Hi'olani Care Center at Kahala Nui

Name: Hi'olani Care Center at Kahala Nui
Address: 4389 Malia Street, Honolulu, HI, 96821, US
Telephone: 8082187052

4389 Malia Street, Honolulu, HI 96821 · Honolulu County · 20 certified beds · avg 16 residents/day · certified since Nov 21, 2005

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

6.94

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 5/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (24)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 27, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 10, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 10, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Aug 10, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Aug 10, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 10, 2023	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Aug 10, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 10, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Aug 10, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Aug 10, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Aug 10, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Aug 10, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Aug 10, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 10, 2023	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Sep 23, 2022	F · Potential for harm, facility-wide	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 23, 2022	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 23, 2022	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 8).

Year	Citations	Worst severity that year
2022	3	F
2023	13	F
2024	8	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Hawaii avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	6.94	4.77	3.95	top 7% in Hawaii; top 2% in the U.S.
Registered Nurse hours	2.31	1.64	0.69	top 10% in Hawaii; top 1% in the U.S.
Weekend total nurse staffing	6.51	4.23	3.50	top 7% in Hawaii; top 1% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.78	1.33	0.48	top 15% in Hawaii; top 1% in the U.S.
Total nursing staff turnover (%)	23.9	36.4	45.8	top 19% in Hawaii; top 6% in the U.S.
RN turnover (%)	47.1	31.5	42.9	bottom 14% in Hawaii; bottom 40% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 6.39, RN 2.13, weekend 5.99. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Camp, Christine	Individual	Corporate Officer	NOT APPLICABLE	03/01/2015
Chong, Shiela	Individual	Corporate Director	NOT APPLICABLE	03/01/2020
Courts, Craig	Individual	Corporate Officer	NOT APPLICABLE	10/01/2021
Courts, Craig	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2021
Kelley, Charles	Individual	Corporate Officer	NOT APPLICABLE	03/01/2020
Masaki, Kamal	Individual	Corporate Director	NOT APPLICABLE	03/01/2016
McKenna, Jon	Individual	Corporate Officer	NOT APPLICABLE	03/01/2016
Murakami, Ross	Individual	Corporate Director	NOT APPLICABLE	03/01/2020
Paik, Son-Jai	Individual	Corporate Officer	NOT APPLICABLE	03/01/2014
Phillips, Raymond	Individual	Corporate Officer	NOT APPLICABLE	03/01/2022
Price, Susan	Individual	Corporate Director	NOT APPLICABLE	03/01/2022
Tokioka, Frank	Individual	Corporate Officer	NOT APPLICABLE	03/01/2016
Tsukamoto, Kent	Individual	Corporate Director	NOT APPLICABLE	03/01/2020
Yoshikara, Adrienne	Individual	Corporate Director	NOT APPLICABLE	03/01/2015

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Maunalani Nursing and Rehabilitation Center	1.4 mi	Honolulu, HI	★★★★★	4/5
Leahi Hospital	1.4 mi	Honolulu, HI	★★★★★	4/5
Palolo Chinese Home	1.7 mi	Honolulu, HI	★★☆☆☆	2/5
Hale Ola Kino by Arcadia	3.4 mi	Hon, HI	★★★★★	4/5
Oahu Care Facility	3.4 mi	Honolulu, HI	★★★★★	3/5
Islands Skilled Nursing & Rehabilitation	3.4 mi	Honolulu, HI	★☆☆☆☆	1/5	SFF
Arcadia Retirement Residence	3.5 mi	Honolulu, HI	★★★★☆	3/5
Hale Malamalama	3.9 mi	Honolulu, HI	★★☆☆☆	1/5	SFF
Kalakaua Gardens	3.9 mi	Honolulu, HI	★★☆☆☆	2/5
Hale Nani Rehabilitation and Nursing Center	4.3 mi	Honolulu, HI		—/5	SFF

Compare this facility with the 3 closest →

All facilities in Honolulu →

Facility data as of CMS processing date 2026-08-01. CCN 125055.

The Care File

Visit checklist — Hi'olani Care Center at Kahala Nui

4389 Malia Street, Honolulu, HI 96821 · 8082187052

Health inspection rating 3/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 125055 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)