Kula Hospital - Kula Nursing Home
General Information
UPDATEFederal Provider Number
125003
Provider Name
KULA HOSPITAL
Provider Address
100 KEOKEA PLACE
KULA, HI 96790
KULA, HI 96790
Provider Phone Number
8088764366
Provider SSA County
50
Provider County Name
Maui
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
KULA HOSPITAL
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
Resident
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
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
4.63311
Reported LPN Staffing Hours per Resident per Day
0.07703
Reported RN Staffing Hours per Resident per Day
2.31622
Reported Licensed Staffing Hours per Resident per Day
2.39324
Reported Total Nurse Staffing Hours per Resident per Day
7.02636
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07703
Expected CNA Staffing Hours per Resident per Day
2.43581
Expected LPN Staffing Hours per Resident per Day
0.60107
Expected RN Staffing Hours per Resident per Day
0.79480
Expected Total Nurse Staffing Hours per Resident per Day
3.83167
Adjusted CNA Staffing Hours per Resident per Day
4.66715
Adjusted LPN Staffing Hours per Resident per Day
0.10637
Adjusted RN Staffing Hours per Resident per Day
2.17752
Adjusted Total Nurse Staffing Hours per Resident per Day
7.39170
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
42
Cycle 1 Total Health Score
126
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2011-09-16
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
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2009-09-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
82.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
10255
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Hale Makua Health Services
472 Kaulana Street |
KAHULUI HI 96732 | 14.5 miles away
Hale Makua Health Services
1540 Lower Main Street |
WAILUKU HI 96793 | 16 miles away
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