Hale Ola Kino - Honolulu Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
125047
Provider Name
HALE OLA KINO
Provider Address
1314 KALAKAUA AVENUE, 2ND FLOOR
HONOLULU, HI 96826
HONOLULU, HI 96826
Provider Phone Number
(808) 983-4444
Provider SSA County
20
Provider County Name
Honolulu
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
32
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE SERVICES OF HAWAII LLC
Date First Approved to Provide Medicare and Medicaid services
1998-02-19
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
3.14032
Reported LPN Staffing Hours per Resident per Day
0.32258
Reported RN Staffing Hours per Resident per Day
1.27097
Reported Licensed Staffing Hours per Resident per Day
1.59355
Reported Total Nurse Staffing Hours per Resident per Day
4.73387
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25806
Expected CNA Staffing Hours per Resident per Day
2.42592
Expected LPN Staffing Hours per Resident per Day
0.60042
Expected RN Staffing Hours per Resident per Day
1.19689
Expected Total Nurse Staffing Hours per Resident per Day
4.22324
Adjusted CNA Staffing Hours per Resident per Day
3.17628
Adjusted LPN Staffing Hours per Resident per Day
0.44592
Adjusted RN Staffing Hours per Resident per Day
0.79345
Adjusted Total Nurse Staffing Hours per Resident per Day
4.51828
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
32
Cycle 1 Standard Survey Health Date
2014-04-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-01-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
20.00000
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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