Hawaii Nursing Homes >> Koloa Nursing Homes >> Hale Kupuna Heritage Home, Llc

Hale Kupuna Heritage Home, Llc - Koloa Nursing Home

General Information

UPDATE
Federal Provider Number
125062
Provider Name
HALE KUPUNA HERITAGE HOME, LLC
Provider Address
4297A OMAO ROAD
KOLOA, HI 96756
Provider Phone Number
8087427591
Provider SSA County
40
Provider County Name
Kauai
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HALE KUPUNA HERITAGE HOME, LLC
Date First Approved to Provide Medicare and Medicaid services
2011-06-07
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.59568
Reported LPN Staffing Hours per Resident per Day
0.09012
Reported RN Staffing Hours per Resident per Day
1.02901
Reported Licensed Staffing Hours per Resident per Day
1.11914
Reported Total Nurse Staffing Hours per Resident per Day
3.71481
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06235
Expected CNA Staffing Hours per Resident per Day
2.39395
Expected LPN Staffing Hours per Resident per Day
0.65833
Expected RN Staffing Hours per Resident per Day
1.11316
Expected Total Nurse Staffing Hours per Resident per Day
4.16543
Adjusted CNA Staffing Hours per Resident per Day
2.66047
Adjusted LPN Staffing Hours per Resident per Day
0.11362
Adjusted RN Staffing Hours per Resident per Day
0.69072
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59484
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-04-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
44
Cycle 2 Standard Health Survey Date
2011-03-03
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
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
32.00000
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

Garden Isle Healthcare

3-3420 Kuhio Highway, Suite 300 | LIHUE HI 96766 | 8.7 miles away

Samuel Mahelona Memorial Hospital

4800 Kawaihau Road | KAPAA HI 96746 | 15.7 miles away

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