Hale Makua - Kahului
472 Kaulana Street · Kahului, HI · 96732 · 8088772761
252 certified beds Non profit - Other
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Federal penalties on record: $126,659 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$126,659 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 4.84 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.42 | 0.55–0.75 |
| Weekend hours / resident-day | 4.26 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | 3 · $170,249 |
Inspection citations (59 in the current record)
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Potential for harm · D January 9, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 23, 2026 · Resident Rights
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Potential for harm · D January 9, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 23, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 9, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 23, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 9, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 23, 2026 · Quality of Life and Care
-
Potential for harm · D January 9, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 23, 2026 · Quality of Life and Care
-
Potential for harm · D January 9, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected February 23, 2026 · Quality of Life and Care
-
Potential for harm · D January 9, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 23, 2026 · Quality of Life and Care
-
Potential for harm · D January 9, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected February 23, 2026 · Pharmacy Service
-
Potential for harm · D January 9, 2026
Provide and implement an infection prevention and control program.
Corrected February 23, 2026 · Infection Control
-
Potential for harm · D January 9, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 23, 2026 · Quality of Life and Care
-
Potential for harm · D April 11, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 16, 2025 · Resident Rights
-
Potential for harm · D January 14, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 14, 2025 · Resident Rights
-
Potential for harm · D January 14, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 14, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D January 14, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 14, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E January 14, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 14, 2025 · Quality of Life and Care
-
Actual harm · G October 18, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected November 18, 2024 · Quality of Life and Care
-
Actual harm · G October 18, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 18, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected November 18, 2024 · Resident Rights
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Potential for harm · D October 18, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected November 20, 2024 · Resident Rights
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Potential for harm · D October 18, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 18, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 18, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 18, 2024 · Quality of Life and Care
-
Potential for harm · D October 18, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 18, 2024 · Quality of Life and Care
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Potential for harm · D October 18, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 18, 2024 · Pharmacy Service
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Potential for harm · D October 18, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected November 18, 2024 · Pharmacy Service
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Potential for harm · E October 18, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected November 20, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 18, 2024 | Fine | $71,019 |
| August 12, 2024 | Fine | $55,640 |
| October 19, 2023 | Fine | $43,590 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 125007 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.