KULA HOSPITAL
100 KEOKEA PLACE, KULA, HI 96790 · CCN 125003
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 105
- Avg residents/day
- 91.4
- Phone
- 8088781221
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 | 2024-06-06 | 10 | 10.7 | 9.5 | -0.7 better |
| 2 | 2023-06-05 | 14 | 12.4 | 9.8 | +1.6 worse |
| 3 | 2022-06-30 | 8 | 12.4 | 9.3 | -4.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 2 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.41 | 58.8% |
| RN staffing (reported) | 2.06 | 46.3% |
| Total nurse staffing (adjusted) | 5.75 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (32)1 actual harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-08 · Health · corrected 2025-02-28
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.2024-09-19 · Health · corrected 2024-09-19
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-06 · Health · corrected 2024-07-21
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.2024-06-06 · Health · corrected 2024-07-21
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-06 · Health · corrected 2024-07-21
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-06 · Health · corrected 2024-07-21
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.2024-06-06 · Health · corrected 2024-07-21
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-06-06 · Health · corrected 2024-07-21
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-06-06 · Health · corrected 2024-07-21
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-06 · Health · corrected 2024-07-21
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-06-06 · Health · corrected 2024-07-21
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2024-06-06 · Health · corrected 2024-07-21
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.2023-06-05 · Health · corrected 2023-07-31
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-06-05 · Health · corrected 2023-07-31
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-06-05 · Health · corrected 2023-07-31
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-06-05 · Health · corrected 2023-07-31
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.2023-06-05 · Health · corrected 2023-07-31
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-05 · Health · corrected 2023-07-31
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-06-05 · Health · corrected 2023-07-31
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2023-06-05 · Health · corrected 2023-07-31
Potential for more than minimal harm
- FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2023-06-05 · Health · corrected 2023-07-31
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-05 · Health · corrected 2023-07-31
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-06-05 · Health · corrected 2023-07-31
Potential for more than minimal harm
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-06-05 · Health · corrected 2023-07-31
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.2022-06-30 · Health · corrected 2022-08-14
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-06-30 · Health · corrected 2022-08-14
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.2022-06-30 · Health · corrected 2022-08-14
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-06-30 · Health · corrected 2022-08-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-30 · Health · corrected 2022-08-14
Potential for more than minimal harm
- DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2022-06-30 · Health · corrected 2022-08-14
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-06-30 · Health · corrected 2022-08-14
Potential for more than minimal harm
- EF0886Perform COVID19 testing on residents and staff.2022-06-30 · Health · corrected 2022-08-14
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| KAISER FOUNDATION HOSPITALS | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-12-24 |
| KAISER FOUNDATION HOSPITALS | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-01-01 |
| CARTWRIGHT, DEBRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 |
| EBERSOLE, WADE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-09-01 |
| FULTON, LYNN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| KOVAL, PENNY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-03 |
| SCOTT, KENNETH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-06-01 |
| GOODFELLOW, TAMAR | Individual | CORPORATE DIRECTOR | — | 2021-03-31 |
| HEW, MARY | Individual | CORPORATE DIRECTOR | — | 2017-07-01 |
| SUTHERLAND, RICHARD | Individual | CORPORATE DIRECTOR | — | 2017-07-01 |
| TAKITANI, ANTHONY | Individual | CORPORATE DIRECTOR | — | 2017-07-01 |
| YAMAMOTO, JOHN | Individual | CORPORATE DIRECTOR | — | 2017-07-01 |
| CARTWRIGHT, DEBRA | Individual | CORPORATE OFFICER | — | 2023-05-01 |
| CHOUCAIR, BECHARA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| DECOSTA-GALDEIRA, SHELBY | Individual | CORPORATE OFFICER | — | 2024-09-01 |
| EBERSOLE, WADE | Individual | CORPORATE OFFICER | — | 2023-02-23 |
| FULTON, LYNN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| HANENBURG, THOMAS | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| KOVAL, PENNY | Individual | CORPORATE OFFICER | — | 2024-11-03 |
| SHITAMOTO, BARRY | Individual | CORPORATE OFFICER | — | 2023-07-01 |
Other facilities in KULA
| 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.