Kauai Veterans Memorial Hospital - Waimea Nursing Home
General Information
UPDATEFederal Provider Number
125021
Provider Name
KAUAI VETERANS MEMORIAL HOSPITAL
Provider Address
4643 WAIMEA CANYON RD
WAIMEA, HI 96796
WAIMEA, HI 96796
Provider Phone Number
8083389431
Provider SSA County
40
Provider County Name
Kauai
Ownership Type
Government - State
Number of Certified Beds
20
Number of Residents in Certified Beds
19
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1973-04-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.70789
Reported LPN Staffing Hours per Resident per Day
1.20263
Reported RN Staffing Hours per Resident per Day
0.47895
Reported Licensed Staffing Hours per Resident per Day
1.68158
Reported Total Nurse Staffing Hours per Resident per Day
4.38947
Reported Physical Therapist Staffing Hours per Resident Per Day
0.45000
Expected CNA Staffing Hours per Resident per Day
2.15589
Expected LPN Staffing Hours per Resident per Day
0.55589
Expected RN Staffing Hours per Resident per Day
0.75133
Expected Total Nurse Staffing Hours per Resident per Day
3.46311
Adjusted CNA Staffing Hours per Resident per Day
3.08195
Adjusted LPN Staffing Hours per Resident per Day
1.79565
Adjusted RN Staffing Hours per Resident per Day
0.47632
Adjusted Total Nurse Staffing Hours per Resident per Day
5.10914
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
44
Cycle 1 Standard Survey Health Date
2014-11-07
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2012-07-13
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
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2010-09-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
1
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
Kauai Care Center
9611 Waena Road |
WAIMEA HI 96796 | 0.4 mile away
Reviews: Be the first to review this provider.
Share your experience with Kauai Veterans Memorial Hospital. You can help others by writing a review.
