Maunalani Nursing And Rehabilitation Center - Honolulu Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
125013
Provider Name
MAUNALANI NURSING AND REHABILITATION CENTER
Provider Address
5113 MAUNALANI CIRCLE
HONOLULU, HI 96816
HONOLULU, HI 96816
Provider Phone Number
(808) 732-0771
Provider SSA County
20
Provider County Name
Honolulu
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
2.89479
Reported LPN Staffing Hours per Resident per Day
0.19375
Reported RN Staffing Hours per Resident per Day
1.20260
Reported Licensed Staffing Hours per Resident per Day
1.39635
Reported Total Nurse Staffing Hours per Resident per Day
4.29114
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05781
Expected CNA Staffing Hours per Resident per Day
2.63513
Expected LPN Staffing Hours per Resident per Day
0.67795
Expected RN Staffing Hours per Resident per Day
1.00461
Expected Total Nurse Staffing Hours per Resident per Day
4.31769
Adjusted CNA Staffing Hours per Resident per Day
2.69548
Adjusted LPN Staffing Hours per Resident per Day
0.23721
Adjusted RN Staffing Hours per Resident per Day
0.89446
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00611
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2013-12-20
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2012-08-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2011-03-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
28.00000
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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