Total staff
165
Employees
156
Contractors
9
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Pat’s Arch
Nursing Home & Assisted Living · Hawaii, HI
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Pat’s Arch
Nursing Home & Assisted Living · Hawaii, HI
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Pat’s Arch accepts Medicaid and private pay.
Enjoy the best of your golden years with Pat’s Care Home, an idyllic retreat in Hanakahi Street, Ewa Beach, HI, offering assisted living. A compassionate and well-trained team provides the highest quality of care tailored to residents’ unique needs 24/7. Here, residents do not have to worry about household chores and daily living activities since the community takes care of them.
A robust calendar of fun recreational activities and enriching programs is conducted so residents can live actively and remain socially connected. Delicious and healthy meals are served to satisfy residents’ dietary needs and preferences. The community also provides transfer assistance and medication management for residents’ comfort. With its intimate and welcoming setting, residents will surely thrive and live a blissful retirement.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 23rd out of 32 homes in Hawaii. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 23rd out of 32 homes in Hawaii. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 38m per day
Rank #23 / 32Nurse hours — State benchmarkedThis home is ranked 23rd out of 32 homes in Hawaii. Shows adjusted nurse hours per resident per day benchmarked to the Hawaii average, with a ranking across 32 Hawaii SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Hawaii avg
-14%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 9h 4m per day |
Types of Care at Pat’s Arch
Assisted Living
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
44.9%
Rank #23 / 27Occupancy rate — State benchmarkedThis home is ranked 23rd out of 27 homes in Hawaii. Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 27. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
95 days
Occupancy rate
44.9%
Rank #23 / 27Occupancy rate — State benchmarkedThis home is ranked 23rd out of 27 homes in Hawaii. Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 27. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
95 days
Walk Score: 42 / 100 Rank #101 / 178Walk Score — State benchmarkedThis home is ranked 101st out of 178 homes in Hawaii. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Hawaii SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
5.50:1
233% better than Hawaii average
Avg staff/day
45
Average shift
10.1 hours
29% better than Hawaii average
Total staff hours (quarter)
41,902
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
53
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
44
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1.4%
587 contractor hours this quarter
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 2
Registered Nurse: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Qualified Social Worker: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Registered Nurse | 52 | 1 | 53 | 14,539 | 92 | 100% | 10.9 |
| Certified Nursing Assistant | 44 | 0 | 44 | 13,923 | 92 | 100% | 10.6 |
| Qualified Activities Professional | 25 | 0 | 25 | 6,053 | 92 | 100% | 11 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,934 | 86 | 93% | 10.7 |
| Other Dietary Services Staff | 11 | 0 | 11 | 1,097 | 92 | 100% | 4.2 |
| Licensed Practical Nurse | 5 | 0 | 5 | 950 | 64 | 70% | 10.7 |
| Medical Director | 1 | 1 | 2 | 548 | 67 | 73% | 7.6 |
| Dietitian | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Nurse Aide in Training | 7 | 0 | 7 | 395 | 23 | 25% | 10.9 |
| Feeding Assistant | 1 | 0 | 1 | 384 | 48 | 52% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 29 | 11 | 12% | 2.6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 22 | 8 | 9% | 2.7 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 16 | 5 | 5% | 3.1 |
| Qualified Social Worker | 0 | 1 | 1 | 5 | 3 | 3% | 1.8 |
53 Registered Nurse
% of Days
100%
44 Certified Nursing Assistant
% of Days
100%
25 Qualified Activities Professional
% of Days
100%
6 Clinical Nurse Specialist
% of Days
93%
11 Other Dietary Services Staff
% of Days
100%
5 Licensed Practical Nurse
% of Days
70%
2 Medical Director
% of Days
73%
1 Dietitian
% of Days
72%
1 Mental Health Service Worker
% of Days
70%
1 Nurse Practitioner
% of Days
67%
1 Administrator
% of Days
64%
7 Nurse Aide in Training
% of Days
25%
1 Feeding Assistant
% of Days
52%
1 Occupational Therapy Assistant
% of Days
12%
2 Physical Therapy Assistant
% of Days
9%
3 Respiratory Therapy Technician
% of Days
5%
1 Qualified Social Worker
% of Days
3%
Penalties and fines
Includes penalties issued in 2025
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
$14K Rank #20 / 33Federal fines — State benchmarkedThis home is ranked 20th out of 33 homes in Hawaii. Shows this facility's cumulative CMS federal fine dollars versus the Hawaii average among facilities with fines, and where it ranks among 33 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
63% lower than Hawaii averageHawaii average: $38K
Number of fines
1
34% fewer 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
$14K
Hawaii average
$38K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 18, 2025 · $14K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 18, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 18, 2025
$14K
Last updated: Jan 2026
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.
