Convalescent Center Of Honolulu - Honolulu Nursing Home

General Information

UPDATE
Federal Provider Number
125019
Provider Name
CONVALESCENT CENTER OF HONOLULU
Provider Address
1900 BACHELOT STREET
HONOLULU, HI 96817
Provider Phone Number
(808) 531-5302
Provider SSA County
20
Provider County Name
Honolulu
Ownership Type
For profit - Corporation
Number of Certified Beds
182
Number of Residents in Certified Beds
171
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIVERSIFIED HEALTH SERVICES
Date First Approved to Provide Medicare and Medicaid services
1969-04-15
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.88246
Reported LPN Staffing Hours per Resident per Day
0.32515
Reported RN Staffing Hours per Resident per Day
1.23216
Reported Licensed Staffing Hours per Resident per Day
1.55731
Reported Total Nurse Staffing Hours per Resident per Day
4.43977
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10029
Expected CNA Staffing Hours per Resident per Day
2.63593
Expected LPN Staffing Hours per Resident per Day
0.80367
Expected RN Staffing Hours per Resident per Day
1.22310
Expected Total Nurse Staffing Hours per Resident per Day
4.66270
Adjusted CNA Staffing Hours per Resident per Day
2.68319
Adjusted LPN Staffing Hours per Resident per Day
0.33580
Adjusted RN Staffing Hours per Resident per Day
0.75274
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83818
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-02-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2011-05-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
52.00000
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

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