Skilled nursing facility · CMS certification number 125046
PU'UWAI 'O MAKAHA
WAIANAE, Hawaii · Medicare and Medicaid
Certified beds, as filed in Care Compare: 93
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,804,330 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,907,916 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,896,414 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,480,547 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,415,867 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $71,089 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,486,956 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,486,956 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 34,038 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 294 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 18,730 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,522 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,546 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 5 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 38 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 41 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 492.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 256.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436529, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,334,436 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,766,729 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,567,707 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,597,821 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$30,114 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $72,787 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $42,673 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $42,672 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,125 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 690.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 264.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392763, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 30, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,397,019 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $578,219 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,818,800 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,343,302 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,475,498 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $85,549 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,561,047 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,561,047 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,452 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 791.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 258.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363587, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 20, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,428,201 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,790,810 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,637,391 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,452,645 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $184,746 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $128,572 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $313,318 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $313,318 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,868 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 603.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 248.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332959, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 24, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,632,134 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,840,750 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,791,384 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,943,456 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$152,072 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $780,737 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $628,665 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $628,665 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,108 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 674.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 302.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305321, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 10, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,187,540 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,010,394 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,177,146 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,150,017 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,027,129 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $81,766 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,108,895 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,108,895 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,120 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 687.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 271.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1272988, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,766,349 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,318,695 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,447,654 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,059,300 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,388,354 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $78,256 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,466,610 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,466,610 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,351 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 155 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 394.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 176.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239057, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,497,412 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,169,396 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,328,016 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,672,960 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $655,056 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $95,486 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $750,542 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $750,542 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,967 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 192 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 328.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 150.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209371, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,668,873 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,143,850 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,525,023 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,066,308 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $458,715 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $87,856 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $546,571 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $546,571 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,317 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 281.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172991, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,340,268 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,901,528 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,438,740 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,860,936 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $577,804 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $82,954 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $660,758 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $660,758 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,577 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 271 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 224.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142265, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 17, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,882,616 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,892,063 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,990,553 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,536,293 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $454,260 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $355,618 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $809,878 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $809,878 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,356 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 301 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 215.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109793, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 29, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,213,065 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,056,225 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,156,840 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,804,073 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $352,767 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $47,574 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $400,341 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $400,341 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,088 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 301 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 236.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074066, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 28, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,781,160 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,297,192 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,483,968 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,909,864 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$425,896 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,524 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$413,372 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$413,372 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,314 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 292 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1040552, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 31, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,510,720 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,177,778 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,332,942 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,280,337 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $52,605 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,291 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $81,896 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $81,896 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,416 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 222 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 282.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 137.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1022775, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 30, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,843,818 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,529,138 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $314,680 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,278 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $326,958 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,221 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 176 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 339.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 171.