Hi'olani Care Center at Kahala Nui
4389 Malia Street, Honolulu HI 96821 · (808) 218-7052 · 82.5% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Hi'olani Care Center at Kahala Nui is located in Honolulu, Hawaii. This city is among the largest metropolitan areas in the nation with has a total of 403,114 people. This facility was given a very impressive overall rating of A+, making it ranked among the best nursing homes in Honolulu. This truly is an impressive achievement given that the city is one of the most promising areas in the nation in terms of its nursing home ratings. Despite Honolulu having 19 other nursing homes to choose from, this nursing home jumped off the page as a fine choice. We also gave this facility impressive scores in all of the major categories. More information about these categories can be found below.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 20 Beds
CCRC :
Non profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
We also would like to point out that this facility excelled in our nursing score. We gave them an impressive grade of A+ in this category. When determining a facility's nursing score, we weigh the quantity of hours nurses are caring for residents as well as the level of licensure of those nurses. This nursing home boasts a really impressive 5.7 hours of nursing care per patient daily, of which a significant portion of those hours were provided by registered nurses. This is one of the most highly highly trained levels of nurses. This is one of the higher totals of nursing hours we were able to find. In addition to providing high levels of care, this nursing home also excelled in the quality-based metrics we assessed. It performed as well as any nursing home in the nation when it comes to minimizing its residents' major falls and pressure ulcers.
Long-term Care Quality
This first-rate nursing home also performed remarkably in the area of long-term care, where we awarded it a grade of A+. Few facilities performed better in this category. When nursing homes receive a score in this range in long-term care it typically means it's well-staffed and is a quality place to live on a permanent basis. On top of offering elite levels of nurse staffing, this nursing home administered the pneumonia vaccine to 100 percent of its patients. Vaccines are critical to keeping patients healthy. This combination proved to be successful as this facility was able to keep its patients out of the hospital. It had only 0 hospitalizations per one thousand long-term resident days, which is a remarkably low figure.
Short-term Care Quality
The third area we assessed is short-term care. This nursing home also received an A+ short-term care grade, rendering it one of the few facilities to be awarded multiple A+ category scores. Short-term care scores are critical for residents in need of rehabilitation. Rehabilitation typically utilizes additional skilled nursing services. This includes a broad scope of services, spanning from registered nurses to physical and speech therapists, as well as other variations of therapy. This nursing home excelled in two key staffing areas we looked at. It provided about 50% more care from physical therapists and registered nurses than the typical nursing home. This is a very favorable sign. The last metric we looked at in this category is the number of residents who were able to leave the nursing home and return to the community. We found that it fared as well as just about any nursing home in Hawaii in this area with 64.6 percent of its patients returning home.
Facility Inspections
Finally, this facility also received a nearly flawless government inspection report. As a result, it earned one of our highest grades in that category with an elite grade of A. With this impressive grade, this place is one of the few facilities in Hawaii to receive straight A's. Inspection grades weigh several factors found on a nursing home's inspection report. One key criteria we weigh heavily is the quantity and severity of deficiencies. Nursing homes with higher scores in this category tend to have few of these severe deficiencies. Unfortunately, it doesn't appear that we have deficiency counts for this nursing home. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Hi'olani Care Center at Kahala Nui Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of residents that have had a pressure ulcer. Pressure ulcers are damage to the skin due to remaining in the same position for an excessive period of time.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percentage of patients that sustained a fall which resulted in serious injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This figure is an indication of the percent of long-term care patients who have sustained UTI's. While a higher rate of these infections could reflect poorly on a facility's hygiene protocols, it can be difficult to compare between nursing homes due to facilities having varying reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percentage of patients who were given antipsychotic medications. These drugs may be used to treat several medical conditions, including Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of patients who were prescribed antianxiety medications. Antianxiety drugs are given to patients suffering from depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percent of residents exhibiting symptoms of depression. Increased rates of depression could be a sign a less hospitable environment.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This metric is a measure of the percent of long-term patients who have received the pneumonia and flu vaccines. Respiratory viruses can be very dangerous for nursing home patients, making these vaccines critical to patient health.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
Measures the percentage of long-term residents that needed additional assistance with activities of daily living over time. Activities of daily living include activities such as dressing and continence. Many in the industry argue this is a measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is the percent of residents that were able to retain mobility over time. Optimizing mobility is usually a great sign for residents' health.
Percentage of Residents
Higher is Better
Short-term Care: Rehospitalizations
Measures the number of rehospitalizations per thousand days of short-term resident care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of emergency room visits per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is the percent of short-term care residents who saw functional improvements, such as enhanced ability to perform activities of daily living.
Percentage of Resident
Higher is Better