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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 Beds84
Average Number of Residents62.4
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 InstalledYes
Located In Hospital No
Resident Family CouncilBoth

Prodvider Business NameHALE KUPUNA HERITAGE HOME, LLC
Ownership TypeFor profit - Corporation
Date First Approved2011-06-07

Reported Nurse Aide Staffing Hours per Resident per Day2.76924
Reported LPN Staffing Hours per Resident per Day0.23477
Reported RN Staffing - Hours per Resident per Day1.38103
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 Day0.04459
Case-Mix Nurse Aide Staffing - Hours per Resident per Day1.98981
Case-Mix LPN Staffing - Hours per Resident per Day0.72307
Case-Mix RN Staffing - Hours per Resident per Day0.35831
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 cycles46
Rating cycle 1 Standard Survey Health Date2019-09-13
Rating cycle 1 - Health Deficiency Score7
Rating cycle 1 - Total Health Inspection Score36
Date of Rating cycle 2 Standard Health Survey Date2018-09-07
Rating cycle 2 - Health Deficiency Score36
Date of Rating cycle 3 Standard Health Survey Date2017-06-23
Rating cycle 3 - Health Deficiency Score12
Rating cycle 3 - Total Health Inspection Score12

Number of Facility-Reported Incidents0
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Number of Fines1
Total Amount of Fines (in Dollars)31000
Total Number of Penalties1

Data Filing Date2020-10-01
Page Last Updated2020-11-28