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 409232, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 13, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,922,475 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,436,043 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $486,432 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,515 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $512,947 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,478 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 197 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 362.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 164.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385642, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,713,621 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,287,712 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $425,909 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,715 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $450,624 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,355 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 602.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 239.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354821, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 20, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,223,195 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,116,535 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $106,660 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,357 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $133,017 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,552 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 227 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 323.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 143.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 335735, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 16, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,430,187 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,683,972 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$253,785 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,695 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$226,090 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,599 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 180 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 404 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 181.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 309224, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 14, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,071,793 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,092,446 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$20,653 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,026 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$11,627 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,796 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 135 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 566.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 242.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 266353, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 22, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,037,946 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,136,031 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$98,085 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,717 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$86,368 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,718 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 151 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 378.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 216.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 249929, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 13, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,108,431 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,007,668 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $100,763 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $168,477 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $269,240 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,683 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 351.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 249.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 202272, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 4, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,397,700 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,362,677 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $35,023 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,329 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $44,352 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,098 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 121 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 380.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 273.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 170200, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,321,585 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,974,551 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $347,034 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,736 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $382,770 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,767 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 360.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 206.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 143815, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,364,284 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,276,743 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $87,541 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,484 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $95,025 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,816 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 110 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 467.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 298.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 117110, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 17, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,167,250 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,113,880 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $53,370 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,841 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $57,211 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,167 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 163 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 346.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 203.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74345, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on January 10, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,490,375 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,606,758 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$116,383 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,755 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$112,628 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,019 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 141 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 496.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 234.18 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74344, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on June 24, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,578,040 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,517,507 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $60,533 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,582 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $72,115 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,083 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 305.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 271.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 75241, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| AKASE FAMILY, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2013 |
| GARDUQUE, SHONALINE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/08/2024 |
| GUTTA, GAWTHAM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2021 |
| HATA, RANDALL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2012 |
| KISHABA, RICHARD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/30/2001 |
| LO, WESLEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2020 |
| LORE, ANDREW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2022 |
| MCCLENNON, PAMELA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2025 |
| MORIKUNI, SUANNE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2019 |
| OHANA PACIFIC MANAGEMENT COMPANY INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/24/2025 |
| OHANA PACIFIC MANAGEMENT COMPANY INC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 09/30/2001 |
| KISHABA, RICHARD | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 09/30/2001 |
| RICHARD S. KISHABA 2010 DYNASTY TRUST | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 07/30/2010 |
| KISHABA, SANDRA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/20/2025 |
| GARDUQUE, SHONALINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/08/2024 |
| GUTTA, GAWTHAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2024 |
| HATA, RANDALL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2012 |
| KISHABA, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/30/2001 |
| LO, WESLEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2020 |
| LORE, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2022 |
| MCCLENNON, PAMELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2025 |
| MORIKUNI, SUANNE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| OHANA PACIFIC MANAGEMENT COMPANY INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/30/2001 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of INTEGRATED HEALTH RESOURCES, LLC (enrollment ID O20030729000018).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| OHANA PACIFIC MANAGEMENT COMPANY INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/30/2001 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| RICHARD S KISHABA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10 | 9/30/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD S. KISHABA 2010 DYNASTY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 90 | 7/30/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| AKASE FAMILY, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREW LORE | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GAWTHAM GUTTA | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OHANA PACIFIC MANAGEMENT COMPANY INC | Organization | ADP OF THE SNF | Not stated in the filing | 11/24/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PAMELA MCCLENNON | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDALL I HATA | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD S KISHABA | Individual | ADP OF THE SNF | Not stated in the filing | 9/30/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHONALINE GARDUQUE | Individual | ADP OF THE SNF | Not stated in the filing | 7/8/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUANNE MORIKUNI | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WESLEY LO | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OHANA PACIFIC MANAGEMENT COMPANY INC | Organization | DIRECT OWNERSHIP INTEREST | 100 | 9/30/2001 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| RICHARD S KISHABA | Individual | INDIRECT OWNERSHIP INTEREST | 10 | 9/30/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD S. KISHABA 2010 DYNASTY TRUST | Organization | INDIRECT OWNERSHIP INTEREST | 90 | 7/30/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREW LORE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GAWTHAM GUTTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OHANA PACIFIC MANAGEMENT COMPANY INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/30/2001 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PAMELA MCCLENNON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDALL I HATA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD