Kohala Hospital
54-383 Hospital Road, Kapaau HI 96755 · (808) 889-6211 · 95.45% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Kohala Hospital is a very-small hospital-based nursing home located in Kapaau, Hawaii. With an overall score of C, this is a respectable facility. Based on our analysis, this nursing home ought to meet the needs of many people. This facility didn't meet our expectations in every category we looked at, but it did not receive any terrible grades either. Additional information about its category grades is available below.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 22 Beds
CCRC :
Government - State
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
We want to draw your attention to the fact that this facility received a much better grade for nursing than it received overall. In fact, it received one of our highest grades in that category with a score of A+. When computing our nursing ratings, we factor in both staffing levels and the skill levels of the nurses. This nursing home provided 5 hours of nursing care per patient on a daily basis. Roughly one quarter of those hours were provided by registered nurses, which are among the most skilled levels of nurses. These are both impressive figures, which typically correlates with higher quality care. Finally, this facility also excelled in several of the quality-based metrics we looked at. With fewer than five percent of its residents experiencing pressure ulcers, it performed as well as any nursing home in the state in this category.
Short-term Care Quality
This facility also performed well in the category of short-term care, with high-end score of A in this area. Our short-term care ratings are believed to be more critical for patients requiring a nursing home for rehabilitation. Rehabilitation typically utilizes additional skilled nursing. This means not merely nursing, but also physical and respiratory therapy, as well as other types of therapy. When we assessed this facility's nursing hours, we found it offered substantially more care from registered nurses than most nursing homes. The last measure we assessed in this area is the percentage of residents who were able to leave the facility and return to the community. We found that 0 percent of this facility's residents were able to return home.
Long-term Care Quality
The third category we graded is long-term care. In that area, we gave this nursing home a grade of B+. It actually outperformed most facilities in this area. When nursing homes receive this kind of score in long-term care it is usually a good sign for resident care and indicates that the place is well-staffed with nurses and aids. On top of considering the quantity of care provided by nurses and other staff, we looked at the number of residents vaccinated against pneumonia. This facility gave the vaccine to 98.71795 percent of its residents, which is what we like to see. Pneumonia tragically can be a life threatening condition for nursing home patients so we prefer when a nursing home does not leave this to chance. Lastly, this facility was able to limit hospitalizations. In fact, it had only 0 hospitalizations per one thousand long-term resident days, which is an impressively low number.
Facility Inspections
Looking to our last category of inspections, we gave this nursing home a grade of just just D, which is a relatively poor grade. Our inspection grade is based on the facility's government inspection reports. Since this information is compiled by government inspectors, we place significant weight on it in our overall grades. One of the more significant factors in evaluating an inspection report is deficiencies. We recommend you pay close attention to the severity of the deficiencies. This particular facility was hit with 2 deficiencies by CMS. The only favorable thing we can say is that none of the deficiencies were in the categories that suggest that they created a risk to patient safety or health. Finally, we would like to draw your attention to the fact that this nursing home was assessed significant government fines totaling more than $100,000. This usually means that a facility's bad performance has been an issue for multiple years.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Kohala Hospital Quality Metrics
Minimizes Pressure Ulcers
This indicates the percentage of patients who have had a pressure ulcer. Pressure ulcers, also called bed sores, are routinely the result of patients not being moved frequently enough. Better nursing protocols reduces the number of pressure ulcers sustained by residents in a nursing home.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This tells you the percentage of residents that have had a major fall. Falls leading to serious injury are routinely associated with poor nursing care. Better nursing protocols reduces the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of residents who suffered from a urinary tract infection. These infections could be linked to poor hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percent of residents given antipsychotic drugs. Antipsychotic medications are prescribed to residents for a variety of medical conditions, including Alzheimer's or other dementias. Sadly, in limited cases, increased usage of these drugs may suggest a nursing home is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This datapoint is an indication of the percentage of long-term stay residents taking antianxiety medications.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This metric measures the percentage of long-term stay residents demonstrating symptoms of depression. Many believe this is a reliable measure of resident quality of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percent of patients that have received the flu and pneumonia vaccines. High vaccination rates should be standard at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percentage of residents who needed more assistance with activities of daily living over time.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This datapoint is a measure of the percent of long-term care patients who retained mobility levels. Many in the industry believe that the ability to move around is critical to residents' mental and physical well-being.
Percentage of Residents
Higher is Better
Short-term Care: Rehospitalizations
This indicates the number of times residents are rehospitalized per 1,000 days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better