HALE MAKUA - KAHULUI
472 KAULANA STREET, KAHULUI, HI 96732 · CCN 125007
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Ratings
- Overall
- — —
- Health inspection
- — —
- Quality measures
- — —
- Staffing
- — —
Facility
- Ownership type
- Non profit - Other
- Certified beds
- 252
- Avg residents/day
- 197.9
- Phone
- 8088772761
Inspection history vs Hawaii & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Hawaii avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-10-18 | 16 | 10.7 | 9.5 | +5.3 worse |
| 2 | 2023-10-19 | 34 | 12.4 | 9.8 | +21.6 worse |
| 3 | 2022-07-22 | 9 | 12.4 | 9.3 | -3.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 2 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.95 | 31.0% |
| RN staffing (reported) | 1.30 | 25.0% |
| Total nurse staffing (adjusted) | 4.69 | — |
Fines & penalties
- Total fines
- $170,249
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Inspection citations (59)1 immediate jeopardy5 actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-09 · Health
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-11 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-01-14 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-14 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-14 · Health · corrected 2025-02-14
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-14 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-10-18 · Health · corrected 2024-11-18
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-10-18 · Health · corrected 2024-11-20
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-18 · Health · corrected 2024-08-21
Actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-18 · Health · corrected 2024-11-20
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-18 · Health · corrected 2024-11-18
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-18 · Health · corrected 2024-11-18
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-18 · Health · corrected 2024-11-18
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-10-18 · Health · corrected 2024-11-18
Actual harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-18 · Health · corrected 2024-11-18
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-10-18 · Health · corrected 2024-11-18
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-10-18 · Health · corrected 2024-11-20
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-18 · Health · corrected 2024-11-18
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-10-18 · Health · corrected 2024-11-18
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-10-18 · Health · corrected 2024-11-18
Potential for more than minimal harm
- DF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2024-08-12 · Health · corrected 2024-07-23
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-12 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-08-12 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-12 · Health · corrected 2024-09-16
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-12 · Health · corrected 2024-09-16
Actual harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-12 · Health · corrected 2024-02-25
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- EF0574The resident has the right to receive notices in a format and a language he or she understands.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- EF0583Keep residents' personal and medical records private and confidential.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-19 · Health · corrected 2023-12-08
Actual harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2023-10-19 · Health · corrected 2023-12-08
Actual harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- LF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-19 · Health · corrected 2023-12-08
Immediate jeopardy
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-10-19 · Health · corrected 2023-12-08
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-04-13 · Health · corrected 2023-05-19
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-13 · Health · corrected 2023-05-19
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-13 · Health · corrected 2023-05-19
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2023-04-13 · Health · corrected 2023-05-19
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-07-22 · Health · corrected 2022-06-09
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-07-22 · Health · corrected 2022-09-09
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-07-22 · Health · corrected 2022-09-09
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-07-22 · Health · corrected 2022-09-09
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2022-07-22 · Health · corrected 2022-09-09
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| OHANA PACIFIC MANAGEMENT COMPANY INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-01-01 |
| LO, WESLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-12-01 |
| LORE, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-01 |
| MCCLENNON, PAMELA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
| MORIKUNI, SUANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-01-01 |
| SANTOS, RODRIGO | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-10-14 |
| CHUN, GRANT | Individual | CORPORATE DIRECTOR | — | 2017-03-01 |
| DORHEIM, TRACY | Individual | CORPORATE DIRECTOR | — | 2025-04-17 |
| KISHABA, RICHARD | Individual | CORPORATE DIRECTOR | — | 2020-01-01 |
| LO, WESLEY | Individual | CORPORATE DIRECTOR | — | 2019-01-01 |
| MCBARNET, ALEXANDER | Individual | CORPORATE DIRECTOR | — | 2015-03-01 |
| MUNEKIYO, MICHAEL | Individual | CORPORATE DIRECTOR | — | 2015-03-01 |
| NISHITA, JOSIAH | Individual | CORPORATE DIRECTOR | — | 2020-04-01 |
| ROMSON, EDWARD | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| SAKAMOTO, ROY | Individual | CORPORATE DIRECTOR | — | 2015-03-01 |
| WACHI, EILEEN | Individual | CORPORATE DIRECTOR | — | 2017-06-01 |
| LO, WESLEY | Individual | CORPORATE OFFICER | — | 2016-12-01 |
Other facilities in KAHULUI
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.