Total health inspections
5
Hawaii average 4.4
Last Health inspection on Aug 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home in Honolulu
CMS overall rating
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.
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.
Maunalani Nursing and Rehabilitation Center
Nursing Home in Honolulu
CMS overall rating
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.
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.
Maunalani Nursing and Rehabilitation Center
Overview of Maunalani Nursing and Rehabilitation Center
Maunalani Nursing and Rehabilitation Center provides an exemplary approach to skilled nursing; it has pioneered as the home for comprehensive rehabilitation and nursing. One of the longest continuum of care centers in Oahu, the long-term healthcare center gives attention to all levels of care, as well even the complex medical conditions. Maunlani Nursing Center boasts a comfortable and secure environment for a speedy recovery.
The nursing home is rehabilitative and focuses on receiving results in the services they offer; services include 24-hour nursing available, physicians available, and therapists– all provided to ensure residents all receive their holistic wellness. Therapy services include speech, occupational, and physical that sustain and strengthen daily skills.
Elaine P. Johnson was Maunalani Nursing and Rehabilitation Center’s first administrator, setting the foundation and pace for the community since it opened in 1950. Her leadership helped shape the facility’s commitment to compassionate senior care, establishing a lasting legacy that continues to influence Maunalani’s mission and culture today.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
100
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87.7%
Residents per day (avg)
92
Occupancy rate
87.7%
Residents per day (avg)
92
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
37% of new residents, usually for short-term rehab.
Typical stay
24 days
Private pay
61% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
2% of new residents, often for long-term daily care.
Typical stay
8 - 9 months
Finances and operations
Voluntary non-profit community
Home revenue
$20.3M
Surplus of revenue
$263.3K
Voluntary non-profit community
Home revenue
$20,334,465.00
Surplus of revenue
$263,298.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$8.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$20.1M
Health Inspection History
Inspections
Total health citations
21
Hawaii average 35.5
Citations per inspection
4.2
Hawaii average 8.23
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 21 citations resulted from standard inspections; 5 of 21 resulted from complaint investigations; and 1 of 21 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Hawaii averageHawaii average: 0.1
Serious Health citations
2
2
100% worse than Hawaii averageHawaii average: 1
0 critical citations
2 serious citations
19 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 14, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 14, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Oct 18, 2024
Issues related to the availability and quality of nursing staff and the care they provide.
Oct 18, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 18, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 18, 2024
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 18, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 18, 2024
Corrected
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.
Compare Nursing Homes around Honolulu The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
Filter by care type
Maunalani Nursing and Rehabilitation Center
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 (Kaimuki)
100
87.7%
+18%
4.19
0%
2
21
4.2
2
92
-
11
The Maunalani Foundation
$18.8M
$8.7M
46.2%
125013
Islands Skilled Nursing and Rehab
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 (McCully - Moiliili)
42
83.7%
+13%
3.16
-25%
1
64
12.8
1
31
-
96
Pacific Healthcare Ventures Llc
$13.1M
$6.7M
50.9%
125067
Liliha Healthcare Center
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 (Liliha - Kapalama)
92
84.3%
+14%
4.00
-5%
1
52
10.4
3
82
-
81
-
$12.2M
$5.7M
46.7%
125041
The Care Center of Honolulu
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 (Liliha - Kapalama)
254
66.6%
-10%
3.31
-21%
1
47
9.4
1
171
A+
71
Darley, Suzanne
$39.8M
$14.0M
35.3%
125019
Hale Ho Aloha
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 (Nuuanu - Punchbowl)
-
-
-
-
-
0
0
0.0
0
-
A+
3
-
-
-
-
-
Places of interest near Maunalani Nursing and Rehabilitation Center
4.5 miles from city center — 1.86 miles to nearest hospital (Lu0113u02bbahi Hospital)
5113 Maunalani Cir, Honolulu, HI 96816
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
184
Employees
139
Contractors
45
Staff to resident ratio
1.84:1
12% better than Hawaii averageHawaii average ratio: 1.64:1
Avg staff/day
74
Average shift
7.3 hours
6% worse than Hawaii averageHawaii average: 7.8 hours
Total staff hours (quarter)
49,234
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
60
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
15.7%
7,745 contractor hours this quarter
Speech Language Pathologist: 9
Certified Nursing Assistant: 9
Physical Therapy Assistant: 6
Physical Therapy Aide: 6
Respiratory Therapy Technician: 6
Licensed Practical Nurse: 4
Registered Nurse: 4
Qualified Social Worker: 1
Staff by category
| Certified Nursing Assistant | 51 | 9 | 60 | 19,471 | 91 | 100% | 7.3 |
