Life Care Center Of Kona - Kailua Kona Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
125052
Provider Name
LIFE CARE CENTER OF KONA
Provider Address
78-6957 KAMEHAMEHA III ROAD
KAILUA KONA, HI 96740
KAILUA KONA, HI 96740
Provider Phone Number
(808) 322-2790
Provider SSA County
10
Provider County Name
Hawaii
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KONA MEDICAL INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
2001-10-23
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
3
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
2.13412
Reported LPN Staffing Hours per Resident per Day
0.28529
Reported RN Staffing Hours per Resident per Day
1.32000
Reported Licensed Staffing Hours per Resident per Day
1.60529
Reported Total Nurse Staffing Hours per Resident per Day
3.73941
Reported Physical Therapist Staffing Hours per Resident Per Day
0.32941
Expected CNA Staffing Hours per Resident per Day
2.54672
Expected LPN Staffing Hours per Resident per Day
0.59581
Expected RN Staffing Hours per Resident per Day
0.92026
Expected Total Nurse Staffing Hours per Resident per Day
4.06280
Adjusted CNA Staffing Hours per Resident per Day
2.05617
Adjusted LPN Staffing Hours per Resident per Day
0.39743
Adjusted RN Staffing Hours per Resident per Day
1.07176
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71005
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
64
Cycle 1 Standard Survey Health Date
2014-03-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2011-01-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2009-10-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
78.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
Number of Fines
2
Total Amount of Fines in Dollars
2600
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Kona Community Hospital
79-1019 Haukapila Street |
KEALAKEKUA HI 96750 | 4.3 miles away