Nuuanu Hale - Honolulu Nursing Home
General Information
UPDATEFederal Provider Number
125024
Provider Name
NUUANU HALE
Provider Address
2900 PALI HIGHWAY
HONOLULU, HI 96817
HONOLULU, HI 96817
Provider Phone Number
8085956311
Provider SSA County
20
Provider County Name
Honolulu
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAMILY HEALTH, INC.
Date First Approved to Provide Medicare and Medicaid services
1975-06-16
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
2
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
2.30473
Reported LPN Staffing Hours per Resident per Day
0.13919
Reported RN Staffing Hours per Resident per Day
0.59459
Reported Licensed Staffing Hours per Resident per Day
0.73378
Reported Total Nurse Staffing Hours per Resident per Day
3.03851
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.35270
Expected LPN Staffing Hours per Resident per Day
0.60240
Expected RN Staffing Hours per Resident per Day
0.91314
Expected Total Nurse Staffing Hours per Resident per Day
3.86824
Adjusted CNA Staffing Hours per Resident per Day
2.40367
Adjusted LPN Staffing Hours per Resident per Day
0.19178
Adjusted RN Staffing Hours per Resident per Day
0.48654
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16628
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
68
Cycle 1 Standard Survey Health Date
2013-02-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2011-12-09
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
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2010-06-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
74.00000
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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