Hale Ho'ola Hamakua - Honokaa Nursing Home
General Information
UPDATEFederal Provider Number
125032
Provider Name
HALE HO'OLA HAMAKUA
Provider Address
45-547 PLUMERIA STREET
HONOKAA, HI 96727
HONOKAA, HI 96727
Provider Phone Number
8089324100
Provider SSA County
10
Provider County Name
Hawaii
Ownership Type
Government - State
Number of Certified Beds
66
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1977-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.75263
Reported LPN Staffing Hours per Resident per Day
0.90263
Reported RN Staffing Hours per Resident per Day
1.82895
Reported Licensed Staffing Hours per Resident per Day
2.73158
Reported Total Nurse Staffing Hours per Resident per Day
5.48421
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20000
Expected CNA Staffing Hours per Resident per Day
2.68354
Expected LPN Staffing Hours per Resident per Day
0.64832
Expected RN Staffing Hours per Resident per Day
0.81613
Expected Total Nurse Staffing Hours per Resident per Day
4.14799
Adjusted CNA Staffing Hours per Resident per Day
2.51687
Adjusted LPN Staffing Hours per Resident per Day
1.15557
Adjusted RN Staffing Hours per Resident per Day
1.67448
Adjusted Total Nurse Staffing Hours per Resident per Day
5.32940
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2011-08-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
56
Cycle 3 Standard Health Survey Date
2009-07-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
5000
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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