The Queen`s Medical Center - Honolulu Nursing Home
General Information
UPDATEFederal Provider Number
125037
Provider Name
THE QUEEN`S MEDICAL CENTER
Provider Address
1301 PUNCHBOWL STREET
HONOLULU, HI 96813
HONOLULU, HI 96813
Provider Phone Number
8085474455
Provider SSA County
20
Provider County Name
Honolulu
Ownership Type
Non profit - Corporation
Number of Certified Beds
28
Number of Residents in Certified Beds
25
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1989-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.28600
Reported LPN Staffing Hours per Resident per Day
1.09600
Reported RN Staffing Hours per Resident per Day
3.63400
Reported Licensed Staffing Hours per Resident per Day
4.73000
Reported Total Nurse Staffing Hours per Resident per Day
7.01600
Reported Physical Therapist Staffing Hours per Resident Per Day
0.45800
Expected CNA Staffing Hours per Resident per Day
2.44197
Expected LPN Staffing Hours per Resident per Day
0.93884
Expected RN Staffing Hours per Resident per Day
1.91049
Expected Total Nurse Staffing Hours per Resident per Day
5.29129
Adjusted CNA Staffing Hours per Resident per Day
2.29699
Adjusted LPN Staffing Hours per Resident per Day
0.96894
Adjusted RN Staffing Hours per Resident per Day
1.42127
Adjusted Total Nurse Staffing Hours per Resident per Day
5.34478
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2013-07-01
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-06-29
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-02-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
35.33300
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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