Hale Makua Health Services is an average-sized non-profit nursing home located in Wailuku, Hawaii. This facility is a well below average nursing home. A grade of this caliber suggests we found some red flags. If you are not satisfied with this facility's pedestrian overall grade, you may have to look in other cities as this is the only nursing home in Wailuku. More information on this nursing home's category grades is available below. Its best category was nursing, which is addressed in the next section.
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Hale Makua Health Services
- Nursing Home
- Home Health Agency
- Adult Day Care
Updated Apr 1, 2023 by Nick Lata
Note: Hale Makua Health Services has been flagged for abuse in the past 12 months. We have capped this facility's overall grade accordingly.
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- Accepts Medicare 1
- Accepts Medicaid 1
- Is CCRC
- Has Resident Council
- No Family Council
- Non profit - Corporation
- Offers Inpatient Rehab
- Personal Care
- Medication Management
- Home Making
- Speech Therapy
- IV Antibiotic Therapy
- Occupational Therapy
- Physical Therapy
- Nutritional Counseling
- Recreational Therapy
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Top Nursing Home in Hawaii Awards 2019
Top Nursing Home in Hawaii Awards 2020
Top Nursing Home in Hawaii Awards 2021
Registered Staff Hours
Although we did not rate this facility well overall, we want to point out its decent grade of B- in the category of nursing. In computing a facility's nursing grade, we consider the number of hours nurses are seeing residents and the skill levels of those nurses. This facility provided just 0.7 hours of nursing care per resident per day. This is a relatively low total compared to most other facilities. Finally, while this nursing home got docked a bit for nursing hours per resident, it excelled in a few of our quality metrics. With fewer than five percent of its residents experiencing pressure ulcers, it did remarkably well in this area.
Short-term Care Quality
One of this nursing home's better category grades was in the area of short-term care. This wound up being its second most favorable category. In that category, we gave this facility a B-. In the area of short-term care, we try to evaluate measures of a nursing home's rehabilitation services. We assess the nursing home's skilled nursing services, such as the ones performed by registered nurses and physical and occupational therapists. Unfortunately, we found that this facility provided fewer physical therapist and registered nurse hours per resident than most other nursing homes. The more important thing is determining what effect this had on quality of care. Lastly, we considered the percentage of patients that who were able to eventually return home from this nursing home. We found that 0 percent of this facility's patients were able to return home. This figure was actually quite a bit below the national average.
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Long-term Care Quality
We also gave this facility a solid grade in the area of long-term care, with a grade of B-. In a long-term care environment, the primary objective is to keep patients healthy and safe. This is different than skilled nursing or short-term care where the goal is to rehabilitate patients. In addition to looking at the amount of care provided by aids and other staff, we looked at the percentage of residents vaccinated for pneumonia. Fortunately, this nursing home administered the vaccine to 99.27007 percent of its patients, which is an above average percentage. This place also excelled at keeping its residents out of the hospital. In fact, it had only 0.01 hospitalizations per 1,000 long-term resident days, which is an impressively low number.
This nursing home did not receive a favorable inspection rating. We gave it just a just D in this category. Inspection scores relate to a nursing home's inspections. One of the more critical factors in evaluating an inspection report is deficiencies. We recommend you scrutinize the severity of the deficiencies. This facility had 2 deficiencies on its inspection report. The only positive thing we found is that none of these deficiencies were in the categories that suggest that they caused a threat to patient safety or health. Finally, this facility was cited by CMS for possible abuse or neglect. We would not recommend this facility under any circumstance.
Rating Over Time
Compared to national and state averages across all facilities.
Hale Makua Health Services Quality Metrics
Minimizes Pressure Ulcers
In Hale Makua Health Services, 10.7% of Patients had Pressure Ulcers
This is the percent of residents who sustained a pressure ulcer. Pressure ulcers, which are also referred to as bed sores, are routinely caused by patients staying in one position for too long. Better nursing protocols can minimize the number of pressure ulcers sustained by residents in a nursing home.
Minimizes Serious Falls
In Hale Makua Health Services, 2.55% of Patients had Serious Falls
This tells you the percentage of residents who have had a fall which caused major injury.
Minimizes Urinary Tract Infections
In Hale Makua Health Services, 3.36% of Patients had UTIs
This indicates the percentage of patients that sustained a urinary tract infection. UTI's are often linked to poor nursing care. More frequent bathing can reduce the percentage of residents in a nursing home who suffer from UTI's. Keep in mind that this statistic is sometimes skewed by the fact that nursing homes have varying reporting standards for UTI's.
Appropriately Uses Anti-Psychotic Medication
In Hale Makua Health Services, 18.52% of Patients use Anti-Psychotic Medication
This tells you the percent of residents who were prescribed antipsychotic medications. Antipsychotic drugs are prescribed to residents for many conditions, including cognitive disorders. Tragically, in limited cases, high levels of antipsychotic drug use may indicate a nursing home is using these drugs to subdue residents.
Appropriately Uses Anti-Anxiety Medication
In Hale Makua Health Services, 16.73% of Patients use Anti-Anxiety Medication
This indicates the percent of residents prescribed antianxiety drugs. These drugs are used to treat residents experiencing depression or anxiety.
Managing Depression Among Residents
In Hale Makua Health Services, 1.94% of Patients
This metric measures the percentage of long-term stay patients who are showing depressive symptoms.
Appropriate Vaccine Usage
In Hale Makua Health Services, 99.64% of Patients
This tells you the percentage of patients that were administered the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.
Residents Maintain Autonomy
In Hale Makua Health Services, 13.04% of Patients
Measures the percent of long-term residents that needed additional assistance with activities of daily living over time. ADL's include activities such as taking medications and bathing. Many believe that this is a reliable measure of a patient's well-being.
Ability to Keep Residents Mobile
In Hale Makua Health Services, 18.76% of Residents
Measures the percent of long-term care patients who were able to retain mobility. Some experts argue that the ability to move around is important for patients well-being.
In Hale Makua Health Services, 0.01 Hospitalizations per 1,000 resident days
This is the number of hospitalizations per 1,000 days of care.
Short-term Care: Rehospitalizations
In Hale Makua Health Services, 18.76% of Residents Rehospitalized
This metric is a measure of the number of rehospitalizations per thousand days of short-term care.
Short-term Care: ER Visits
In Hale Makua Health Services, 9.18% of Patients
This metric measures the number of emergency room visits per thousand days of short-term patient care.
Short-term Care: Facilitates Functional Improvement
In Hale Makua Health Services, 73.47% of Resident
This tells you the percentage of short-term residents that saw functional improvements, such as enhanced ability to perform activities of daily living. Higher levels of performance with activities of daily living generally correlates with successful rehabilitation.
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