum Age: 62 Years Old

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

Exercise program icon
Exercise program icon

Exercise Programs

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 Kahala Nui

Assisted Living Memory Care Skilled Nursing
Contact Kahala Nui

Compare Assisted Living around Honolulu

The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
Care Homes By Hale Makua
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Kahului
254
No
-
27
CHUN, GRANT
91.7%
$59,012,113.00
$16,679,270.00
28.3%
201.20
-
4.7811
-
-
-
4
63
7
-29%
+14%
+24%
Private / Semi-Private / 3 Bed
Kahala Nui
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

N

Nursing

Honolulu (Waialae - Kahala)
60
No
A+
71
COURTS, CRAIG
92.2%
$12,422,225.00
$12,146,825.00
97.8%
18.40
5/5
5.3614
3/5
5/5
5/5
-
24
-
+23%
+28%
+24%
Private / Semi-Private Rooms
Gutierrez ARCH
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Honolulu (Kaimuki)
5
No
-
73
Ruby Gutierrez Brister
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Private / Semi-Private Rooms
Aina Haina ARCH
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Honolulu (Kuliouou - Kalani Iki)
5
No
-
39
Lan Chen
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Private / Shared Rooms
The Ivy at Hawaii Kai
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

Honolulu (Hawaii Kai)
-
Yes
-
6
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Studio / 1 Bed / 2 Bed / 3 Bed

Places of interest near Kahala Nui

Address 6.9 miles from city center

Address 4389 Malia St, Honolulu, HI 96821

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

131
Total Staff
101
Employees
30
Contractors
11,444
Total Hours (Quarter)
51
Avg Staff/Day
2.5
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse332.8 Yes
Licensed Practical Nurse33.4 No
Certified Nursing Assistant542.4 No
Staff by Category
Administration
2 staff
1.2hs shift avg
Nursing Staff
91 staff
2.6hs shift avg
Physicians & Practitioners
7 staff
2.4hs shift avg
Therapy Services
17 staff
3.1hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
4 staff
0.7hs shift avg
Dietary Services
8 staff
1.2hs shift avg
Other Services
2 staff
2.6hs shift avg
Contractor Analysis
15.1%
of total hours from contractors
1,730 contractor hours this quarter
Respiratory Therapy Technician: 10 Registered Nurse: 7 Physical Therapy Assistant: 1 Medical Director: 1 Physical Therapy Aide: 2 Other Physician: 2 Qualified Social Worker: 4 Occupational Therapy Assistant: 1 Speech Language Pathologist: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
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

Health Inspection History

Inspections
Total health inspections 3

Hawaii average 4.4


Last Health inspection on Jun 2024

Total health citations 24
Citations per inspection
8

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 Jun 27, 2024
Corrected

Nutrition moderate citation Jun 27, 2024
Corrected

Pharmacy moderate citation Jun 27, 2024
Corrected

Pharmacy moderate citation Jun 27, 2024
Corrected

Facility Characteristics

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

Ownership: Non-Profit Corporation
Resident Census by Payment Source
16 Total Residents
Medicare 3 (18.8%)
Medicaid 3 (18.8%)
Private Pay/Other 10 (62.5%)
Programs & Services
CCRC

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

Care Cost Calculator: See Prices in Your Area

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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

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.

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