2.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
2.4
77% better than Hawaii averageHawaii average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
3.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
3.4
83% better than Hawaii averageHawaii average: 20.0
Long-stay resident measures
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
3.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
3.4%
81% better than Hawaii averageHawaii average: 18.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Hawaii averageHawaii average: 2.1%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.6%
Percent of long-stay high risk residents with pressure ulcers
0.6%
84% better than Hawaii averageHawaii average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.8%
Percent of long-stay residents with a urinary tract infection
0.8%
65% better than Hawaii averageHawaii average: 2.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.6%
Percent of long-stay residents who lose too much weight
6.6%
39% worse than Hawaii averageHawaii average: 4.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Hawaii averageHawaii average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
0.0%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than Hawaii averageHawaii average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
In line with Hawaii averageHawaii average: 96.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
In line with Hawaii averageHawaii average: 95.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
21.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
21.7%
74% worse than Hawaii averageHawaii average: 83.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Private pay
13% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
88% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
30
Medicaid
30
100% of residents
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Pat’s Arch based on CMS SNF Cost Reports.
Occupancy Rate
45.9%
↓ 1.3pp vs 2021
Net Income
$947.0K
↑ ~$194.3K vs 2021
Total Payroll
$6.4M
↑ ~$573.7K vs 2021
Profit Margin
6.5%
↓ 0.4pp vs 2021
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$15.0M
Operating loss
-$1.4M
Privately-owned community
Operated by a business corporation.
Home revenue
$15.0M Rank #16 / 28Revenue — State benchmarkedThis home is ranked 16th out of 28 homes in Hawaii. Shows this facility's annual revenue compared to the Hawaii SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$1.4M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #19 / 28Payroll — State benchmarkedThis home is ranked 19th out of 28 homes in Hawaii. Shows total annual staff payroll benchmarked to the Hawaii average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #19 / 28Payroll — State benchmarkedThis home is ranked 19th out of 28 homes in Hawaii. Shows total annual staff payroll benchmarked to the Hawaii average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$13.1M
What does this home offer?
Housing Options: Private / Shared Rooms
Building Type: Single-story
Dining Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Pat’s Arch
1.1 miles from city center
Estimated distance in miles from Ewa Beach's city center to Pat’s Arch's address, calculated via Google Maps.
Calculate Travel Distance to Pat’s Arch
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Financial Assistance for
Nursing Home in Hawaii
Pat’s Arch is located in Ewa Beach, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Frequently Asked Questions about Pat’s Arch
What neighborhood is Pat’s Arch in?
Pat’s Arch is in the Ewa neighborhood.
Is Pat’s Arch in a walkable area?
Pat’s Arch has a walk score of 42. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the address of Pat’s Arch?
Pat’s Arch is located at 91-1029 Hanakahi Street, Ewa Beach, HI 96706.
What is the phone number of Pat’s Arch?
(808) 689-6800 will put you in contact with the team at Pat’s Arch.
Is Pat’s Arch Medicare or Medicaid certified?
Yes — Pat’s Arch is a CMS-certified provider of Medicare and Medicaid.
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