15 Craigside - Honolulu Nursing Home
General Information
UPDATEFederal Provider Number
125063
Provider Name
15 CRAIGSIDE
Provider Address
15 CRAIGSIDE PLACE
HONOLULU, HI 96817
HONOLULU, HI 96817
Provider Phone Number
8085237000
Provider SSA County
20
Provider County Name
Honolulu
Ownership Type
Non profit - Corporation
Number of Certified Beds
11
Number of Residents in Certified Beds
7
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
CRAIGSIDE RETIREMENT RESIDENCE
Date First Approved to Provide Medicare and Medicaid services
2012-07-06
Continuing Care Retirement Community
Y
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
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
0
Staffing Rating Footnote
Data Not Available
RN Staffing Rating
0
RN Staffing Rating Footnote
Data Not Available
Reported Staffing Footnote
Staffing Values not Reported because of Data Quality Concerns
Physical Therapist Staffing Footnote
Physical Therapy Staffing Values not Reported because of Data Quality Concerns
Reported CNA Staffing Hours per Resident per Day
0.00000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.00000
Reported Licensed Staffing Hours per Resident per Day
0.00000
Reported Total Nurse Staffing Hours per Resident per Day
0.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.47151
Expected LPN Staffing Hours per Resident per Day
0.72879
Expected RN Staffing Hours per Resident per Day
1.53873
Expected Total Nurse Staffing Hours per Resident per Day
4.73903
Adjusted CNA Staffing Hours per Resident per Day
0.00000
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.00000
Adjusted Total Nurse Staffing Hours per Resident per Day
0.00000
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2013-11-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2012-07-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
-0001-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
12.00000
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
Nursiong Homes Nearby
Convalescent Center Of Honolulu
1900 Bachelot Street |
HONOLULU HI 96817 | 0.4 mile away
Kuakini Geriatric Care, Inc
347 North Kuakini Street |
HONOLULU HI 96817 | 0.5 mile away
Liliha Healthcare Center
1814 Liliha Street |
HONOLULU HI 96817 | 0.5 mile away
Maluhia
1027 Hala Drive |
HONOLULU HI 96817 | 0.9 mile away
Nuuanu Hale
2900 Pali Highway |
HONOLULU HI 96817 | 1.1 miles away
The Queen`s Medical Center
1301 Punchbowl Street |
HONOLULU HI 96813 | 1.1 miles away
Hale Nani Rehabilitation And Nursing Center
1677 Pensacola Street |
HONOLULU HI 96822 | 1.2 miles away
Arcadia Retirement Residence
1434 Punahou Street |
HONOLULU HI 96822 | 1.7 miles away
Hale Ola Kino
1314 Kalakaua Avenue, 2nd Floor |
HONOLULU HI 96826 | 1.8 miles away
Avalon Care Center - Honolulu, Llc
1930 Kamehameha Iv Rd |
HONOLULU HI 96819 | 2.1 miles away
Island Nursing Home
1205 Alexander Street |
HONOLULU HI 96826 | 2.1 miles away
Oahu Care Facility
1808 South Beretania Street |
HONOLULU HI 96826 | 2.1 miles away
Palolo Chinese Home
2459 10th Avenue |
HONOLULU HI 96816 | 4.2 miles away
Maunalani Nursing And Rehabilitation Center
5113 Maunalani Circle |
HONOLULU HI 96816 | 4.2 miles away
Kfh - Malama 'ohana Nursing And Rehab Center
3288 Moanalua Road |
HONOLULU HI 96819 | 4.3 miles away
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