Hale Nani Rehabilitation And Nursing Center - Honolulu Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
125011
Provider Name
HALE NANI REHABILITATION AND NURSING CENTER
Provider Address
1677 PENSACOLA STREET
HONOLULU, HI 96822
HONOLULU, HI 96822
Provider Phone Number
(808) 537-3371
Provider SSA County
20
Provider County Name
Honolulu
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
288
Number of Residents in Certified Beds
271
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON CARE CENTER-HALE NANI, LLC
Date First Approved to Provide Medicare and Medicaid services
1974-05-01
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
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
2.88875
Reported LPN Staffing Hours per Resident per Day
0.33745
Reported RN Staffing Hours per Resident per Day
1.11734
Reported Licensed Staffing Hours per Resident per Day
1.45480
Reported Total Nurse Staffing Hours per Resident per Day
4.34354
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08432
Expected CNA Staffing Hours per Resident per Day
2.73411
Expected LPN Staffing Hours per Resident per Day
0.71736
Expected RN Staffing Hours per Resident per Day
1.12704
Expected Total Nurse Staffing Hours per Resident per Day
4.57851
Adjusted CNA Staffing Hours per Resident per Day
2.59248
Adjusted LPN Staffing Hours per Resident per Day
0.39044
Adjusted RN Staffing Hours per Resident per Day
0.74077
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82403
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2013-04-08
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
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2012-10-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
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
72
Cycle 3 Standard Health Survey Date
2011-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
68.00000
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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