Pu'uwai 'o Makaha - Waianae Nursing Home
General Information
UPDATEFederal Provider Number
125046
Provider Name
PU'UWAI 'O MAKAHA
Provider Address
84-390 JADE STREET
WAIANAE, HI 96792
WAIANAE, HI 96792
Provider Phone Number
8086959508
Provider SSA County
20
Provider County Name
Honolulu
Ownership Type
For profit - Corporation
Number of Certified Beds
93
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
INTEGRATED HEALTH RESOURCES, LLC
Date First Approved to Provide Medicare and Medicaid services
1997-07-03
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.70688
Reported LPN Staffing Hours per Resident per Day
0.19313
Reported RN Staffing Hours per Resident per Day
1.36500
Reported Licensed Staffing Hours per Resident per Day
1.55813
Reported Total Nurse Staffing Hours per Resident per Day
4.26501
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07313
Expected CNA Staffing Hours per Resident per Day
2.65365
Expected LPN Staffing Hours per Resident per Day
0.80255
Expected RN Staffing Hours per Resident per Day
1.14098
Expected Total Nurse Staffing Hours per Resident per Day
4.59718
Adjusted CNA Staffing Hours per Resident per Day
2.50292
Adjusted LPN Staffing Hours per Resident per Day
0.19973
Adjusted RN Staffing Hours per Resident per Day
0.89391
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73965
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2013-08-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2012-03-16
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2010-11-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
45.33300
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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