Liliha Healthcare Center - Honolulu Nursing Home
General Information
UPDATEFederal Provider Number
125041
Provider Name
LILIHA HEALTHCARE CENTER
Provider Address
1814 LILIHA STREET
HONOLULU, HI 96817
HONOLULU, HI 96817
Provider Phone Number
(808) 537-9557
Provider SSA County
20
Provider County Name
Honolulu
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAMILY HEALTH II, INC.
Date First Approved to Provide Medicare and Medicaid services
1995-02-15
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.30225
Reported LPN Staffing Hours per Resident per Day
0.13146
Reported RN Staffing Hours per Resident per Day
0.76124
Reported Licensed Staffing Hours per Resident per Day
0.89270
Reported Total Nurse Staffing Hours per Resident per Day
3.19495
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.52939
Expected LPN Staffing Hours per Resident per Day
0.57713
Expected RN Staffing Hours per Resident per Day
0.89012
Expected Total Nurse Staffing Hours per Resident per Day
3.99664
Adjusted CNA Staffing Hours per Resident per Day
2.23336
Adjusted LPN Staffing Hours per Resident per Day
0.18906
Adjusted RN Staffing Hours per Resident per Day
0.63901
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22234
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2013-05-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2012-05-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2010-08-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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