Kula Hospital
100 Keokea Place, Kula, HI 96790


Kula Hospital is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 125003. The address is 100 Keokea Place, Kula, HI 96790. The zip code is 96790. The phone number is 8088781221.


Kula Hospital · 100 Keokea Place, Kula, HI 96790

Federal Provider Number 125003
Provider Name KULA HOSPITAL
Address 100 KEOKEA PLACE
KULA, HI 96790
Phone Number 8088781221
SSA County Code 50
County Name Maui
Ownership Type For profit - Corporation
Certified Beds 105
Certified Beds Residents 63
Provider Type Medicare and Medicaid
Resides in Hospital true
Legal Business Name Legal Business Name Not Available
Date First Approved to Provide Medicare Medicaid Services 01/01/1967
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 1
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 0.54444
Reported LPN Staffing Hours per Resident per Day 0.09048
Reported RN Staffing Hours per Resident per Day 5.62381
Reported Licensed Staffing Hours per Resident per Day 5.71429
Reported Total Nurse Staffing Hours per Resident per Day 6.25873
Reported Physical Therapist Staffing Hours per Resident Per Day 0.09048
Expected CNA Staffing Hours per Resident per Day 2.57201
Expected LPN Staffing Hours per Resident per Day 0.61544
Expected RN Staffing Hours per Resident per Day 0.80176
Expected Total Nurse Staffing Hours per Resident per Day 3.98921
Adjusted CNA Staffing Hours per Resident per Day 0.5194
Adjusted LPN Staffing Hours per Resident per Day 0.12202
Adjusted RN Staffing Hours per Resident per Day 5.24112
Adjusted Total Nurse Staffing Hours per Resident per Day 6.32414
Cycle 1 Total Number of Health Deficiencies 14
Cycle 1 Number of Standard Health Deficiencies 14
Cycle 1 Health Deficiency Score 164
Cycle 1 Standard Survey Health Date 04/21/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 164
Cycle 2 Total Number of Health Deficiencies 9
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Health Deficiency Score 44
Cycle 2 Standard Health Survey Date 03/11/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 44
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 04/24/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 100
Number of Fines 1
Total Amount of Fines in Dollars $32315.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Kula Hospital

Owner Name Role Association Date
() Ownership Data Not Available

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