S KISHABA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/30/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHONALINE GARDUQUE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/8/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUANNE MORIKUNI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WESLEY LO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: SUANNE MORIKUNI no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARY BETH SANTORO no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S KISHABA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S KISHABA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RANDALL I HATA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HANNAH COLLINS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SUANNE MORIKUNI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SUANNE MORIKUNI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAMELA MCCLENNON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAMELA MCCLENNON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANDREW LORE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANDREW LORE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: WESLEY LO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: WESLEY LO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S KISHABA (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S KISHABA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S KISHABA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S KISHABA (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RANDALL I HATA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RANDALL I HATA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHONALINE GARDUQUE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHONALINE GARDUQUE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: OHANA PACIFIC MANAGEMENT COMPANY INC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: OHANA PACIFIC MANAGEMENT COMPANY INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: OHANA PACIFIC MANAGEMENT COMPANY INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GAWTHAM GUTTA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GAWTHAM GUTTA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S. KISHABA 2010 DYNASTY TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 30, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S. KISHABA 2010 DYNASTY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 30, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AKASE FAMILY, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- October 2, 2023: LEANDRO QUIMOYOG no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: RICHARD S KISHABA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: RICHARD S KISHABA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: HANNAH COLLINS (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since August 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
Recent changes on this record
- July 1, 2026: SUANNE MORIKUNI no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARY BETH SANTORO no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S KISHABA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S KISHABA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RANDALL I HATA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: HANNAH COLLINS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SUANNE MORIKUNI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SUANNE MORIKUNI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAMELA MCCLENNON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: PAMELA MCCLENNON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANDREW LORE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANDREW LORE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: WESLEY LO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: WESLEY LO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S KISHABA (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S KISHABA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S KISHABA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S KISHABA (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RANDALL I HATA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RANDALL I HATA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since August 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHONALINE GARDUQUE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: SHONALINE GARDUQUE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 8, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: OHANA PACIFIC MANAGEMENT COMPANY INC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: OHANA PACIFIC MANAGEMENT COMPANY INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: OHANA PACIFIC MANAGEMENT COMPANY INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GAWTHAM GUTTA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: GAWTHAM GUTTA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since May 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S. KISHABA 2010 DYNASTY TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 30, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: RICHARD S. KISHABA 2010 DYNASTY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since July 30, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AKASE FAMILY, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 21, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 2, 2023: LEANDRO QUIMOYOG no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: RICHARD S KISHABA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: RICHARD S KISHABA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since September 30, 2001. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: HANNAH COLLINS (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since August 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- August 30, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 20, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 24, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- November 10, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 25, 2025 | July 25, 2025 | 8 | 0 |
| 2 | July 26, 2024 | July 26, 2024 | 9 | 2 |
| 3 | July 28, 2023 | July 28, 2023 | 17 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
37 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 25, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | September 8, 2025 |
| July 25, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | September 8, 2025 |
| July 25, 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | 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. | D | No | Deficient, Provider has date of correction | September 8, 2025 |
| July 25, 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | September 8, 2025 |
| July 25, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | September 8, 2025 |
| July 25, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | September 8, 2025 |
| July 25, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | September 8, 2025 |
| July 25, 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | September 8, 2025 |
| July 26, 2024 | Health | F 0584 | Resident Rights Deficiencies | 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. | E | No | Deficient, Provider has date of correction | September 4, 2024 |
| July 26, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | September 4, 2024 |
| July 26, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | September 4, 2024 |
| July 26, 2024 | Health | F 0675 | Quality of Life and Care Deficiencies | Honor each resident's preferences, choices, values and beliefs. | D | Yes | Deficient, Provider has date of correction | September 4, 2024 |
| July 26, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | September 4, 2024 |
| July 26, 2024 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | September 4, 2024 |
| July 26, 2024 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | D | No | Deficient, Provider has date of correction | September 4, 2024 |
| July 26, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | September 4, 2024 |
| July 26, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | No | Deficient, Provider has date of correction | September 4, 2024 |
| August 31, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | September 18, 2023 |
| August 31, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | August 23, 2023 |
| August 31, 2023 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | September 18, 2023 |
| July 28, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | October 17, 2023 |
| July 28, 2023 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | No | Deficient, Provider has date of correction | October 17, 2023 |
| July 28, 2023 | Health | F 0584 | Resident Rights Deficiencies | 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. | E | No | Deficient, Provider has date of correction | October 28, 2023 |
| July 28, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | October 17, 2023 |
| July 28, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | October 17, 2023 |
| July 28, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | No | Deficient, Provider has date of correction | October 17, 2023 |
| July 28, 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | 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. | D | No | Deficient, Provider has date of correction | October 17, 2023 |
| July 28, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | October 17, 2023 |
| July 28, 2023 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | No | Deficient, Provider has date of correction | October 28, 2023 |
| July 28, 2023 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | October 17, 2023 |
| July 28, 2023 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | October 17, 2023 |
| July 28, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | E | No | Deficient, Provider has date of correction | November 8, 2023 |
| July 28, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | October 28, 2023 |
| July 28, 2023 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | F | No | Deficient, Provider has date of correction | October 28, 2023 |
| July 28, 2023 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | No | Deficient, Provider has date of correction | October 28, 2023 |
| July 28, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | October 17, 2023 |
| July 28, 2023 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | October 17, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | INTEGRATED HEALTH RESOURCES, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1997-07-03 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Honolulu |
| Telephone Number | 8086959508 |
| Chain Name | OHANA PACIFIC MANAGEMENT CO. |
| Chain ID | 382 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 93 |
| Average Number of Residents per Day | 62.9 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on PU'UWAI 'O MAKAHA: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for PU'UWAI 'O MAKAHA
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Hawaii at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in Hawaii
- HONOLULU HARBOR, HONOLULU Water discharge permit
- KEWALO BASIN, HONOLULU Water discharge permit
- KALAELOA BARBERS POINT HARBOR, KAPOLEI Water discharge permit
- UNIVERSITY OF HAWAII, HONOLULU Water discharge permit
- NEAL S. BLAISDELL CENTER, HONOLULU Water discharge permit
- JW MARRIOTT IHILANI RESORT AND SPA, KAPOLEI Water discharge permit
- SEA COUNTRY SUBDIVISION, WAIANAE Water discharge permit
- KOHALA PRESERVE - MAHUKONA, UNKNOWN Water discharge permit
- MECO - HANA, HANA Air emission source
- IES-KAHULUI, KAHULUI Air emission source
- MECO - MAALAEA, MAALAEA Air emission source
- COUNTY OF MAUI - CENTRAL MAUI MSWL, WAILUKU Air emission source
- MECO - MIKI BASIN, LANAI CITY Air emission source
- ALOHA-PETROLEUM - KAHULUI, KAHULUI Air emission source
- PAR - KAHULUI, KAHULUI Air emission source
- MECO - PALAAU, PALAAU Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 125046.