Island Nursing Home - Honolulu Nursing Home
General Information
UPDATEFederal Provider Number
125005
Provider Name
ISLAND NURSING HOME
Provider Address
1205 ALEXANDER STREET
HONOLULU, HI 96826
HONOLULU, HI 96826
Provider Phone Number
8089465027
Provider SSA County
20
Provider County Name
Honolulu
Ownership Type
For profit - Corporation
Number of Certified Beds
42
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ISLAND NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
3.30366
Reported LPN Staffing Hours per Resident per Day
0.09756
Reported RN Staffing Hours per Resident per Day
1.19634
Reported Licensed Staffing Hours per Resident per Day
1.29390
Reported Total Nurse Staffing Hours per Resident per Day
4.59756
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00366
Expected CNA Staffing Hours per Resident per Day
2.79403
Expected LPN Staffing Hours per Resident per Day
0.74766
Expected RN Staffing Hours per Resident per Day
0.97107
Expected Total Nurse Staffing Hours per Resident per Day
4.51275
Adjusted CNA Staffing Hours per Resident per Day
2.90126
Adjusted LPN Staffing Hours per Resident per Day
0.10830
Adjusted RN Staffing Hours per Resident per Day
0.92054
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10665
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
2015-02-13
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
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
2013-03-01
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-01-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
25.33300
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
Oahu Care Facility
1808 South Beretania Street |
HONOLULU HI 96826 | 0 mile away
Arcadia Retirement Residence
1434 Punahou Street |
HONOLULU HI 96822 | 0.3 mile away
Hale Ola Kino
1314 Kalakaua Avenue, 2nd Floor |
HONOLULU HI 96826 | 0.4 mile away
Hale Nani Rehabilitation And Nursing Center
1677 Pensacola Street |
HONOLULU HI 96822 | 0.9 mile away
The Queen`s Medical Center
1301 Punchbowl Street |
HONOLULU HI 96813 | 1.6 miles away
15 Craigside
15 Craigside Place |
HONOLULU HI 96817 | 2.1 miles away
Kuakini Geriatric Care, Inc
347 North Kuakini Street |
HONOLULU HI 96817 | 2.3 miles away
Convalescent Center Of Honolulu
1900 Bachelot Street |
HONOLULU HI 96817 | 2.3 miles away
Liliha Healthcare Center
1814 Liliha Street |
HONOLULU HI 96817 | 2.5 miles away
Leahi Hospital
3675 Kilauea Avenue |
HONOLULU HI 96816 | 2.6 miles away
Nuuanu Hale
2900 Pali Highway |
HONOLULU HI 96817 | 2.7 miles away
Maunalani Nursing And Rehabilitation Center
5113 Maunalani Circle |
HONOLULU HI 96816 | 2.7 miles away
Palolo Chinese Home
2459 10th Avenue |
HONOLULU HI 96816 | 2.9 miles away
Maluhia
1027 Hala Drive |
HONOLULU HI 96817 | 2.9 miles away
Hi'olani Care Center At Kahala Nui
4389 Malia Street |
HONOLULU HI 96821 | 3.4 miles away
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