Ka Punawai Ola - Kapolei Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
125051
Provider Name
KA PUNAWAI OLA
Provider Address
91-575 FARRINGTON HIGHWAY
KAPOLEI, HI 96707
KAPOLEI, HI 96707
Provider Phone Number
(808) 674-9262
Provider SSA County
20
Provider County Name
Honolulu
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OAHU HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
2000-07-19
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
2.62892
Reported LPN Staffing Hours per Resident per Day
0.40490
Reported RN Staffing Hours per Resident per Day
1.42647
Reported Licensed Staffing Hours per Resident per Day
1.83137
Reported Total Nurse Staffing Hours per Resident per Day
4.46029
Reported Physical Therapist Staffing Hours per Resident Per Day
0.46275
Expected CNA Staffing Hours per Resident per Day
2.59527
Expected LPN Staffing Hours per Resident per Day
0.74617
Expected RN Staffing Hours per Resident per Day
1.24385
Expected Total Nurse Staffing Hours per Resident per Day
4.58529
Adjusted CNA Staffing Hours per Resident per Day
2.48551
Adjusted LPN Staffing Hours per Resident per Day
0.45039
Adjusted RN Staffing Hours per Resident per Day
0.85690
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92101
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-09-03
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
30
Cycle 3 Number of Standard Health Deficiencies
30
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
344
Cycle 3 Standard Health Survey Date
2013-05-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
344
Total Weighted Health Survey Score
103.33300
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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