Kfh - Malama 'ohana Nursing And Rehab Center - Honolulu Nursing Home
General Information
UPDATEFederal Provider Number
125060
Provider Name
KFH - MALAMA 'OHANA NURSING AND REHAB CENTER
Provider Address
3288 MOANALUA ROAD
HONOLULU, HI 96819
HONOLULU, HI 96819
Provider Phone Number
8084327737
Provider SSA County
20
Provider County Name
Honolulu
Ownership Type
Non profit - Corporation
Number of Certified Beds
28
Number of Residents in Certified Beds
15
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
KAISER FOUNDATION HOSPITALS
Date First Approved to Provide Medicare and Medicaid services
2009-10-05
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
3.92333
Reported LPN Staffing Hours per Resident per Day
2.21000
Reported RN Staffing Hours per Resident per Day
3.92333
Reported Licensed Staffing Hours per Resident per Day
6.13333
Reported Total Nurse Staffing Hours per Resident per Day
10.05666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.38000
Expected CNA Staffing Hours per Resident per Day
2.36216
Expected LPN Staffing Hours per Resident per Day
0.78462
Expected RN Staffing Hours per Resident per Day
1.55329
Expected Total Nurse Staffing Hours per Resident per Day
4.70008
Adjusted CNA Staffing Hours per Resident per Day
4.07537
Adjusted LPN Staffing Hours per Resident per Day
2.33781
Adjusted RN Staffing Hours per Resident per Day
1.88729
Adjusted Total Nurse Staffing Hours per Resident per Day
8.62484
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2013-07-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2012-03-02
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2010-11-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
46.00000
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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