| Registered Nurse | 25 | 4 | 29 | 8,626 | 91 | 100% | 7.8 |
| Nurse Aide in Training | 29 | 0 | 29 | 6,046 | 91 | 100% | 6.8 |
| Licensed Practical Nurse | 8 | 4 | 12 | 3,660 | 91 | 100% | 8.4 |
| Other Dietary Services Staff | 16 | 0 | 16 | 3,327 | 91 | 100% | 7.6 |
| Dental Services Staff | 6 | 0 | 6 | 2,116 | 81 | 89% | 6.9 |
| Speech Language Pathologist | 0 | 9 | 9 | 1,320 | 73 | 80% | 7.1 |
| Physical Therapy Aide | 0 | 6 | 6 | 1,024 | 74 | 81% | 6.8 |
| Physical Therapy Assistant | 0 | 6 | 6 | 914 | 77 | 85% | 7.1 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 667 | 81 | 89% | 6.9 |
| Qualified Social Worker | 0 | 1 | 1 | 598 | 65 | 71% | 9.2 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Dietitian | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Administrator | 1 | 0 | 1 | 400 | 50 | 55% | 8 |
| Medical Director | 1 | 0 | 1 | 130 | 65 | 71% | 2 |
60 Certified Nursing Assistant
% of Days
100%
29 Registered Nurse
% of Days
100%
29 Nurse Aide in Training
% of Days
100%
12 Licensed Practical Nurse
% of Days
100%
16 Other Dietary Services Staff
% of Days
100%
6 Dental Services Staff
% of Days
89%
9 Speech Language Pathologist
% of Days
80%
6 Physical Therapy Aide
% of Days
81%
6 Physical Therapy Assistant
% of Days
85%
6 Respiratory Therapy Technician
% of Days
89%
1 Qualified Social Worker
% of Days
71%
1 Nurse Practitioner
% of Days
69%
1 Dietitian
% of Days
59%
1 Administrator
% of Days
55%
1 Medical Director
% of Days
71%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
100 residents
Residents by payment source
Medicare
41 residents (41%)
Medicaid
59 residents (59%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.6
23% worse than Hawaii averageHawaii average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.7
14% worse than Hawaii averageHawaii average: 20.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
In line with Hawaii averageHawaii average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
29.3%
Percent of long-stay residents whose ability to move independently worsened
29.3%
13% worse than Hawaii averageHawaii average: 25.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
16% worse than Hawaii averageHawaii average: 18.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
83% worse than Hawaii averageHawaii average: 2.1%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.8%
Percent of long-stay high risk residents with pressure ulcers
3.8%
In line with Hawaii averageHawaii average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.8%
Percent of long-stay residents with a urinary tract infection
4.8%
99% worse than Hawaii averageHawaii average: 2.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.1%
Percent of long-stay residents who lose too much weight
8.1%
72% worse than Hawaii averageHawaii average: 4.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.5%
Percent of long-stay residents who have depressive symptoms
0.5%
66% better than Hawaii averageHawaii average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
7.5%
Percent of long-stay residents who received an antipsychotic medication
7.5%
26% better than Hawaii averageHawaii average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
In line with Hawaii averageHawaii average: 96.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Hawaii averageHawaii average: 95.4%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.46
Number of hospitalizations per 1,000 long-stay resident days.
1.46
9% worse than Hawaii averageHawaii average: 1.34
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.80
10% better than Hawaii averageHawaii average: 0.89
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.5%
9% better than Hawaii averageHawaii average: 83.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
20% better than Hawaii averageHawaii average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.7%
7% better than Hawaii averageHawaii average: 84.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.6%
15% worse than Hawaii averageHawaii average: 19.6%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
5.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.3%
51% better than Hawaii averageHawaii average: 10.9%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
22% better than Hawaii averageHawaii average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
23.5%
Percentage of residents at or above expected ability to care for themselves at discharge.
23.5%
56% worse than Hawaii averageHawaii average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
73.0%
Rate of successful return to home or community from a skilled nursing facility.
73.0%
44% better than Hawaii averageHawaii average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$32K
15% lower than Hawaii averageHawaii average: $38K
Number of fines
2
32% more fines than Hawaii averageHawaii average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Hawaii averageHawaii average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$32K
Hawaii average
$38K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2025
$24K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 18, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 18, 2024
$8K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Maunalani Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
87.7%
↓ 2.2pp vs 2023
Net Income
$263,298
↓ ~$1.5M vs 2023
Total Payroll
$11,318,928
↑ ~$715K vs 2023
Profit Margin
1.4%
↓ 9.1pp vs 2023
Loading trend charts...
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