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Hi'olani Care Center at Kahala Nui

4389 Malia Street, Kahala, HI 96821

Assisted Living Nursing Home Care Independent Living Continuing Care (CCRC) Senior Living

License #10-ALF. With a total Capacity of 63 bed, this is the smallest assisted living facility licensed in the state of Hawaii

Hi'olani Care Center at Kahala Nui is licensed for 20 beds.

Federal reporting puts occupancy at about 78% of its licensed beds.

Medicare rates this community 5 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 5 stars for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in June 2024 and recorded 8 deficiencies.

Residents receive about 6.4 hours of nursing care per day on average, including 2.1 hours from a registered nurse. Nursing staff turnover over the past year was about 24%.

Medicare five-star ratings

  • Overall ★★★★★ 5/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 5/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 24 problems at Hi'olani Care Center at Kahala Nui. None of them caused harm to a resident.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected June 2024. Corrected by July 31, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Inspected June 2024. Corrected by July 31, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected June 2024. Corrected by July 31, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected June 2024. Corrected by July 31, 2024.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected June 2024. Corrected by July 31, 2024.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Inspected June 2024. Corrected by July 31, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected June 2024. Corrected by July 31, 2024.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected June 2024. Corrected by July 31, 2024.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Hi'olani Care Center at Kahala Nui offers assisted living, nursing home care, independent living, continuing care (CCRC), and senior living.

Facility details

  • Beds / units 20
  • Occupancy 78%
  • Nursing hours per resident/day 6.4
  • Annual staff turnover 24%
  • Last health inspection June 2024

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