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A+
Excellent

KULA HOSPITAL

100 KEOKEA PLACE · KULA, HI 96790

8088781221 · Non profit - Corporation

105 beds91.4 residents166 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

KULA HOSPITAL receives an overall staffing grade of A+ (Excellent). With 5.4088 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.51 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 21.45% compared to weekdays. The facility relies heavily on temporary agency staff (30.73% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️30.73% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅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
Total Nurse HPRD
5.4088hrs/resident/day▲ 1.51
CMS benchmark: 3.48
RN HPRD
2.0574hrs/resident/day▲ 1.37
Recommended: 0.75
Weekend Drop-off
21.45%
5.7579 weekday → 4.5227 weekend
⚠ Significant weekend reduction
Agency Staff
30.73%
5.44% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.2525hrs/resident/day
Direct care aides
LPN HPRD
0.099hrs/resident/day
Licensed practical nurses
Consistency
0.6616std 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. Maui County Average+0.43 HPRD
4.98
05.41 HPRD
vs. Hawaii State Average+0.70 HPRD
4.71
05.41 HPRD
vs. National Average+1.51 HPRD
3.90
05.41 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
KULA HOSPITAL ★
KULA · This facility
—
A+
5.40882.0574★★★☆☆
HALE MAKUA - KAHULUI
KAHULUI
14.5 mi
A
4.95331.2965☆☆☆☆☆
HALE MAKUA - WAILUKU
WAILUKU
15.7 mi
A
4.58441.3697★★★★★
LANAI COMMUNITY HOSPITAL
LANAI CITY
37.2 mi
—
00★★★★★
Honoka'a Hospital & Skilled Nursing
HONOKAA
71.8 mi
A+
5.28071.3581★★★★★
LIFE CARE CENTER OF KONA
KAILUA KONA
82.7 mi
B
3.69191.1121★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
32
Total Deficiencies
$0
Fines Assessed
Jan 8, 2025Health
1 deficiency cited
▼
Sep 19, 2024Health
1 deficiency cited· Includes actual harm
▼
Jun 6, 2024Health
10 deficiencies cited
▼
Jun 5, 2023Health
12 deficiencies cited
▼
Jun 30, 2022Health
8 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.