Hale Kupuna Heritage Home, Llc
Hale Kupuna Heritage Home, Llc Information
| Facility Name | Hale Kupuna Heritage Home, Llc |
| Location | 4297a Omao Road, Koloa, HI 96756 |
| County (SSA Code) | Kauai (40) |
| Phone Number | 808-742-7591 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 84 |
| Average Number of Residents | 62.4 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | HALE KUPUNA HERITAGE HOME, LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 2011-06-07 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.76924 |
| Reported LPN Staffing Hours per Resident per Day | 0.23477 |
| Reported RN Staffing - Hours per Resident per Day | 1.38103 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.6158 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.38504 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.04459 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.98981 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.72307 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.35831 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.07119 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.55208 |
| Total Weighted Health Survey Score for three cycles | 46 |
| Rating cycle 1 Standard Survey Health Date | 2019-09-13 |
| Rating cycle 1 - Health Deficiency Score | 7 |
| Rating cycle 1 - Total Health Inspection Score | 36 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-09-07 |
| Rating cycle 2 - Health Deficiency Score | 36 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-06-23 |
| Rating cycle 3 - Health Deficiency Score | 12 |
| Rating cycle 3 - Total Health Inspection Score | 12 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 31000 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |