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Kohala Hospital

  • Nursing Home

Updated Aug 1, 2020 by Nick Lata

Historical Rating
Grade: B-minus
Oct 18: ANov 18: ADec 18: AJan 19: A-Feb 19: A-Mar 19: A-Apr 19: CMay 19: CJun 19: CJul 19: CAug 19: CSep 19: CJan 20: CMar 20: CApr 20: CMay 20: B-Jun 20: CJul 20: CAug 20: B-
See Rating Overview
Kohala Hospital's website

54-383 Hospital Road,
Kapaau HI 96755

(808) 889-6211

95.45% estimated occupancy 1

Note: Data for Kohala Hospital has not been updated recently. This page shows historical performance which may not be representitive of current service levels.

Kohala Hospital is a very-small hospital-based nursing home located in Kapaau, Hawaii. This facility was given an overall grade of B-, which is a middle of the pack rating. Based on our analysis, this facility has some redeeming qualities. The best part of this place's profile was its stellar nursing score. Nursing grades are discussed in the next section.

Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • Government - State
  • Offers Post-Acute Care 
  • Offers Inpatient Rehab

Specialized Services

  • Personal Care
  • Medication Management
  • Palliative Care
  • Occupational Therapy
  • Diabetes Management
  • Physical Therapy
  • Laboratory
  • X-Ray
  • Pain Management

Nurse Quality

Grade: A

The main thing propping up this nursing home's profile is its elite nursing grade. In fact, we gave this nursing home a grade of A in that category. There are a host of subcategories within this area. Most of these factors reflect nurse staffing. This particular nursing home provided 0.5 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This nursing home performed well in this area. Avoiding major falls is typically a good indicator that a place has reliable quality controls in place. Major falls can many times be avoided if more nurses aids and better safety protocols are in place.

Short-term Care Quality

Grade: A

We also want to note that this facility received a strong short-term care score. In fact, we gave it one of our highest scores in that category with a grade of A. Our short-term care scores are likely most meaningful for people in need of rehabilitation services. Rehabilitation generally mandates more highly-skilled nursing services. Skilled nursing includes not just nursing, but also physical and respiratory therapy, as well as other types of therapy. Fortunately, it appear that this facility has registered nurses on staff. Not every nursing home employs these skilled professionals. However, based on the data they provided, they do not appear to employ physical therapists. The last statistic we looked at in this category is the percentage of residents who were able to leave the nursing home and return home. We found that 0 percent of this nursing home's residents returned home.

Long-term Care Quality

Grade: B-plus

This facility also was awarded a favorable score in our long-term care category. We gave this facility an above average grade of B+ in that area. When nursing homes receive a score in this range in long-term care it typically means it has plenty of staff and is a quality place to reside on a permanent basis. One of the statistics we considered after nursing hours is vaccinations. This nursing home administered the pneumonia vaccination to 98.71795 percent of its residents. Vaccination is a reliable method to avoid negative health outcomes for the nursing home population. Clearly, this facility is doing something right in this area as it was able to keep its residents out of the hospital. It had less than one hospitalization per 1,000 long-term resident days, which is a remarkably low number.

Facility Inspections

Grade: D

In the final category of inspections, we gave this facility just a D for our inspection category. This proved to be its worst category grade, particularly in light of some of the more impressive scores referenced above. Nevertheless, since this data is compiled by an independent government inspector, we weight it heavily in our overall grade. Our inspection scores factor in many items on the facility's inspection reports. When you see severe deficiencies on the inspection reports, this is typically the worst sign. Severe deficiencies indicate a threat to the well being of residents. This nursing home was hit with 2 deficiencies by government inspectors. The only positive thing we found is that none of its deficiencies were in the categories that suggest that they posed a risk to patient safety or health. Finally, we also would like to draw your attention to the fact that this facility was assessed significant government fines recently of over $100,000. This often suggests that a bad performance spanned multiple years.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Sep 22

Kohala Hospital Quality Metrics

Minimizes Pressure Ulcers

Grade: A-plus

In Kohala Hospital, 5.33% of Patients had Pressure Ulcers

This datapoint is is a measure of the percent of long-term care patients who developed new or worsened pressure ulcers. Many experts believe that pressure ulcers are an indicator of nursing care quality.

Minimizes Serious Falls

Grade: D

In Kohala Hospital, 2.13% of Patients had Serious Falls

This tells you the percentage of patients who have had a fall which caused serious injury.

Minimizes Urinary Tract Infections

Grade: D

In Kohala Hospital, 2.68% of Patients had UTIs

This indicates the percentage of residents who suffered from a urinary tract infection. Urinary tract infections are considered by many experts to be a measure of nursing care . UTI's are often associated with a facility with lower levels of hygiene. However, this metric can also be misleading for some nursing homes due to inconsistent reporting standards for infections.

Appropriately Uses Anti-Psychotic Medication

Grade: D

In Kohala Hospital, 9.16% of Patients use Anti-Psychotic Medication

This is the percent of patients given antipsychotic drugs. While antipsychotic medications may be helpful for many residents, it is important to ensure these drugs are being used appropriately. In some cases, excessive reliance on these medications may suggest that a nursing home is using these medications to subdue residents.

Appropriately Uses Anti-Anxiety Medication

Grade: B-plus

In Kohala Hospital, 7.57% of Patients use Anti-Anxiety Medication

This statistic is an indication of the percent of long-term patients who are given antianxiety medication. These medications are generally used to treat residents experiencing anxiety or depression.

Managing Depression Among Residents

Grade: D

In Kohala Hospital, 1.5% of Patients

This datapoint is a measure of the percent of long-term residents showing depressive symptoms.

Appropriate Vaccine Usage

Grade: A-minus

In Kohala Hospital, 97.18% of Patients

Measures the percent of long-term residents who were vaccinated against pneumonia and flu.

Residents Maintain Autonomy

Grade: C

In Kohala Hospital, 11.05% Percentage of Patients

This metric measures the percent of long-term residents who required more assistance with activities of daily living over time. Activities of daily living include activities such as moving around and using the bathroom.

Ability to Keep Residents Mobile

Grade: A-plus

In Kohala Hospital, 19.95% Percentage of Residents

This datapoint is a measure of the percent of long-term care patients who retained mobility levels.

Short-term Care: Rehospitalizations

Grade: F

In Kohala Hospital, 19.95 Percentage of Residents Rehospitalized

This datapoint measures the number of rehospitalizations per thousand days of short-term care. Avoiding rehospitalizations during rehabilitation is important to restoring the physical well-being of residents.

Nearby Hospitals

  • Kohala HospitalCritical Access Hospitals 0.11 miles away54-383 Hospital Road Kapaau Hawaii 96755Government - State(808) 889-6211

Nearby Dialysis

  • North Hawaii Dialysis18.61 miles away67-1123 Mamalahoa Highway #112 Kamuela Hawaii 96743Dialysis Stations: 9 (808) 930-2001