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Hale Kupuna Heritage Home, LLC

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About Hale Kupuna Heritage Home, LLC

General Information

Legal Business NameHale Kupuna Heritage Home, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 7, 2011 (6 years)
Capacity84
Residents68
Percent Occupied81%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Hale Kupuna Heritage Home, LLC

Hale Kupuna Heritage Home, LLC
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Hawaii Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 14, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
GFewActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

August 12, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.

April 15, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
BSomePotential for Minimal HarmHealth InspectionProvide housekeeping and maintenance services.

April 9, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Hale Kupuna Heritage Home, LLC require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 55min
2hr 35min
ReportedExpected
CNA
10min
40min
ReportedExpected
LPN
1hr 20min
1hr
ReportedExpected
RN
4hr 20min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
96.4%
Q1 2015Q2 2015Q3 2015HI
Assessed and Appropriately Given the Seasonal Influenza Vaccine
95.6%
92.6%
90.6%
95.6%
Q1 2015Q2 2015Q3 2015HI
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
53.8%
Q1 2015Q2 2015Q3 2015HI
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
10.3%
13.4%
9.5%
8.7%
Q1 2015Q2 2015Q3 2015HI
Received an Antipsychotic Medication
15.8%
11.7%
25.0%
11.3%
Q1 2015Q2 2015Q3 2015HI
Need for Help with ADLs has Increased
5.5%
2.2%
9.0%
6.9%
Q1 2015Q2 2015Q3 2015HI
Self Report Moderate to Severe Pain
11.3%
9.7%
6.8%
7.0%
Q1 2015Q2 2015Q3 2015HI
Lose Too Much Weight
1.8%
0.0%
0.0%
3.7%
Q1 2015Q2 2015Q3 2015HI
High Risk Residents With Pressure Ulcers
0.0%
0.0%
6.5%
2.7%
Q1 2015Q2 2015Q3 2015HI
Have Depressive Symptoms
0.0%
4.7%
4.9%
4.0%
Q1 2015Q2 2015Q3 2015HI
With a Urinary Tract Infection
5.9%
5.9%
6.2%
2.0%
Q1 2015Q2 2015Q3 2015HI
Experiencing One or More Falls with Major Injury
0.0%
1.7%
1.9%
2.2%
Q1 2015Q2 2015Q3 2015HI
With a Catheter Inserted and Left in Their Bladder
5.9%
5.9%
3.1%
0.9%
Q1 2015Q2 2015Q3 2015HI
Were Physically Restrained

Quality Measures for Short Stay Residents

74.3%
70.0%
80.0%
83.8%
Q1 2015Q2 2015Q3 2015HI
Assessed and Appropriately Given the Pneumococcal Vaccine
82.4%
80.0%
80.0%
83.5%
Q1 2015Q2 2015Q3 2015HI
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
3.3%
28.6%
22.7%
13.5%
Q1 2015Q2 2015Q3 2015HI
Self Report Moderate to Severe Pain
0.0%
7.1%
4.3%
1.0%
Q1 2015Q2 2015Q3 2015HI
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
0.4%
Q1 2015Q2 2015Q3 2015HI
With Pressure Ulcers That Are New or Worsened