Wahiawa General Hospital - Wahiawa Nursing Home

General Information

UPDATE
Federal Provider Number
125015
Provider Name
WAHIAWA GENERAL HOSPITAL
Provider Address
128 LEHUA STREET
WAHIAWA, HI 96786
Provider Phone Number
8086218411
Provider SSA County
20
Provider County Name
Honolulu
Ownership Type
Non profit - Corporation
Number of Certified Beds
93
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
WAHIAWA GENERAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1967-04-03
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.03876
Reported LPN Staffing Hours per Resident per Day
1.80337
Reported RN Staffing Hours per Resident per Day
0.38539
Reported Licensed Staffing Hours per Resident per Day
2.18876
Reported Total Nurse Staffing Hours per Resident per Day
5.22752
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06404
Expected CNA Staffing Hours per Resident per Day
2.44224
Expected LPN Staffing Hours per Resident per Day
0.66052
Expected RN Staffing Hours per Resident per Day
1.05677
Expected Total Nurse Staffing Hours per Resident per Day
4.15953
Adjusted CNA Staffing Hours per Resident per Day
3.05302
Adjusted LPN Staffing Hours per Resident per Day
2.26609
Adjusted RN Staffing Hours per Resident per Day
0.27249
Adjusted Total Nurse Staffing Hours per Resident per Day
5.06586
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2013-04-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
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
16
Cycle 2 Standard Health Survey Date
2012-05-11
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2011-02-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
3
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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