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A+
Excellent

Hi'olani Care Center at Kahala Nui

4389 Malia Street · Honolulu, HI 96821

8082187052 · Non profit - Corporation

20 beds17.6 residents123 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Hi'olani Care Center at Kahala Nui receives an overall staffing grade of A+ (Excellent). With 5.7808 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.88 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 10.19% compared to weekdays. The facility has low agency staff usage (0.81% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.81%) — mostly permanent, familiar staff
Total Nurse HPRD
5.7808hrs/resident/day▲ 1.88
CMS benchmark: 3.48
RN HPRD
1.9206hrs/resident/day▲ 1.24
Recommended: 0.75
Weekend Drop-off
10.19%
5.9523 weekday → 5.3455 weekend
Agency Staff
0.81%
2.45% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.487hrs/resident/day
Direct care aides
LPN HPRD
0.2909hrs/resident/day
Licensed practical nurses
Consistency
0.597std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Honolulu County Average+0.84 HPRD
4.94
05.78 HPRD
vs. Hawaii State Average+1.07 HPRD
4.71
05.78 HPRD
vs. National Average+1.88 HPRD
3.90
05.78 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Hi'olani Care Center at Kahala Nui ★
Honolulu · This facility
—
A+
5.78081.9206★★★★★
MAUNALANI NURSING AND REHABILITATION CENTER
HONOLULU
1.4 mi
A
4.90981.2103★★★★★
LEAHI HOSPITAL
HONOLULU
1.4 mi
A
4.47531.8568★★★★★
PALOLO CHINESE HOME
HONOLULU
1.7 mi
A
4.25071.4912★★☆☆☆
HALE OLA KINO BY ARCADIA
HON
3.3 mi
A+
5.6161.38★★★★★
OAHU CARE FACILITY
HONOLULU
3.4 mi
A
4.6991.6701★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
24
Total Deficiencies
$0
Fines Assessed
Jun 27, 2024Health
8 deficiencies cited
▼
Aug 10, 2023Health
13 deficiencies cited
▼
Sep 23, 2022Health
3 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.